SELECTION OF TACTICS AND METHODS OF SURGICAL TREATMENT OF COMBINED PULMONARY AND HEPATIC ECHINOCOCCOSIS IN CHILDREN

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Abstract

Echinococcosis is one of the most severe and dangerous parasitic diseases in many regions of the world. It is characterized by extensive organ involvement and a prolonged chronic course, leading to the development of serious functional disorders of the affected organs. To develop a treatment strategy and select the optimal surgical method for combined pulmonary and hepatic echinococcosis in children. The treatment outcomes of 346 children aged 3 to 14 years with various forms of echinococcosis were analyzed. Combined pulmonary and hepatic echinococcosis was identified in 39 cases (11,3%). A comparative assessment of the effectiveness of surgical interventions for combined pulmonary and hepatic echinococcosis in children showed that comprehensive preoperative preparation, selection of a rational surgical approach and an optimal operative technique, as well as active postoperative management, are the main components contributing to successful and favorable treatment outcomes. When determining surgical tactics, staging, and sequence of operations, it is necessary to consider the presence of echinococcal cysts that pose the greatest risk in terms of complication development. The effectiveness of surgical treatment of combined pulmonary and hepatic echinococcosis in children depends on the localization of cysts and the presence of complications. It is reasonable to perform echinococcectomy first on cysts that are most dangerous in terms of potential complications. All other factors being equal, the staged surgical approach should preferably begin with the pulmonary localization.