EFFICIENCY OF MODERN TECHNOLOGY IN A TREATMENT OF ECHINOCOCOSIS OF THE ORGANS OF THE ABDOMINAL CAVITY

Abstract

Aim. To improve the results of surgical treatment of echinococcosis of the organs of the abdominal cavity using minimally invasive technology. Material and methods. 135 patients with the echinococcosis of the organs of the abdominal cavity at the age of 18-72 years received surgery at МSP SUE TALKO, MDC “Varorud” andMDC Avicenna Tajik State Medical University. The number of women prevailed - 78 (57,8%), men - 57 (42,2%). The main group included 85 (63%) patients, and the control group - 50 patients. The diagnosis was based on a general clinical and biochemical blood and urine tests, Ultrasound examination, thorax X-my, ECG, МЯТ, and КТ. Results and discussion. During laparoscopic echinococcectomy, the introduction points were chosen individually and the number and diameter of trocars depending on the circumstances. Use of the five-petal retractor and vacuum-aspirator with replaceable five- and ten-millimeter header in addition to traditional tooling facilitates the course of operation, and intraoperative compliance with aparasitic and antiparasitic principles decreases the frequency of purulent postoperative inflammatory complications. Conclusion. Laparoscopic echinococcectomy as a minimally invasive method of surgical treatment of patients with echinococcosis of the organs of the abdominal cavity is a method of the choice with a minimum frequency of purulent inflammatory postoperative complications that facilitates the improvement of life quality of these patients and positive outcome of the surgery.