IMPROVING THE EFFECTIVENESS OF VIDEOTHORACOSCOPY IN PEDIATRIC PULMONARY ECHINOCOCCECTOMIES
Keywords:
Echinococcus of the lung; videothoracoscopy; trocars; pediatric surgery.Abstract
The aim of the work is to improve the results of surgical treatment of children with echinococcal lung disease by applying new technologies.
Materials and methods of research. 72 children with echinococcal lung disease were operated on in RNPCMECDV during the period from 2005 to 2022. The main methods for diagnosing pulmonary echinococcosis were: chest X-ray examination, ultrasound, serologic reactions for echinococcosis (ELISA), MSCT of the thoracic organs.
Translated with www.DeepL.com/Translator (free version) Results. Analysis of the results shows that echinococcal cysts with a diameter of more than 50 mm, as well as recurrent cysts complicated by suppuration, are considered as "relative" contraindications to videothoracoscopic echinococcectomy of the lung. Endovideosurgical echinocolectomy is and should be a priority in the treatment of pulmonary echinococcosis.
References
Karimov Sh.I., Krotov N.F., Kim V.S. To the choice of staging and access at combined multiple echinococcosis of the liver and lungs. //Problem of echinococcosis: Theses of reports of scientific and practical conference - Makhachkala, 2000. p. p. 66-66. 66-67.
Lapina T.V. Diagnostics and treatment of recurrent echinococcosis of lungs and liver of multiple and combined localization. Autoref. dis.... kand. med. sciences: M. 2005 p.-24.
Kulakeev O.K., Kadyrbaev T.K., Abdurakhmanov B.A. Surgical treatment of combined echinococcosis of lungs and liver// J. Surgery of Uzbekistan. 2001. №3. С. 46-47.
Gumerov, M.I. Surgical treatment of pulmonary echinococcosis in children: autoref. diss. .... Cand. med. sciences. - Ufa, 2003. - 20 с.
Porkhanov V.A. Thoracoscopic and video-controlled surgery of the lungs, pleura and mediastinum: Autoref. diss. ... Dr. of Medical Sciences. М 1996; 36.
Razumovsky A.Y., Mitupov Z.B. Endosurgical operations in thoracic surgery in children. - Moscow: GEOTAR-Media. 2010. - 8с.
Shulutko A.M., Ovchinnikov A.A., Yasnogrodsky O.O., Motus I.Y. Endoscopic thoracic surgery. Moscow: Medicine 2006; 391
Arinc S, Kosif A, Ertugrul M, et al. Evaluation of pulmonary hydatid cyst cases. //Int J Surg. 2009 Jun; 7(3):192-5.
Dagtekin A, Koseoglu A, Kara E, et al. /Unusual location of hydatid cysts in pediatric patients. //Pediatr Neurosurg. 2009; 45(5):379-83.
Dziri C, Haouet K, Fingerhut A, Zaouche A. /Management of cystic echinococcosis complications and dissemination: where is the evidence? //World J Surg. 2009; 33 :1266-1273.
