CT-VOLUMETRY IN SURGICAL PLANNING FOR HEPATIC ALVEOLAR ECHINOCOCCOSIS: FIRST EXPERIENCE OF APPLICATION IN THE KYRGYZ REPUBLIC

Alveolar echinococcosis of the liver is characterized by infiltrative growth, requiring precise preoperative planning and assessment of future liver remnant to prevent postoperative liver failure. We present the first experience with the LiverAnalisis+ software for CT volumetry in liver alveolar echinococcosis in Kyrgyzstan. A 24-year-old patient underwent CT volumetry, with a total liver volume of approximately 1700 ml and a calculated future liver remnant of 746 ml (43.9%). Anatomical resection of liver segments 6,7 and lesion in segment 4b was performed. The actual weight of the resected liver (1080 g) exceeded the calculated weight by 7.9%. CT scan after two weeks showed adequate regeneration (1547 ml), and at 5 months stable regeneration (1201 ml). LiverAnalisis+ demonstrated promising results in preoperative planning for liver alveolar echinococcosis.