PALLIATIVE PERCUTANEOUS TRANSHEPATIC INTERVENTIONS IN COMPLICATED LIVER ALVEOCOCCOSIS
Turar A. Yermekov , Shamil M. Chingyshpayev
Introduction. The article presents the experience of transcutaneous transhepatic drainage of the decay cavity in complicated liver alveococcosis. This intervention was used in the complex of both palliative care and in the preparation of the patient for radical surgical intervention. The results of the treatment of 20 patients with complicated liver alveococcosis are reflected. The effectiveness of transcutaneous transhepatic interventions to facilitate patients' condition and/or prepare them for extensive surgical operations compared to open methods of drainage of alveococcal caverns has been shown.
The aim of this article is to evaluate the effectiveness of transcutaneous transhepatic interventions on the biliary system and the decay cavity (caverns) of the liver alveococcosis as palliative therapy for complicated forms of the disease.
Materials and methods. The work was based on the results of the examination and treatment of 20 patients with complicated liver alveococcosis who were in hospital treatment in surgical clinics in Bishkek between 2010 and 2019. All patients have transhepatic drainage of the decay cavity in combination with external cholangiostomy.
The results. After drainage of the decay cavity and transhepatic drainage of the bile ducts in all patients, there was an improvement in the general condition with a decrease in purulent intoxication and symptoms of mechanical jaundice.
Conclusions. Transcutaneous drainage of the decay cavity in complicated liver alveococcosis combinedwith percutaneous transhepatic endobiliary interventions is an effective palliative therapy and a choice concerning open surgical drainage methods.
Keywords: liver alveococcosis, decay cavity, transhepatic drainage, palliative therapy, liver resection.