Curative Surgery in the Primary and Recurrent Liver Ehinococcosis
Results of treatment in 383 liver hydatidosis patients during the period from 1976 till 2010 year are analyzed. Surgical operations are carried out in 359 (93.7%) patients. Primary and residual hydatidosis was established in 278 (75.3%) and 105 (24.7%) patients respectively. Curative procedures (pericystectomy and liver resection) were considered as surgery of choice. Complete removal of hydatid cysts were performed in 129 (33.7%) patients. Subtotal pericystectomy and combined surgery were provided in 176 (46.0%) patients. Residual liver hydatidosis was revealed in 105 (24.7%) patients. Curative surgery for primary and residual hydatid cysts generally led to satisfactory results. Echinococcectomy with total and subtotal pericystectomy are sufficient for safe removal of parasitic tissue. Pericystectomy could be extended to atypical segmental and subsegmental liver resections if it is necessary. Total pericystectomy is justified in edge-located hydatid cyst patients without any contact with large vascular structures.