[Optimization of diagnosis and methods of liver resection in alveolar echinococcosis].

36 resections of the liver were carried out. 66.7% of them were hemihepatectomies and extended hemihepatectomies due to sever parasitic lesions of the liver parenchyma. During resections of the liver ultrasonic scalpel and high frequency electrocoagulation, compression of the hepatoduodenal ligament under the control of the intraoperative sonography were performed. In 4 patients (11.1%) complications were observed: hepatic insufficiency (2 cases), injury of inferior vena cava (1 case) and infrahepatic abscess (1 case). Lethality made up 3.8% (1 patient died due to development of acute hepatic insufficiency after extended right-sided hemihepatectomy.