Abstract:
Echinococcosis is a serious medical problem in many countries of the world, where large
endemic foci remain and an increase in the number of cases is observed. The disease affects
almost all organs and systems of the body.
Despite the improvement in the diagnosis of the disease, the frequency of unsatisfactory
results of treatment and postoperative complications exceeds 20%, and mortality varies between
1-2%, depending on the nature of the course of the disease. One of the unfavorable moments is
the fact that, despite the high antiparasitic efficacy of the agents used for intraoperative treatment
of the residual liver cavity (ARC) (in particular, 100% glycerol), the analysis of long-term results
shows that the proportion of EP recurrence has not changed much. Echinococcectomy, especially
in complicated forms of the disease and giant cysts, is accompanied by suppuration of the
residual cavity and the formation of bile-purulent fistulas.
