I.P. Pavlov Russian Medical Biological HeraldI.P. Pavlov Russian Medical Biological Herald0204-34752500-2546Eco-Vector709110.23888/PAVLOVJ20173434-442Research ArticleApplication of surgical instruments in liver echinococcectomyAmonovSh. Sh.shuhrat.amonov@yandex.ruPrudkovM. I.shuhrat.amonov@yandex.ruFayzievZ. Sh.shuhrat.amonov@yandex.ruRepublican Scientific Center of Cardiovascular SurgeryUral State Medical University151020172534344421510201715102017Copyright © 2017, Amonov S.S., Prudkov M.I., Fayziev Z.S.2017<p>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.</p>surgical instrumentsechinococcectomyminimal accessperhydrolхирургические инструментыэхинококкэктомияминидоступпергидроль[1. Al'perovich BI, Merzlikin NV, Salo VN. Hirurgicheskie vmeshatel'stva pri jehinokokkoze i puti profilaktiki recidivov [Surgical intervention for echinococcosis and ways relapse prevention]. Annaly hirurgicheskoj gepatologii [Annals of hepatic surgery]. 2005; 2: 98-100. (in Russian)][2. Vafin AZ, Abdokov AD, Popov AV. Klinicheskaja jeffektivnost' primenenija principa aparazitarnosti i antiparazitarnosti v hirurgii jehinokokkoza [Clinical effectiveness of the principle anti-parasitic echinococcosis surgery]. Medicinskij vestnik severnogo Kavkaza [Medical bulletin of North Kavkaz]. 2010; 2: 10-3. (in Russian)][3. Agaev RM. 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