The diagnosis and surgical treatment of hydatid disease of the liver in children
Shangareeva, R.K.; Gumerov, A.A.; Ishimov, S.S.; Mamleev, I.A.; Sataev, V.U.; Paramonov, V.A.; Mirasov, A.A.; Vasil'eva, N.P.
Vestnik Khirurgii Imeni I. I. Grekova 166(1): 44-50
2007
ISSN/ISBN: 0042-4625 PMID: 17672107 Document Number: 613302
An experience with the diagnosis and surgical treatment of hydatid disease of the liver included 191 patients aged from 2 through 15 years, 26 of them had a combined involvement of the liver and lung, in 7 patients there were combined lesions with other organs. Complicated echinococcosis was noted in 25 children. Ultrasonography was given the main role in the diagnosis. Videolaparoscopic hydatidectomy of the liver was performed in 62 patients. Solitary cysts of small and medium sizes located superficially were considered as indications to operation. In patients with large and gigantic cysts of special significance was capitonnage of the residual cavity. Use of albendazole as an antiparasitic agent for the recurrent disease and a prophylactic agent after operation for multiple and combined hydatid disease of the liver was found to be sufficiently effective.