[The surgical procedure in hepatic echinococcosis]

Results of operations on 252 patients with echinococcosis of the liver are analyzed. Closed hydatidectomy was performed in 166 (65.87%) patients, semi-closed one--in 14 (5.56%), pericystectomy--in 16 (6.35%), ideal hydatidectomy--in 12 (4.76%), resection of the liver with removal of the echinococcus cyst--in 9 (3.5%) and percutaneous transhepatic drainage of the cyst--in 7 (2.78%) patients. Postoperative complications were noted in 25 patients; suppurations of the residual cavity--in 17 patients; external bile fistulas--in 5 patients; subdiaphragmatic abscess--in 2, reactive pleurisy--in 1 patient. The least amount of complications followed closed hydatidectomy in 4 patients (2.44%).