Application of surgical instruments in liver echinococcectomy

The paper present results of diagnostics and surgical treatment of 39 patients (24 men, 15 women; age from 21 to 59 years; 29 people of working age) with liver echinococcosis. In 21 cases of these echinococcectomy was completed from traditional accesses, in 18 cases – from reduced incision with the use of a set “Mini-Assistant” and developed by the authors surgical instruments (cannula-aspirator and tweezers-spoon) and destruction of the cyst fibrous capsule 33% solution of hydrogen peroxide (perhydrol). Within 12 months after surgery in 21 of 39 patients there was not any lesions in the projection of the former cyst of the liver, in 12 patients we revealed a residual cavity of irregular form, in 6 patients – foci of fibrosis. Suppuration of the remaining cavities of the cysts, the indications for re-surgery, recurrence of disease were not revealed in any case. Thus, the proposed methodology can be used effectively for echinococcectomy from the liver with the aim of quality evacuation hydatid cysts and prevention of complications and relapse. The article gives full specifications and features of use designed surgical instruments, which allows to reproduce and widely apply them in surgical practice.