[The choice of surgical tactics in complicated forms of hepatic echinococcosis].

Surgical tactics in complicated forms of hepatic echinococcosis was proposed, basing on the analysis of surgical treatment results, obtained in 378 patients suffering this disease. The method of biliary fistula closure, using the flap, modelled of fibrous capsule of echinococcal cyst was elaborated. The trapeziform flap was modelled from fibrous capsule after performance of conventional echinococcectomy. The sutures were put on the fistula aperture edges along its circumference 2-3 mm each other apart and to them the flap apex was sutured. On completion of the sutures tying the fistula aperture was closed alike with hermetic patch.