SURGICAL TREATMENT OF COMPLICATED FORMS OF LIVER ECHINOCOCCOSIS CONSIDERING INDICATORS O ENDOGENIC INTOXICATION

Abstract

Aim. To improve the results of surgery of complicated forms of liver echinococcosis using minimally invasive technologies and considering indicators of endogenic intoxication. Material and methods. The work presents the results of the surgical treatment of 80 patients with liver echinococcosis and its complications. 30 (37,5%) patients had a suppurative cyst, and another 30 (37,5%) patients had mechanical jaundice of parasitic origin. The severity of the endogenic intoxication was assessed by the fluorescent method of the albumin examination. Effective albumin concentration, general albumin concentration, reserve albumin binding capacity, toxicity index, indicators of the level of lipid peroxidation products, and C-reactive protein were studied. Results and discussion. The main method of liver echinococcosis diagnosis was an ultrasound examination that allowed to establish the diagnosis in 92,4% cases. The group of patients with complicated forms of liver echinococcosis showed higher indicators of CD, MDA, and MSM than in patients without complications. Patients with complicated forms of liver echinococcosis received two-staged surgery with minimally invasive approaches along with detoxification therapy, antioxidant therapy, and antihypoxic therapy. Conclusions. The conduction of primary minimally invasive operations, detoxification, and strengthening therapy allowed improving the general state of patients and provide surgery in more favorable conditions for patients.