[Application of laparoscopic and the puncture operative interventions in treatment of hepatic echinococcosis: problems of complications and recurrences].

Results of examination and treatment of 326 patients, suffering hepatic echinococcosis, were analyzed, in whom 449 surgical interventions were conducted. In 123 patients the disease recurrence was registered, to them laparoscopic, laparotomic and pucture interventions were conducted. In 80 (17.8%) patients laparoscopic access was applied, in 261 (58.1%)--laparotomic, in 108 (24.1%)--the puncture treatment of parasitic cysts under ultrasonographic guidance. Conduction of active screening examination of patients in regions, which are endemic for echinococcosis, application of effective mimiinvasive surgical accesses, intraoperative methods for prophylaxis of abdominal dissemination of the invasive material, antiparasitic chemical and thermal processing of the cyst content and the residual cavity walls after echinococcectomy, postoperative prophylactic administration of antiparasitic medicinal therapy have permitted to reduce significantly (up to 1.3% in last 5 yrs) the rate of the hepatic echinococcosis recurrence.