Background: Hepatic alveococcosis is extremely aggressive disease. Methods: We examined 41 patients from 2008-2017,36 were operated:31 hepatic resections, 4 liver transplantation(OLT), 1 portosystemic shunting.Among all the cases of hepatic resections (n=1067) alveococcosis accounts for 3.28% Extrahepatic alveococcosis 2(lungs). The complications:9 obstructive jaundice, 4 portal hypertension, 1 viral hepatic cirrhosis. The size of a parasitic node in the liver varied 9.3-21.7cm. Results: 35 radical operated:31 R0-resections,4 OLT,1 portosystemic shunting. 6 were not operated:2 due to marked comorbidity;2 chronic infection+biliary fistulas;1 bile ducts stenting,1 suggested transplantation.Among the surgeries:4 right hepatectomy,16 right extensive hepatectomy,2 left extensive hepatectomy,1 left hepatectomy,1 hepatectomy with reverse autotransplantation of the left lateral segment,1 left hepatectomy "ex situ" with 1 and 8 segmentectomy,1 three-segmentectomy,3 bisegmentectomy,2 segmentectomy. 14 patients have IVC ingrowth:9 IVC prosthetic:4 one-stage left hepatic vein plastic,5eIVC resection.13 portal vein resection,7 resection of extrahepatic ducts,7 resection of diaphragm. 11 cases of bile leakage(ISGLS):grade Be4, Сe7. Postoperative complications-16(Clavien-Dindo):typeIIe4,IVbe1,IIIbe8,Ve3. The long-term results:1 recurrent case,2 fatal cases. Conclusion: Liver resection is a treatment of choice,characterized by large extent of resection,and accompanied by resection plastic operations on major vessels and bile ducts
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.