Clinical Evaluation of the Results of Organ-Preserving Operations in Liver Echinococcosis with Elastic Fibrous Capsule
Abstract
One of the urgent issues in the surgery of echinococcosis of the liver remains the option of treatment of the residual cavity, implying both antiparasitic efficacy and the possibility of accelerating the processes of obliteration of the fibrous capsule. The article highlights the results of echinococcectomy from the liver, analyzed taking into account the method of treatment of residual cavities with an elastic fibrous capsule. The proposed method for treating the residual cavity in uncomplicated forms of liver echinococcosis in the presence of an elastic fibrous capsule that subsides after extraction of the parasite, includes laser radiation, which makes it possible to treat cavities of any configuration, inhibition of the growth of pathogenic flora, as well as in combination with the use of a powdered composition "HEMOBEN". The technique promotes local hemo and lymphostasis, sealing of the bile duct microspheres and strengthening of the processes of obliteration of the walls of the fibrous capsule both during suturing and vacuum drainage. The method can be used as an alternative to pericystectomy and liver resection.
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