[Surgical treatment of polycystic disease of the liver].
The authors analyse 60 cases of polycystic disease of the liver; 41 patients underwent operation, 19 were kept under dynamic follow-up. The diagnosis of polycystic disease of the liver is based on the results of ultrasonic examination and computed tomography; serological tests are conducted for differential diagnosis with hydatid disease. Twenty (33.3%) patients had affection of the kidneys, pancreas, ovaries, and brain. As the result of surgery the condition improved in 30 (85.7%) and became worse in 5 (14.3%) patients in follow-up periods of 6 months to 23 years. Complications occurred in the postoperative period in 10 patients, the mortality rate was 4%. Fenestration of the cysts is the main type of intervention, which allows maximum preservation of the functioning hepatic parenchyma. The left hepatic lobe was resected in only 2 patients with its complete cystic degeneration. Defocused laser beam and bipolar rotor electrocoagulator were used for ++de-epithelialization of the cystic walls. Experience shows the expediency of surgical treatment for decompression of the maintained hepatic parenchyma.
Movchun
A A
AA
Timoshin
A D
AD
Zavenian
Z S
ZS
Got'e
S V
SV
Abdullaev
A G
AG
Itin
L S
LS
D000328:Adult; D000368:Aged; D003560:Cysts / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003937:Diagnosis, Differential; D004444:Echinococcosis, Hepatic / Q000175:diagnosis; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D053685:Laser Therapy; D008107:Liver Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged
Khirurgicheskoe lechenie polikistoza pecheni.