Surgery of liver hydatid cyst
The prevalence of hepatic echinococcosis has been growing during the recent years in conjunction with the extension of the region endemic for this pathology and the increase in the number of new cases of this disease in non-endemic areas. The main causes behind this situation are the enhancement of the population migration processes and the deterioration of the epidemiological conditions. The discussion about the role and significance of radical and minimally invasive methods for the surgical treatment of hepatic echinococcosis is currently underway. The occurrence of complicated forms of this pathology and its relapses following the previous surgical intervention remains rather high. In this context, of primary importance is early diagnostics of the disease and the referral of the patients presenting with hepatic echinococcosis to specialized hepatopathological surgical clinics. The present paper is focused on the discussion of pathogenesis of liver hydatid cyst and the causes of its relapses after the surgical treatment. In addition, the experience gained at A.V. Vishnevsky Institute of Surgery with radical treatment of hepatic echinococcosis (including its residual and complicated forms) is reported.