[Diagnosis and surgical treatment of solitary large and giant hydatid cysts of the liver in children].

The article analyses the results of surgical treatment of 33 children with solitary large (16) and giant (17) hepatic cysts in the stage of preperforation. Most of the cysts (18) were located in the subdiaphragmatic region. If the method of ultrasonic examination (USE) is available and bearing in mind the grave general condition, extended radiological methods of examination are not advisable for establishing the diagnosis. An emergency operative intervention is undertaken by wide laparotomy with transverse section of the anterior abdominal wall. The residual cavity is liquidated by turning inside a part of the fibrous capsule (7), filling it with the omentum (10). In 4 patients the residual cavity was drained with prolonged active aspiration. Large dense areas of fusion of the fibrous capsule with other organs should be left as islets. There were no fatal outcomes.