КЕУДЕ ЖӘНЕ ҚҰРСАҚ ҚУЫСЫНЫҢ АРАЛАС ЭХИНОКОККОЗЫН ДИАГНОСТИКАЛАУ ЖӘНЕ ЕМДЕУ ТАКТИКАСЫНЫҢ ЕРЕКШЕЛІКТЕРІ
##semicolon##
https://doi.org/10.31082/1728-452X-2020-213-214-3-4-17-25##semicolon##
торакальды хирургия##common.commaListSeparator## біріктірілген эхинококкоз##common.commaListSeparator## талдау##article.abstract##
Combined echinococcosis of the chest and abdominal cavity is one of the cause of morbidity and disability in the Republic of Kazakhstan (RK). Currently, a threatening situation has arisen in the countries of Central Asia due to the epidemiology of dangerous zoonosis - echinococcosis. There is a tendency for an increasing in the invasion of people by this helminth in Kazakhstan. In 2017, according to statistics, 217 cases of echinococcosis per 100,000 people was detected. Echinococcosis is one of the serious reasons for the increase in the number of surgeries.
The purpose of this article is to analyze the clinical cases of combined echinococcosis of the chest and abdominal cavity received at the Department of Thoracic Surgery of the National Scientific Center for Surgery named after A.N. Syzganova since 1997 to 2009.
Material and methods. We conducted a study of the surgical activity of the department, the distribution of patients with combined echinococcosis by factors of social status, contact with animals and place of residence, the nature of the combined lesion of echinococcosis of the organs of the chest and abdominal cavity, who received surgical treatment.
Results and discussion. According to a study of 413 patients, were identified 534 cysts: single cysts: right (30 (5.6%)) and left (21 (4.0%)) lungs, both lungs (9 (1.7%)), subphrenic surface of the liver (40 (7.4%)); multiple cysts: right (84 (15.7%)) and left (51 (9.5%)) lung, both lungs (96 (17.9%)), liver (132 (24.7%)), liver and abdominal cavity (53 (9.9%)), mediastinum (14 (2.6%)), diaphragm and retroperitoneal space (4 (0.7%)). Simultaneous echinococcectomy of 2-3 organs was performed in 261 (63.3%) patients, phased echinococcectomy of several organs with an interval of 2 weeks to 6 months was performed in 152 (36.7%) patients.
Postoperative complications were revealed in 35 (8.5%) patients who were associated with combined lesions of various organs, initially complicated forms of lesions, and late referral to a doctor after long unsuccessful treatment at the place of residence. In 17 (4%) patients with an empty echinococcal cyst, a postoperative pneumonia was observed, which was resolved conservatively. Complications in the form of exudative pleurisy were observed in 12 (2.9%) patients; pleural cavity punctures were performed for all. In 6 (1.4%) patients there was suppuration of the laparotomic postoperative wound.
Conclusion. The endemicity of the zone, the high contagiousness of the par-asite, the wide age range of patients, the combined defeat with parasite of many organs and different cavities - all this indicates the relevance of this topic and require further discussion and improvement of diagnostic and therapeutic tactics. The necessary for a multidisciplinary approach, namely the inclusion of oncologists and TB specialists together with surgeons in the diagnostic algorithm, is fundamental to improving diagnostic results. The tactics of treatment of combined echinococcal lesions, in contrast to isolated ones, is based on the determining the sequence and stages depending on the location, size and presence of complications.
##submission.citations##
Kulzhanov MK, Isaev DS, Abildinova NA. New methodological apparatus for research in the field of quality management of medical care. Meditsina i ekologiia (Karaganda) = Medicine and Ecology (Karaganda). 2009;3:120-121 (In Russ.)
Grinenko OA. Organizational opportunities to improve the results of providing high-tech surgical care to the population living outside the regional administrative centers. Problemy standartizatsii zdravookhraneniia = Health care Standardization Problems. 2008;6:3-14 (In Russ.)
Yamlikhanov GT. Organizatsiia ekspertizy kachestva meditsinskoĭ pomoshchi khirurgicheskim bolnym. Informatsionno-metodicheskoe pismo [Organization of examination of the quality of medical care for surgical patients. Informational and methodological letter]. Ufa, 2009. 29 p.
Schweiger A, Ammann RW, Candinas D, Clavien P-A, Eckert J, et al. Human alveolar echinococcosis after fox population increase, Switzerland. Emerg Infect Dis. 2007;13(6):878–882. DOI: 10.3201/eid1306.061074
Grosso G, Gruttadauria S, Biondi A, Marventano S, Mistretta A. Worldwide epidemiology of liver hydatidosis including the Mediterranean area. World J Gastroenterol. 2012;18(13):1425–1437. DOI: 10.3748/wjg.v18.i13.1425
Torgerson PR, Oguljahan B, Muminov AE, Karaeva RR, Kuttubaev OT, et al. Present situation of cystic echinococcosis in Central Asia. Parasitology International. 2006; 55:S207–212. doi: 10.1016/j.parint.2005.11.032
Davidson R, Romig T, Jenkins E, Tryland M, Robertson LJ. The impact of globalisation on the distribution of Echinococcus multilocularis. Trends Parasitol. 2012; 28(6): 239–247. DOI: 10.1016/j.pt.2012.03.004
Shaikenov BS, Torgerson PR, Usenbayev AE, Baitursynov KK, Rysmukhambetova AT.et al. The changing epidemiology of echinococcosis in Kazakhstan due to transformation of farming practices. Acta Tropica. 2003;85(2):287–293. DOI: 10.1016/s0001- )00236-x
Belen Otero-Abad, Paul R Torgerson. A Systematic Review of the Epidemiology of Echinococcosis in Domestic and Wild Animals. PLoS Negl Trop Dis. 2013 Jun;7(6):e2249. DOI: 10.1371/journal.pntd.0002249
Aliev MA, Voronov SA, Eshmuratov TSh. et al. Surgical tactics for bilateral and combined echinococcosis of the lungs. Khirurgiia = Surgery. 2005;6:55-57 (In Russ.)
Perelman M.I. Ekhinokokkoz organov grudnoi polosti i legkikh [Echinococcosis of the chest cavity and lungs]. М., 1976. 256 p.
Nazyrov FG, Akilov HA, Islambekov AS, et al. Tactics of surgical treatment of bilateral echinococcosis of the lungs. Grudnaia i serdechno-sosudistaia khirurgiia = Russian Journal of Thoracic and Cardiovascular Surgery. 2002;5: 65-69 (In Russ.)
Pyshkin SA, Kulyashchov AI. Alladin AS, et al. Multiple combination of echinococcosis. Khirurgiia = Surgery. 2006;6:64-66 (In Russ.)
Dadvani SA, Strelyaeva AV, Gostishchev VK, et al. Minimally invasive surgery and chemotherapy for echinococcosis. Annaly khirurgii = Annals of Surgery (Russia). 2000;4:38-46 (In Russ.)
Craig PS, Budke CM, Schantz PM, Li T, Qiu J, et al. Human Echinococcosis: A Neglected Disease? Tropical Medicine and Health. 2007;35(4):283–292. https://doi.org/10.2149/tmh.35.283
Belen Otero-Abad, Paul R Torgerson. A Systematic Review of the Epidemiology of Echinococcosis in Domestic and Wild Animals. PLoS Negl Trop Dis. 2013 Jun;7(6):e2249. doi: 10.1371/journal.pntd.0002249
Macpherson CNL. Human behaviour and the epidemiology of parasitic zoonoses. International Journal for Parasitology. 2005;35(11-12):1319–1331. doi: 10.1016/j.ijpara.2005.06.004
Bababeyli EYu. Surgical treatment of patients with hepatic echinococcosis. Vestnik khirurgii Kazakhstana = Bulletin of Surgery of Kazakhstan. 2013;3:11-14 (In Russ.)
Bronstein AM, Malyshev NA, Zharov SN, Legonkov YuA, Luchshev VI, Rakhimova OYu. Echinococcosis (hydatidosis and alveolar) is a borderline problem of medical parasitology and surgery (review and own observations). Rossiiskii Meditsinskii Zhurnal = Medical Journal of the Russian Federation. 2012;3:50-53 (In Russ.)
Vetshev PS, Musaev GKh, Buslik SV. Echinococcosis: current state of the problem. Ukrainskii zhurnal khirurgii = Ukrainian Journal of Surgery. 2013;22 (3):196-201 (In Russ.)
Sergiev VP, Lobzina YuL, Kozlova SS. Parazitarnye bolezni cheloveka (protozoozy i gelmintozy). Rukovodstvo dlia vrachei [ Parasitic diseases of people (protozoosis and helminthiasis). Guide for doctors]. St. Petersburg: Foliant, 2008. 592 p.
Sergiev VP, Yushchuk ND, Vengerov YuYa, Zavoykin VD. Tropicheskie bolezni. Rukovodstvo dlia vrachei [Tropical diseases. Guide for doctors]. M.: BINOM, 2015. P. 535-548
Sergiev VP, Legonkov YuA, Poletaeva OG, et al. Ekhinokokkoz tsistnyi (odnokamernyi). Klinika, diagnostika, lechenie, profilaktika. Informatsionno-metodicheskoe posobie [Echinococcosis cystic (single-chamber). Clinic, diagnosis, treatment, prevention. Information and methodological guide. - М., 2008. - 33 р.
Brunetti E, Kern P, Vuitton DA. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Tropica. 2010;114(1):1-16. doi: 10.1016/j.actatropica.2009.11.001
Polyakov NV, Romikh VV, Polyakov VE. Single-chamber (hydatid) echinococcosis. Issledovaniia i praktika v meditsine = Research and Practical. Medicine journal. 2015;2(1): 27-35 (In Russ.)
Dogru D, Kiper N, Ozcelik U, Yalcin E, Gocmen A. Medical treatment of pulmonaryhydatid disease: for which child? Parasitology Internat. 2005;54(2):135-138. doi: 10.1016/j.parint.2005.02.003
Guidelines for treatment of cystic and alveolar echinococcosis in humans. WHO-Informal Working Group on Echinococcosis. Bull World Health Organ. 1996;74(3):231-242
New Dimensions in Hydatidology in the New Millennium: Proceedings of the 20th International congress of hydatidology. June 4-8, 2001, Kusadasi, Turkey. Acta Trop. 2003; 85(2):103-293
Kalieva DK. Echinococcosis. Actual questions of surgical treatment. Nauka i zdravookhranenie = Science and Healthcare. 2014;6: 4-7 (In Russ.)
Bababeyli EYu, Gifchi E, Bababeyli NE. Puncture and catheterization of echinococcal cysts. Khirurgiia. Baku = Surgery. Baku. 2012;32(4) 48-53 (In Russ.)
Filice C, Brunetti E, Bruno R, Crippa FG. Percutaneous drainage of echinococcal cysts (PAIR: puncture, aspiration, injection, reaspiration): results of a worldwide survey for assessment of its safety and efficacy. WHO-Informal Working Group on Echinococcosis-Pair Network. Gut. 2000;47 (1):156-157. DOI: 10.1136/gut.47.1.156b
Morris DL, Taylor DH. Echinococcus granulosus: Development of resistance to albendazole in an animal model. J. Helminthol. 1999;64 (2):171-174
Peter K. Clinical features and treatment of alveolar echinococcosis. Curr. Opin. Infect. Dis. 2010;23 (5):505-512. doi: 10.1097/QCO.0b013e32833d7516
Shevchenko YuL, Nazyrov FG. Khirurgiia ekhinokokkoza [Echinococcosis Surgery]. M .: Dynasty, 2016 . P. 129-151
Su-Jin Kim, Jong-Han Kim, Sang-Young Han, Young-Hoon Kim, Jin-Han Cho, Jong-Yil Chai, Jin-Sook Jeong. Recurrent Hepatic Alveolar Echinococcosis: Report of The First Case in Korea with Unproven Infection Route. The Korean Journal of Parasitology. 2011;49(4):413-418
Biniam Ewnte. Hydatid cyst of the foot: a case report. Journal of Medical Case Reports. 2020;14:6. https://doi.org/10.1186/s13256-019-2337-8
Mustafa Calik, MD, Saniye Calik, MD, Hidir Esme, MD. Vertebral Hydatid Cyst: “White Cancer”. CHEST Journal. October 2015;148(4)Supplement:149A. DOI: https://doi.org/10.1378/chest.2278411
Dildar Haji Musa, Ayad Ahmad Mohammed. Hydatid cyst of the fallopian tube; Case report with literature review. International Journal of Surgery Case Reports. 2020;66:101–103. doi: 10.1016/j.ijscr.2019.11.048
Arora M, Gupta CR, Jindal S, et al. An unusual case of hydatid cyst of broad ligament. JIACM. 2005;6 (1):86-87
##submission.downloads##
##submissions.published##
##issue.issue##
##section.section##
##submission.license##
##submission.copyrightStatement##
##submission.license.cc.by4.footer##
