title: [Surgical management of hepatic hydatid cysts in children].
abstract: Analysis of surgical treatment of children with multiple hepatic hydatid cysts is presented. The age of patients was from 4 till 14 years. Desensibilization, hemodynamic adjustment and treatment with hepatoprotectors were used on purpose of preoperative preparation. The general anesthesia was carried out on the basis of sevofluran and propofol. Anesthesia with sevofluran has advantage. It was proved by definition of level of stress hormones. One-stage surgical management is more preferable. In case of combination with hydatid disease of lung term between the operations has made 2-3 weeks. Treatment with hepatoprotectors, enzymes, antiparasitic therapy with albendozol, physiotherapy were used in postoperative period. Postoperative complications, lethal outcomes were not observed. Relapse has been revealed at 1 (2%) patient.
authors.forename: R Kh
authors.initials: RKh
authors.lastname: Shangareeva
authors.forename: A A
authors.initials: AA
authors.lastname: Gumerov
authors.forename: A A
authors.initials: AA
authors.lastname: Mirasov
authors.forename: V V
authors.initials: VV
authors.lastname: Makushkin
mesh_terms: D000293:Adolescent; D000818:Animals; D000909:Antibodies, Helminth / Q000032:analysis; D002648:Child; D002675:Child, Preschool; D004444:Echinococcosis, Hepatic / Q000601:surgery*; D004446:Echinococcus / Q000276:immunology / Q000302:isolation & purification; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007124:Immunoenzyme Techniques; D010535:Laparoscopy / Q000379:methods*; D008099:Liver / Q000000981:diagnostic imaging / Q000469:parasitology; D008297:Male; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography
chemical_list: D000909:Antibodies, Helminth