Comparative evaluation of computer assisted surgery of cystectomy of children’s liver

Сравнительная оценка эндовидеохирургической эхинококкэктомии печени у детей
Bulat Dzhenalaev 1, Sagidulla Dosmagambetov 1, Aigerim Esenkulova 1, Oksana Zainullina 1, Michail Belyaev 1, Karaman Suyungarin 1
More Detail
1 West Kazakhstan state medical University of Marat Ospanov, Aktobe, Kazakhstan
J CLIN MED KAZ, Volume 3, Issue 45 special issue, pp. 35-38. https://doi.org/10.23950/1812-2892-JCMK-00490
OPEN ACCESS 2899 Views 2097 Downloads
Download Full Text (PDF)

ABSTRACT

Objective: a comparative evaluation of the results of the nearest postoperative period assisted surgery and the traditional methods of treatment of hepatic echinococcosis in children.
Methods. Based on the results of treatment of 92 children with hepatic echinococcosis, treated in the clinic of pediatric surgery in West Kazakhstan medical University named after Marat Ospanov in the period from 2014 to 2017. In the surgical treatment of hydatid cysts of the liver methods of endovideosurgery was used in 63 children (the main group) and open cystectomy liver in 29 children (comparison group). The dynamics of the patients with echinococcosis of the liver in the immediate postoperative period after endovideosurgical and open cystectomy were evaluated by the following criteria: the terms of relief of pain syndrome (was used a numerical rating scale of pain assessment), the timing of normalization of body temperature and peripheral blood, timing of restoration of function of the gastrointestinal tract, the length of stay of patients in the intensive care unit, timing of recovery of motor activity, timing of removal of drains from the abdominal cavity, the length of hospital stay.
Results. The dynamics of the patients in the nearest postoperative period after cystectomy assisted surgery of the liver showed that in earlier periods was the relief of pain, normalization of body temperature, peripheral blood, restoration of the gastrointestinal tract, decreased length of stay in the intensive care unit, recovery of motor activity, at an earlier date removed drainage of the abdominal cavity, decreased time of inpatient treatment. Recurrence of the disease was not.
Conclusion: Comparative evaluation of computer assisted surgery is cystectomy in conjunction with lymphotropic therapy with an open echinococcectomy showed less invasiveness of endovideosurgical technology, high efciency and ability to perform echinococcectomy of the front not only localization, but also posterior-diaphragmatic. Carried out lymphotropic therapy contributes to a softer postoperative period.

CITATION

Dzhenalaev B, Dosmagambetov S, Esenkulova A, Zainullina O, Belyaev M, Suyungarin K. Comparative evaluation of computer assisted surgery of cystectomy of children’s liver. Journal of Clinical Medicine of Kazakhstan. 2017;3(45 special issue):35-8. https://doi.org/10.23950/1812-2892-JCMK-00490

REFERENCES

  • Pulatov AT. Jehinokokkoz v detskom vozraste (Echinococcosis in childhood) [in Russian] Medicina. 2004. 224 p.
  • Gul'muradov TG, Amonov ShSh, Sangov DS. Minimal'no-invazivnoe hirurgicheskoe lechenie jehinokokkoza pecheni (Minimally invasive surgical treatment of liver echinococcosis) [in Russian]. Vestnik IPOvSZ RT. 2007;4
  • Ordabekov SO, Akshulakov SK., Kulakeev OK. Jehinokokkoz cheloveka: uchebnoe posobie (Echinococcosis rights: a manual) [in Russian]. Jevero. 2009. 512 p.
  • Domashenko ON., Shatalov AD., Panieva DS. Jehinokokkoz pecheni: diagnostika, lechebnaja taktika (Echinococcosis of the liver: diagnosis, treatment tactics) [in Russian]. Medicinskie nauki. Klinicheskaja medicina. 2016; 3 (39):35.
  • Abdisamatov BS. Sovremennye napravlenija v hirurgicheskom lechenii jehinokokkoza pecheni (Modern directions in the surgical treatment of liver echinococcosis) [in Russian]. Sovremennaja medicina: aktual'nye voprosy: sb.st. po mater. LII-LIII nauch.- prakt.konf. Novosibirsk: SibAK. 2016. 91-98 p.
  • Kotlobovskij VI., Dzhenalaev BK, Dosmagambetov, SP, Dzhenalaev DB, Ergaliev AE. Patent RK na izobretenie №19525, Sposob operacionnogo dostupa pri laparoskopicheskoj jehinokokkjektomii pecheni (Mode of operative access for laparoscopic liver echinococcemia) [in Russian]. Astana. 2007.
  • Ajnazarov MS. Jehinokokkoz, porazhenie VII-VIII segmentov pecheni, profilaktika oslozhnenij (Echinococcosis, involvement of VII-VIII liver segments, prevention of complications) [in Russian].Vestnik Kyrgysko-Rossijskogo Slavjaskogo universiteta. 2013; 13(1):135-137.