[Algorithm of preoperative preparation in surgical treatment of lung echinococcus complicated by a rupture into the...

The clinical material includes 10 years of observations of 289 patients with lung echinococcosis complicated by a rupture into the bronchus. Different operative interventions were performed in 278 cases. The indications for operation, their volume and preoperative preparation were based on clinico-rentgenological signs and divided into 4 groups: 1 - patients with a rentgenological sign of the folded chitin membrane, or a ring-shaped shadow; 2 - patients with non-homogeneous complicated cysts; 3 - patients with "floating chitin membrane"; 4 patients with a rupture of the cyst into the bronchus and pleural cavity simultaneously. The third group patients needed more intensive preoperative preparation while the fourth group patients had an indication to urgent drainage of the pleural cavity or urgent operations in the absence of the purulent discharge from the drains. So, the proposed algorithm of the preoperative preparation of lung echinococcosis patients complicated by a rupture into the bronchus facilitates the improvement of the management of this category of patients.