Year: 2026
Type: article
Study design: Observational Study
Abstract: Cystic echinococcosis is a severe, potentially fatal disease caused by the larvae of Echinococcus granulosus and is a serious social and medical problem. Every year, 1-200 patients per 100 thousand population suffer from echinococcosis in the world. The aim of the study: to evaluate the effectiveness of treatment of cystic echinococcosis of the liver and its complications in the immediate and long-term results of surgical treatment. Material and methods. The results of diagnostics and surgical treatment of patients who underwent surgery for cystic echinococcosis of the liver were analyzed. All patients were divided into two groups. The first group included 78 (90.7%) patients who were diagnosed with primary hepatic echinococcosis (PHE). The second group included 8 (9.3%) patients who were diagnosed with recurrent hepatic echinococcosis (RHE). The results of the study were processed using variational statistics methods. Research results. Analysis of clinical material showed that the frequency of recurrence of hepatic echinococcosis after surgical treatment was 9.3% (p>0.05). Recurrences of the disease were more common in the early stages after surgery (62.5%), and only in 37.5% of cases – in the period of 3 years or more. At the same time, there were more patients with multiple forms of the disease in recurrent hepatic echinococcosis than in primary. The viability index of protoscolexes in primary and recurrent echinococcal cysts does not have a statistically significant difference (34.8±9.3% and 42.1±11.3%, respectively, p>0.05), which reduces the value of this morphophysiological analysis in the prognosis of recurrence of echinococcosis. The radical method of surgical treatment of primary and recurrent hepatic echinococcosis is pericystectomy, which was performed in 79.1% of cases. Conclusions: the period of dispensary observation of patients operated on for hepatic echinococcosis should be extended to 5 years, since implantation and metastatic recurrences can develop in the long term after surgery.
Language: English
Subfield: Parasitology
Field: Immunology and Microbiology
Domain: Life Sciences
Open Access status: diamond
OpenAlex ID: W7204180335