A case of successful multi-stage surgical treatment of liver echinococcosis

• DOI: 10.29413/abs.2022-7.4.20
• Publication Date: 2022-09-05T20:46:05Z
• Authors: A. O. Krasnov; V. V. Anishchenko; I. V. Pachgin; K. A. Krasnov; V. A. Pelz; O. A. Krasnov; V. V. Pavlenko
• Keywords: Outpatient clinic; Liver disease

A clinical case of successful radical multi-stage surgical treatment a patient with bilobar parasitic lesion the liver echinococcosis complicated by infection one cysts is presented. The was admitted to clinic volumetric lesions in both lobes liver. At stage differential diagnosis, on basis process verification puncture biopsy under ultrasound control, ethiology mass reliably established. primary stationary stage, echinococcal diagnosed, for which cyst drained control. After that, discharged outpatient care compensation, correction general level health and nutritional status. next inpatient examination, determined have an insufficient functional reserves perform operation. For this reason, laparoscopic ligation right branch portal vein performed order develop vicarious hypertrophy contralateral lobe. 30 days, increased made it possible plan acceptable risk patient. operation amount right-sided extended hemihepatectomy marginal resection 3rd segment symptoms failure postoperative period according ISGLS scale were regarded as Grade A. from hospital satisfactory condition day 10 after In period, courses therapy albendazole prescribed standard scheme. observation more than year treatment. satisfactory. No recurrence disease noted.