INCREASING OF SURGICAL EFFICACY OF CYSTIC ECHINOCOCCOSIS OF LIVER IN PEDIATRIC SURGERY

From 1990 until 2010 retrospective study was carried out to investigate the occurrence of cystic echinococcosis (CE) of liver in children at Stavropol Regional children hospital in clinical wards of Stavropol State Medical Academy. We treated 60 children from 3 to 15 years with hepatic CE. In 22 (36.7%) patients had hepatic CE, in 38 (63.3%) — combines CE of the liver and lungs. Patients were divided into two equal groups: main and control. In the main group was used omentoplastiсa of residual cavity after closed echinococсectomy. In the control group — capitonage. In main group performed pre-and postoperative chemotherapy with nemozol at a dose of 10–15mg/kg/day and wobenzym in the dose of 1 tablet per 6 kg of body weight three times per day. In the main group complications occurred in 6.7% of children. In the control group, the complication rate was 23.2%. The number of relapses in the control group was 6 cases, in the main group is not mentioned. Accordingly the combined use of omentoplastiсa of residual cavity after closed echinococсectomy with nemozol and polyenzyme therapy to avoid recurrence of the CE, as well as shorten the duration of hospitalization and number of postoperative complications in children.

cystic echinococcosis, liver, wobenzym, nemozol, children