Practice of Surgical Treatment for Patients with Combined Echinococcosis of Chest and Abdominal Organs

BACKGROUND: Epidemiological significance of echinococcosis is determined by the severe clinical progression leading to disability, incapacitation and death, a wide range of hosts, and formation of synanthropic and mixed lesions. The aim of the work was to analyze cases of combined echinococcosis of the chest and abdominal organs and the results of its surgical treatment in clinics of Almaty (Kazakhstan) from 1997 to 2019. MATERIALS AND METHODS: In 413 patients, 534 lesions of echinococcosis were revealed: single and multiple cysts. Concurrent echinococcectomy of 2–3 organs was performed in 261 patients; meanwhile phased echinococcectomy was performed in several organs in 152 patients. RESULTS: Performed surgical interventions in more than 70% of cases had a favorable outcome. CONCLUSION: The choice of rational surgical tactics for combined echinococcosis should be based on an individual approach, taking into account the general condition of the patient, risk analysis and the likelihood of complications.