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SM ISO690:2012 PAVLIUC, Galina, MORARU, Viorel, BUJOR, Petru, BUJOR, Sergiu, ŞTIRBU, Ruxandra, ZELEK, Stanislaw. Insuficiența hepatică postoperatorie - cauză semnificativă a mortalității la pacienți cu chisturi hidatice gigante complicate. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 434. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 434-434 | ||||||
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Background. Giant hydatid cysts usually lead to diffuse irreversible damage to the liver, aggravating the results of surgical treatment and their presence is accompanied by high mortality. Objective of the study. Analysis of factors that predispose to the development of liver failure in patients with complicated echinococcosis Material and Methods. 347 patients with hepatic hedadidosis were operated on in the clinic between 2000 and 2020. The diagnostic algorithm included: USG, Doppler, EFGDS, CT, MRI in cholangiography regime, serological and biochemical analyzes. Results. In 33 (9.5%) cases, giant hydatid cysts located in more than 4 segments of the liver were detected. Of which, in the preoperative period, liver cirrhosis was detected in 4 (12.1%) patients, the early stage of portal hypertension was detected in 7 (21.2%), mechanical jaundice in 9 (27.3%), reactive hepatitis in 10 ( 30.3%) patients, hydatid cachexia in 3 (9.09%). Postoperative liver failure developed in 9 (27.3%) patients who underwent urgent surgery. Mortality rate - 7 (18.1%). Conclusion. Predisposing factors for the development of postoperative liver failure are as follows - large destructive lesions of the liver parenchyma, small volume of the remaining parenchyma, decreased blood supply, cachexia, old age, the presence of concomitant pathologies. |
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Cuvinte-cheie complicated hydatidosis, postoperative liver failure, high mortality, hidatidoză complicată, insuficiență hepatică postoperatorie |
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