MINIMALLY INVASIVE SURGERY IN COMPLICATIONS OF LIVER ALVEOCOCCOSIS

The objective of the research is to study and evaluate the possibilities of minimally invasive surgical interventions and manipulations in the treatment of complicated forms of liver alveococcosis and post–resection consequences.

Material and methods. In total, in the period from 1995 to 2021, 72 patients with liver alveococcosis were treated in the conditions of the G.G. Kuvatov Republican Clinical Hospital. The patients were divided into two groups. The main group consisted of patients with alveococcosis of the liver who were treated from 2008 to 2021, the comparison group consisted of patients hospitalized at the G.G. Kuvatov Republican Clinical Hospital with liver alveococcosis from 1995 to 2007. Out of 72 patients, 60 had various liver resections: 34 (57%) in patients with uncomplicated liver alveococcosis, and 26 (43%) in patients with complicated liver alveococcosis. Among 14 (100%) patients of the main group with complicated liver alveococcosis, minimally invasive surgical interventions before various liver resection options were performed in 12 patients (86%). In the comparison group, minimally invasive interventions were performed only in 4 (33%) patients out of 12 (100%) with complicated alveococcosis.

Results. Post-resection complications in both groups of patients were observed in 16 cases, of which 5 (31%) in the main group and 11 (69%) in the comparison group. In patients of the main group, complications were stopped by minimally invasive surgical interventions.

Conclusion. The use of minimally invasive surgical interventions can reduce the number of post-resection complications. In case of complications after liver resection, minimally invasive manipulations provide a favorable outcome without the use of extensive surgical approaches.

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