[Isolated echinococcosis of the left hepatic lobe]

The authors analyse 47 patients with isolated echinococcosis of the left hepatic lobe. There were 36 males and 11 females. One cyst was found in 39 patients, two cysts in 8 patients. The volume and character of the operative interventions were determined by the peculiarities of the case and its complications. Cholectomy together with the parasite but without opening the cavity was conducted in 8 patients with cirrhosis and deficiency of the left lobe. In rupture of the cysts into the bile ducts echinococcectomy was combined with cleansing and drainage of the ducts: retrograde drainage after Abu proved to be the best method. Wedge resection was conducted in 7 patients and thermal treatment in 8 patients. In the remaining cases various methods of echinococcectomy were applied.