ACTA FAC. MED. NAISS. 2006; 23 (1): 19-24

   Original article

Biljana Stosic, Radmilo Jankovic, Milan Radojkovic, Zoran Rancic

Surgical Clinic of Clinical Center Nis

     SUMMARY

    The incidence of hepatic echinococcosis is 10 patients per 100000 inhabitants. There are several things to point out: general state can be complicated with concomitant diseases when a variety of surgical procedures may be performed e.g. cyst extirpation or liver resection. It is very important to assess hydatid communication with big vessels, bile ducts and respiratory tract using imaging techniques. Hepatic echinococcosis can be associated with other cyst localization in the lung, kidney and brain. Specific complications are haemorrhage, anaphylactic reaction, pulmonary embolism, spontaneous rupture of hydatid cyst into inferior vena cava or bronchobilliar fistula into bronchial tree. Postoperative recovery can be complicated with the liver abscess, respiratory complications and coagulation disorders. Many problems associated with hepatic echinococcosis from anesthesiological point of view are presented in this paper.

    Key words: echinococcosis, hepatic, anesthesiological technique, surgical procedures