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Liver Echinococcosis complicated with Lesions of Bile Ducts in Azerbaijan

A total of 302 patients with liver echinococcosis (LE) complicated by lesions of bile duct during 1988 to 2015 were analyzed. The patients were divided into two groups. In the first group, 227 patients were included with lesions of segmental bile ducts in the form of cystobiliary and bilio-bronchial...

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Autor principal: Aghayev, Rauf M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Jaypee Brothers Medical Publishers 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5578579/
https://www.ncbi.nlm.nih.gov/pubmed/29201743
http://dx.doi.org/10.5005/jp-journals-10018-1183
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author Aghayev, Rauf M
author_facet Aghayev, Rauf M
author_sort Aghayev, Rauf M
collection PubMed
description A total of 302 patients with liver echinococcosis (LE) complicated by lesions of bile duct during 1988 to 2015 were analyzed. The patients were divided into two groups. In the first group, 227 patients were included with lesions of segmental bile ducts in the form of cystobiliary and bilio-bronchial fistulas. In the second group, 75 patients with lesions of hepatic bile were enrolled. Diagnosis of LE and its complications was made by ultrasonography and computed tomography (CT). Surgical treatment included echinococcectomy with complete liquidation of a residual cavity (35.1%), echinococcectomy with suturing (46.0%), external drainage of a residual cavity (7.3%), pericystectomy (8.6%), and resection of a liver (3.0%). Postoperative complications related to operative intervention developed in 29 patients. Lethal outcomes took place in 6 cases (2.0%). The analysis has shown that the form of bile duct lesions, methods of surgical operation for liquidation of hydatid cysts, and its biliary complications had influenced the treatment outcome. More optimal results are received after complete liquidation of residual cavity in different ways and suturing of cystobiliary fistulas during operation. For prevention of complications related to the presence of residual cavity, laser processing of walls of a residual cavity by ozonized 17% hypertonic solution of NaCl was used and this procedure showed obvious (p < 0.05) advantages. HOW TO CITE THIS ARTICLE: Aghayev RM. Liver Echinococcosis complicated with Lesions of Bile Ducts in Azerbaijan. Euroasian J Hepato-Gastroenterol 2016;6(2):125-130.
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spelling pubmed-55785792017-11-30 Liver Echinococcosis complicated with Lesions of Bile Ducts in Azerbaijan Aghayev, Rauf M Euroasian J Hepatogastroenterol Original Article A total of 302 patients with liver echinococcosis (LE) complicated by lesions of bile duct during 1988 to 2015 were analyzed. The patients were divided into two groups. In the first group, 227 patients were included with lesions of segmental bile ducts in the form of cystobiliary and bilio-bronchial fistulas. In the second group, 75 patients with lesions of hepatic bile were enrolled. Diagnosis of LE and its complications was made by ultrasonography and computed tomography (CT). Surgical treatment included echinococcectomy with complete liquidation of a residual cavity (35.1%), echinococcectomy with suturing (46.0%), external drainage of a residual cavity (7.3%), pericystectomy (8.6%), and resection of a liver (3.0%). Postoperative complications related to operative intervention developed in 29 patients. Lethal outcomes took place in 6 cases (2.0%). The analysis has shown that the form of bile duct lesions, methods of surgical operation for liquidation of hydatid cysts, and its biliary complications had influenced the treatment outcome. More optimal results are received after complete liquidation of residual cavity in different ways and suturing of cystobiliary fistulas during operation. For prevention of complications related to the presence of residual cavity, laser processing of walls of a residual cavity by ozonized 17% hypertonic solution of NaCl was used and this procedure showed obvious (p < 0.05) advantages. HOW TO CITE THIS ARTICLE: Aghayev RM. Liver Echinococcosis complicated with Lesions of Bile Ducts in Azerbaijan. Euroasian J Hepato-Gastroenterol 2016;6(2):125-130. Jaypee Brothers Medical Publishers 2016 2016-12-01 /pmc/articles/PMC5578579/ /pubmed/29201743 http://dx.doi.org/10.5005/jp-journals-10018-1183 Text en Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd. This work is licensed under a Creative Commons Attribution 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/3.0/
spellingShingle Original Article
Aghayev, Rauf M
Liver Echinococcosis complicated with Lesions of Bile Ducts in Azerbaijan
title Liver Echinococcosis complicated with Lesions of Bile Ducts in Azerbaijan
title_full Liver Echinococcosis complicated with Lesions of Bile Ducts in Azerbaijan
title_fullStr Liver Echinococcosis complicated with Lesions of Bile Ducts in Azerbaijan
title_full_unstemmed Liver Echinococcosis complicated with Lesions of Bile Ducts in Azerbaijan
title_short Liver Echinococcosis complicated with Lesions of Bile Ducts in Azerbaijan
title_sort liver echinococcosis complicated with lesions of bile ducts in azerbaijan
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5578579/
https://www.ncbi.nlm.nih.gov/pubmed/29201743
http://dx.doi.org/10.5005/jp-journals-10018-1183
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