91 -5 (67) 2024 - Jonqobilov H.N. Otamurodov F.A. - DIAGNOSIS AND TREATMENT OF COMPLICATED LIVER ECHINOCOCCOSIS IN CHILDREN

DIAGNOSIS AND TREATMENT OF COMPLICATED LIVER ECHINOCOCCOSIS IN CHILDREN

Jonqobilov H.N. - Termiz Branch of Tashkent Medical Academy

Otamurodov F.A. - Termiz Branch of Tashkent Medical Academy

Vahidov A.Sh. - Termiz Branch of Tashkent Medical Academy

Samatov E.V. - Termiz Branch of Tashkent Medical Academy

Resume

The results of the work are based on the analysis of examination and treatment of 87 children with complicated echinococcosis of the liver (suppuration, echinococcal cyst perforation). Laparoscopic echinococcectomy was performed in 23 (26.4%) patients, and conventional echinococcectomy with laparotomy was performed in the remaining 64 (73.6%) cases. The average duration of the operation is 75.1±9.4 minutes (from 45 to 135 minutes), the length of stay in the hospital is 8.5±1.5k/day (from 6 to 12k/day). The average length of stay of the patient in the hospital after laparotomy echinococcectomy was 13.3±2.2 bed days. All patients were followed up by us from 6 months to 10 years after surgery. Recurrence of echinococcosis was found in 8 patients (9.2%): one patient - laparoscopic (4.3%), 7 (10.9%) - after laparotomy echinococcectomy. Minimization of surgical trauma during laparoscopic echinococcectomy allows to reduce the number of complications, significantly ease the postoperative period, reduce hospital treatment, rehabilitation time, and improve the quality of life of patients with complicated echinococcosis of the liver.

Key words: complicated hepatic echinococcosis, surgical approaches, laparoscopic echinococcectomy, children.

First page

526

Last page

530

For citation:Jonqobilov H.N, Otamurodov F.A, Vahidov A.Sh, Samatov E.V. - DIAGNOSIS AND TREATMENT OF COMPLICATED LIVER ECHINOCOCCOSIS IN CHILDREN//New Day in Medicine 5(67)2024 526-530 https://newdayworldmedicine.com/en/article/3758

List of References

1. Azizzoda Z.A., Qurbonov K.M., Rizoev V.S. / Jigar exinokokkozi uchun minimal invaziv jarrohlik aralashuvlar. //Jurnal - Avitsenna byulleteni 2019, 21-jild. No 1 P.-116-120
2. Alperovich B.I., Sorokin R.V., Tolkaeva M.V., Budkov S.R. /Tikrorlanuvchi jigar exinokokkozini jarrohlik yo'li bilan davolash. //Xirurgik gepatologiya yilnomalari. 2006; 11 (1): 7-10-betlar.
3. Doʻstmagambetov S.P., Kenjaliev G.B., Kenjegulov E.N. /Bolalarda peritonit bilan asoratlangan jigar exinokokkozini davolashda endovideoxirurgiya usullari. //Rossiya Fanlar akademiyasining Ural bo'limining Orenburg ilmiy markazining axborotnomasi (elektron jurnal "Klinik tibbiyot" ixtisosligi bo'yicha ilmiy maqola matni), 2014 yil, № 1 P.1-5
4. Medjidov R.T. va boshqalar qorin bo'shlig'i exinokokkozini jarrohlik yo'li bilan davolash. Jarrohlik gepatologiya yilnomalari. 2007; No 2: S.-43—8.161-3.
5. Mirxo‘jaev I.A. va boshqalar jigar exinokokkozining takroriy shakllarini jarrohlik yo'li bilan davolash. Jarrohlik gepatologiya yilnomalari. 2008; 13(3): 63.
6. Nazyrov F.G., Oqilov X.A., A.I. Ikromov, N.M. Jo‘raeva, F.A. Ilxomov, A’zamxo‘jaev S.S. /Jigar exinokokkozining yiringli asoratlarini tashxislash va davolashda radiatsion tadqiqot usullari. //Xirurgik gepatologiya yilnomalari. 2001; 6 (1): 47–50.
7. Nazarov Sh.K. /O't yo'llariga singan jigarning yiringli exinokokkozini jarrohlik yo'li bilan davolash. //Kitobda: Zamonaviy tibbiyotning dolzarb muammolari: ilmiy va amaliy materiallar. konferentsiyalar. M.; 2005: 37.
8. Po'latov A. T. // Bolalikda echinokokkoz. - M. Tibbiyot, 2004. – B. 224.
9. Salimov Sh., Abdusamatov B.Z., Vohidov A.Sh. /Bolalarda asoratlangan jigar exinokokkozini endoskopik davolash. // Bolalar jarrohligi. 2015; 19 (3): 9-14-betlar.
10. Shangareeva R.X., Bolalarda jigar va o'pka exinokokkozini diagnostikasi va jarrohlik yo'li bilan davolash. //Muallif. Doktorlik dissertatsiyasi 2013 yil S-46
11. Xarnas S.S., Lotov A.N., Musaev G.X. /Ultrasonik semiotika va jigar exinokokkozining tasnifi. //Tibbiy tasvir. 2006; 4: 46-51.
12. El-On J. Kistik exinokokkozni benzimidazol bilan davolash / J. El-On // Acta Trop. - 2003. - V.85, 2-son. - P.243-252.
13. Gloor B. Jigar kistasi jarrohligida laparoskopiyaning roli / B. Gloor, Q. Ly, D. Candinas // Dig Surg. - 2002. - V.19, No6. - P.494-499.
14. Saritas U. Jarrohlik aralashuvidan keyin murakkab jigar gidatidi kasalligida endoskopik davolash usullarining samaradorligi. Endoskopiya. 2001; 33(10): 856–63.
15. Baskaran V., Patneik P.K. /Jigarning gidatid kasalligini laparoskopik davolashning maqsadga muvofiqligi va xavfsizligi. //Soc. Kaparoendosk. Dalgalanish. 2004; 359-63.

    file

    download