THE FIRST EXPERIENCE OF LAPAROSCOPIC LEFT-SIDED LATERAL LIVER SECTIONECTOMY FOR ECHINOCOCCOSIS

Introduction. Echinococc is a biohelminthiasis that mainly affects the liver. Annually in the Republic of Belarus is registered 10–18 cases of echinococcal lesions, most of which are asymptomatic.

The purpose of the study. Analysis of the results of the first experience of performing laparoscopic left-sided lateral sectionectomy in hepatic echinococcosis.

Material and methods. The article presents the successful experience of treating a patient with echinococcosis of the liver, who underwent laparoscopic left-sided lateral liver sectionectomy for the first time in the Grodno University Clinic.

Results. We applied laparoscopic intrahepatic isolation, hardware stitching and clipping of the glissone legs of the II and III segments of the liver, which contributed to the anatomical resection of the left lateral sector, achieving reliable hemostasis and cholestasis. No complications were observed in postoperative period.

Conclusions. Laparoscopic left–sided lateral sectionectomy using intrahepatic glissone access is a safe and affordable operation in patients with echinococcal lesions of the II and III segments of the liver.

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