Surgery Of Combined Lung And Liver Echinococcosis
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Abstract
This work includes the results of surgical treatment of 112 patients with combined lung and liver echinococcosis operated at the General Surgery Clinic of the Samarkand Medical University.
The clinical material is divided into three groups: in the first group (control), 36 (32.14%) patients underwent surgical interventions on the lungs and liver through separate wide accesses. At the same time, 34 (94.44%) patients underwent surgery in stages with an interval of 4-6 weeks, 2 (5.56%) – echinococcectomy from the lungs and liver was performed simultaneously with separate accesses; In the second group, 29 (25.89%) patients had echinococcal cysts removed from the right lung and liver simultaneously through thoracophrenolaparotomy; In the third group, 47 (41.97%) patients had cysts removed from the lungs and liver in stages. At the same time, in 35 (74.47%) cases, at certain stages of echinococcectomy, mini-accesses developed by us were used in combination with video assisted surgery, and in 12 (25.53%), all thoracic and abdominal accesses were performed using only mini-incisions. Surgical interventions on the lungs and liver were performed on 7 patients through separate mini-accesses simultaneously, and 5 patients had cysts removed from the lungs and liver in stages with an interval of four weeks.
The use of minimally invasive approaches and simultaneous operations contributed to a reduction in early postoperative complications from 13.89% (control group) to 9.21% (main group), i.e. by 2 times.
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References
Ахмедов И.Г. Анализ отдаленных результатов хирургического лечения эхинококкоза: методологические аспекты. Анналы хирургической гепатологии. 2016; 21 (4): 113–118. https://doi.org/10.16931/1995-5464.20164113-118.
Ахмадалиев С.М., Кадиров Ш.Н. Принципы и современные методы обработки полости эхинококковой кисты. Re-health Journal. 2020; 3-2(7): 163-165. doi: 10.24411/21810443/2020-10141
Асланов А. Д., Жигунов А. К., Захохов Р. М. и др. Хирургическое лечение множественного эхинококкоза органов брюшной полости, почек и лёгких // Хирургия. 2012. № 10. С. 56–58.
Бабакулов К.К., Алиев М.Ж., Каниетов А.К. Химиопрофилактика рецидива эхинококкоза. Вестник КГМА им. И.К. Ахунбаева – 2014. - №4. – С. 162-165.
Бенян А.С., Иванов С.А., Медведчиков-Ардия М.А., Панфилов К.А., Кенарская М.В. Симультанное лечение эхинококкоза легкого и печени. // Вестник медицинского института РЕАВИЗ №1(37), 2019; С 149-154.
Ветшев П.С., Мусаев Г.Х., Фатьянова А.С. Эхинококкоз: основы диагностики и роль миниинвазивных технологий (обзор литературы). Анналы хирургической гепатологии. 2015; 20 (3): 47–53. https://doi.org/10.16931/1995-5464.2015347-53.
Назыров Ф.Г. [и др.] // Химиотерапия и проблемы рецидивного эхинококкоза печени Анналы хирургической гепатологии . - 2011. Т.16, № 4.- С.19 - 24.
Одишелашвили Л.Г., Зурнаджьянц В.А., Одишелашвили Г.Д., Пахнов Д.В. Выбор способа хирургического лечения остаточных полостей после эхинококкэктомии. Астраханский медицинский журнал. 2020; 15(2): 6-12. doi: 10.17021/2020.15.2.6.12
Черноусов А. Ф., Мусаев Г. Х., Абаршавина М. В. Современные методы хирургического лечения сочетанного эхинококкоза лёгких и печени // Хирургия. 2012. № 7. С. 12–17.
Шевченко Ю. Л., Назыров Ф. Г. Хирургия эхинококкоза. М. : Династия, 2016. 288 с.
Шодмонов И.Ш., Разиков Ш.Ш. Эпидемическое значение эхинококкоза. Современные проблемы науки и образования. 2015; 2(1).
Эшмуратов Т.Ш., Сундетов М.М., Ширтаев Б.К. Усовершенствование лечебной тактики сочетанного эхинококкоза правого лёгкого и печени. Вестник хирургии Казахстана. 2015; 2: 35-38.
Fattahi Masoom S.H., Lari S.M., Fattahi A.S., Ahmadnia N., Rajabi M., Naderi Kalat M. Albendazole therapy in human lung and liver hydatid cysts: a 13-year experience. Clin. Respir. J. 2018; 12 (3): 1076–1083. https://doi.org/10.1111/crj.12630.
Gocan H., Surd A., Dobrescu I., Pop E. The role of ultrasonography in Albendazole treatment of hydatid liver cyst monitoring in children — three case reports // Med. Ultrason. 2010. Vol. 12, № 4. P. 340–344.
Labsi M., Soufli I., Khelifi L., Amir Z.C., Touil-Boukoffa C. A preventive effect of the combination of albendazole and pomegranate peel aqueous extract treatment in cystic echinococcosis mice model: an alternative approach. Acta Trop. 2019; 197: 105050. https://doi.org/10.1016/j.actatropica.2019.105050.
Nazligul Y., Kucukazman M., Akbulut S. Role of chemotherapeutic agents in the management of cystic echinococcosis // Int. Surg. 2015. Vol. 100, № 1. P. 112–114. Doi: 10.9738/INTSURGD1400068.
Tamarozzi, F., Nicoletti, G.J., Neumayr, A., Brunetti, E.(2014). Acceptance of standardized ultrasound classification, use of albendazole, and long-term follow-up in clinical management of cystic echinococcosis: a systematic review. Current opinion in infectious diseases, 27(5), 425–31. Epub 2014/08/08, pmid:25101556.
Ejam, S.S., Saleh, R.O., Catalan Opulencia, M.J., ...Karampoor, S., Mirzaei, R. Pathogenic role of 25-hydroxycholesterol in cancer development and progression Future Oncology 2022, 18(39), pp 4415–4442
Boudlaie, H., Boghosian, A., Ahmad, I., ...Wekke, I.S., Makhmudova, A. Investigating the mediating role of moral identity on the relationship between spiritual intelligence and Muslims’ self-esteem HTS Teologiese Studies / Theological Studies, 2022, 78(4), a7570
Makhmudova, A.N Factors and means of the content of legal socialization of the individual in modern civil society Journal of Advanced Research in Dynamical and Control Systems, 2020, 12(7 Special Issue), страницы 2038–2046
Nugmanovna, Makhmudova Aziza THE ROLE AND SIGNIFICANCE OF SOCIAL AND LEGAL CONTROL IN THE LEGAL SOCIALIZATION OF THE INDIVIDUAL IN THE MODERN CIVIL SOCIETY, INTERNATIONAL JOURNAL OF EARLY CHILDHOOD SPECIAL EDUCATION, https://www.int-jecse.net/media/article_pdfs/3783-3791.pdf Volume 14 - Issue 2 DOI: 10.9756/INT-JECSE/V14I2.410