Relaparotomy for Peritonitis Following Liver Surgery in Alveococcosis and Echinococcosis: A Retrospective Analysis of 924 Cases

Allan  Abdiev; Toktosunov  Arsen; Imashov  Ulan; Azamat  Akeshov; Syimykbek  Saparov; Niazbek  Mamatov; Vityala Yethindra

Allan Abdiev Department of Faculty Surgery named after academician KR Ryskulova, I.K. Akhunbaev Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan
Toktosunov Arsen Department of Surgery, Osh Inter-Oblast United Hospital, Osh, Kyrgyzstan
Imashov Ulan
Azamat Akeshov
Syimykbek Saparov
Niazbek Mamatov
Vityala Yethindra INTERNATIONAL HIGHER SCHOOL OF MEDICINE https://orcid.org/0000-0003-1007-2422

Keywords: Hepatic Hydatid Cysts, Repeated Surgery, Alveolar Hy- datid Cysts, Closed Echinococcectomy, Hepatic Surgery, PAIR Technique

Abstract

Introduction: Hepatic cystic echinococcosis and alveolar echinococcosis
are common parasitic liver diseases worldwide.
Objective: To assess the effectiveness of surgical treatment in patients
with cystic echinococcosis and alveolar echinococcosis
Methods: This retrospective study examined 924 patients who underwent
surgery for hepatic echinococcosis and alveolar echinococcosis. Peritonitis
cases were identified using clinical, laboratory, and imaging criteria. The
surgical approach involved relaparotomy, abdominal cavity revision,
infection source elimination, cavity drainage, and detoxification therapy.
Descriptive statistics were used for data analysis. This retrospective
study examined 924 patients and 12 patients who underwent surgery
for hepatic cystic echinococcosis and alveolar echinococcosis
Results: Closed echinococcectomy (EE) was the most common surgery,
performed in 513 patients. Among the 625 patients with complications
following hepatic surgery, 36 (5.8%) developed diffuse peritonitis. During
the reoperation for peritonitis, a thorough approach included revising the
abdominal cavity, eliminating the infection source, draining the cavity,
and administering aggressive detoxification and anti-inflammatory
therapy. Regional lymphatic stimulation was performed during multiple
surgeries to enhance lymphatic drainage, reduce inflammation, and
restore gastrointestinal function.
Conclusion: The findings contribute to the understanding of surgical
management for parasitic liver cysts and emphasise the need for further
research to improve treatment outcomes and reduce recurrence rates.

How to cite this article:
Abdiev A, Arsen T ,Ulan I, Akeshov A, Saparov S,
Mamatov N, Vityala Y. Relaparotomy for Peritonitis
Following Liver Surgery in Alveococcosis and
Echinococcosis: A Retrospective Analysis of 924
Cases. J Commun Dis. 2024;56(4):153-157.

DOI: https://doi.org/10.24321/0019.5138.202486

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