MODERN ASPECTS OF DIAGNOSIS AND SURGICAL TREATMENT OF PATIENTS WITH BENIGN FOCAL LIVER FORMATIONS
Resume. Results were analyses of treatment of 340 patients with benign focal liver formations over the last 20 years. Mean age of patients was 47,5 ± 2,2 years, among them - 215 (63,2 %) women and 125 (36,8 %) men. With nonparasitic cysts of the liver 164 (48,2 %) patients were observed, with abscesses - 71 (20,9 %), with echinococcosis-41 (12,1 %), with hemangiomas - 48 (14,1 %), with adenoma - 12 (3,5 %), with local nodular hyperplasia - 4 (1,2 %). For diagnostics we used (in various combinations) following methods: laboratory, ultrasound, computed tomography or magnetic resonance imaging, laparoscopy, cytological and bacteriological examination. The most informative diagnostic methods were: sonography, computed tomography, laparoscopy, liver biopsy. Minimally invasive surgical interventions (using 7 methods developed in the clinic) performed in 230 patients in group I, the various laparotomy operations - in 110 patients. Postoperative complications were 6 % in Group I, in Group II - 24,5 %. After operations 3 (1,3 %) patients in Group I and 5 (4,5 %) ones-in Group II died because of multiple organ failure. In this way, minimally invasive and improved by us techniques of operations advisably to make greater use in surgical departments to improve the direct results.