Modern trends in surgical treatment of liver echinococcosis

Musaev, G. H.; Levkin, V.V.; Sharipov, R. H.

doi:10.47093/22187332.2018.4.78-84

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…Last decade has seen the introduction of modern minimally invasive technologies such as PAIR ( 13 ). This technique allows to achieve comparable long-term results with a significantly low number of general and specific complications ( 5 ).…”

Section: Discussionmentioning

confidence: 99%

“…In the surgical clinic of Botkin Hospital, Moscow, Russia (onwards: clinic) during the period from 2007 to 2021, 301 patients with echinococcal liver disease have been treated. Unique feature of the clinic was the ability to implement all available options for surgical treatment: from minimally invasive percutaneous techniques to extensive liver resections, laparoscopic and robotic operations ( 5 ). The clinic has started using PAIR technique since 2017 (12 patients).…”

Section: Methodsmentioning

confidence: 99%

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Clinical, Morphological Justification and First Experience in the Use of Radiofrequency as well as Microwave Ablation Treatment Methods of Liver Echinococcosis

Шабунин¹,

Karpov²,

Bedin³

et al. 2023

IJPA

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Background: The current study considers a new direction of surgical treatment of liver echinococcosis - the use of minimally invasive treatment methods of parasitic cysts. Methods: After clinical and morphological substantiation of the very possibility of carrying out such procedures, 9 microwave ablations (MWA) and 3 radiofrequency ablations (RFA) of cysts were performed in patients with liver echinococcosis from 2017 to 2021 in the surgical clinic of Botkin Hospital, Moscow, Russia. A comparative analysis of treatment results of patients with echinococcal liver cysts (12 patients who underwent “percutaneous puncture, aspiration, injection and reaspiration” (PAIR) procedure and 12 patients – MWA and RFA) was carried out. Results: The number of complications according to Clavien-Dindo classification was as follows: 8 after PAIR procedure, 3 after RFA and 3 after MWA. The median hospital length of stay (LOS) after PAIR procedure was 6.46 days versus 4.7 and 4 in the groups of patients who underwent RF and MW ablation, respectively. The frequency of relapses within the first year after PAIR procedure was 25%. The patients who underwent ablation procedures had no relapses of liver echinococcosis during observation. Conclusion: The presented clinical and morphological substantiation and the experience of using various types of ablation techniques on echinococcal cysts, as well as a comparative analysis with a commonly used PAIR treatment method, demonstrated the safety of RFA and MWA for the patient and efficacy in relation to the hydatid process.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Clinical, Morphological Justification and First Experience in the Use of Radiofrequency as well as Microwave Ablation Treatment Methods of Liver Echinococcosis

Шабунин¹,

Karpov²,

Bedin³

et al. 2023

IJPA

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Results of minimally invasive treatment of liver echinococcosis in comparison with traditional surgical methods

Nagasbekov¹,

Baimakhanov

Kaniev

et al. 2021

Ann. hir. gepatol.

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Aim. To analyze the effectiveness of PAIR in comparison with traditional surgical methods.Materials and methods. A retrospective analysis of 199 patients who underwent surgical treatment of hepatic echinococcosis was carried out. Pericystectomy was performed on 95 (47.7%) patients (1st group), traditional echinococcectomy – 55 (27.6%; 2nd group), PAIR – 49 (24.6%; 3rd group). All patients received antihelmintic therapy for 2 months in the postoperative period.Results. Patients of the group 3 had significantly more CE1 cysts compared with the groups 2 and 1 – 38 (77.5%) versus 19 (34.5%) and 44 (46.3%; p < 0.05) respectively. In group 2, CE2 and CE3 cysts were predominant. The duration of the operation in group 3 was significantly shorter than in group 1 and 2 – 58.2 (25–170), 194.8 (85–440) and 217 (75–540) minutes (p < 0.05). In group 1, intraoperative blood loss was higher than in group 2 – 165.4 ml (10–1000) and 106.7 ml (10–500; p < 0.05). There were no statistically significant differences between the groups in postoperative complications according to Clavien–Dindo. The duration of postoperational hospital stay of patients from the group 3 was shorter than for 1 and 2 groups – 4.3 (2–11) days, 8.03 (5–16) days and 8.08 (4–20) days (p < 0.05) respectively. There was no disease recurrence during the follow-up period.Conclusion. The optimal treatment should be based on the stage of the disease. In CE1, the most effective method is PAIR, which is characterized by a shorter postoperational hospital stay and early recovery. In multivesicular cysts (CE2-CE3b), traditional methods of treatment are effective.

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Сurrent status of the surgical treatment of liver echinococcosis

et al. 2021

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The literature review presents the world and russian experience in the surgical treatment of patients with hepatic echinococcosis over the last two decades. The most important aspects of the epidemiology and biology of echinococcus for the surgeon have been considered. Special attention is paid to the modern diagnosis of the disease, to the choice of volume and method of surgical treatment, according to WHO classification. The approaches to minimally invasive, laparoscopic and robotic operations of liver echinococcosis had been reviewed.

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Modern trends in surgical treatment of liver echinococcosis

Cited by 5 publications

References 14 publications

Clinical, Morphological Justification and First Experience in the Use of Radiofrequency as well as Microwave Ablation Treatment Methods of Liver Echinococcosis

Clinical, Morphological Justification and First Experience in the Use of Radiofrequency as well as Microwave Ablation Treatment Methods of Liver Echinococcosis

Results of minimally invasive treatment of liver echinococcosis in comparison with traditional surgical methods

Сurrent status of the surgical treatment of liver echinococcosis

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