ABSTRACT
The results of treatment of 44 patients (during the period 1996 - 2010) with liver echinococcosis (LE) were analysed. Echinococcosis hydatid (EH) cyst was found in 15 patients, alveolar echinococcosis (AE)--in 29 patients, 11.3% of cases were asymptomatical, different clinical symptoms were found in 36.4% of patients and 52.3% of patients were admited due to severe complications. Surgical treatment was performed in 41 patients. Among 15 patients with hydatid liver cyst 3--underwent liver resection, 8--pericystechinococcectomy, 4--guided percutaneous treatment--PAIR. No complications or recurrences were noted. Radical operations were performed in 12 patients with AE (41.3%), 11 of them had asymptomatical or noncomplicated disease. Recurrence appeared in one patient (8.3%). Nonradical or palliative operations due to AE complications were performed in 15 patients (51.7%). Complication at the postoperative periods occurred in 17% of patients with AE and lethality rate came to 3.4%. The diagnosis made at the early asymptomatic state and the following selection of combination of surgical approach and medicamental treatment (albendazol) can improve the results of treatment of patients with liver echinococcosis.
Subject(s)
Echinococcosis, Hepatic/diagnosis , Echinococcosis, Hepatic/surgery , Adolescent , Adult , Aged , Albendazole/therapeutic use , Anticestodal Agents/therapeutic use , Echinococcosis, Hepatic/drug therapy , Female , Hepatectomy , Humans , Latvia , Male , Middle Aged , Young AdultABSTRACT
Seven patients with pseudocysts of the spleen were treated in the clinic of the 2nd chair of surgical diseases of the Riga Medical Institute. The cysts in all of them lacked characteristic signs and were recognized late, when they had grown to a large size. Ultrasonic examination and computerized tomography played the main role in establishing the diagnosis. The pseudocysts of the spleen were treated by surgery. In large cysts splenectomy was the operation of choice, though organ-preserving operations (enucleation of the cyst, resection of the spleen) were suggested.
Subject(s)
Cysts , Splenic Diseases , Adult , Cysts/diagnosis , Cysts/diagnostic imaging , Cysts/surgery , Female , Humans , Male , Middle Aged , Splenectomy , Splenic Diseases/diagnosis , Splenic Diseases/diagnostic imaging , Splenic Diseases/surgery , Tomography, X-Ray Computed , UltrasonographyABSTRACT
Eight patients with abscesses of the spleen were observed. The clinical picture had no special characteristics. Splenomegaly was not a pathognomonic symptom of the spleen abscess. The ultrasonic investigation and computed tomography were the main methods of diagnostics. The timely treatment of the spleen abscesses gives satisfactory results. The operation of choice is thought to be splenectomy.
Subject(s)
Abscess/diagnosis , Splenectomy , Splenic Diseases/diagnosis , Abscess/surgery , Adult , Female , Humans , Male , Middle Aged , Spleen/diagnostic imaging , Spleen/pathology , Splenic Diseases/surgery , Tomography, X-Ray Computed , UltrasonographyABSTRACT
An analysis of 78 patients with postresection reflux-gastritis after resection of the stomach for ulcer disease of the stomach and duodenum is presented. Of special significance for diagnosis is fiber gastroscopy with aimed biopsy. The conservative treatment was used in 74 patients, little effect was obtained in 19 of them. Four patients were operated on with V-shaped anastomosis after Roux. Results of the operations were good.
