Relaparotomy for Peritonitis Following Liver Surgery in Alveococcosis and Echinococcosis: A Retrospective Analysis of 924 Cases

Introduction: Hepatic cystic echinococcosis and alveolar echinococcosisare common parasitic liver diseases worldwide.Objective: To assess the effectiveness of surgical treatment in patientswith cystic echinococcosis and alveolar echinococcosisMethods: This retrospective study examined 924 patients who underwentsurgery for hepatic echinococcosis and alveolar echinococcosis. Peritonitiscases were identified using clinical, laboratory, and imaging criteria. Thesurgical approach involved relaparotomy, abdominal cavity revision,infection source elimination, cavity drainage, and detoxification therapy.Descriptive statistics were used for data analysis. This retrospectivestudy examined 924 patients and 12 patients who underwent surgeryfor hepatic cystic echinococcosis and alveolar echinococcosisResults: Closed echinococcectomy (EE) was the most common surgery,performed in 513 patients. Among the 625 patients with complicationsfollowing hepatic surgery, 36 (5.8%) developed diffuse peritonitis. Duringthe reoperation for peritonitis, a thorough approach included revising theabdominal cavity, eliminating the infection source, draining the cavity,and administering aggressive detoxification and anti-inflammatorytherapy. Regional lymphatic stimulation was performed during multiplesurgeries to enhance lymphatic drainage, reduce inflammation, andrestore gastrointestinal function.Conclusion: The findings contribute to the understanding of surgicalmanagement for parasitic liver cysts and emphasise the need for furtherresearch to improve treatment outcomes and reduce recurrence rates. How to cite this article:Abdiev A, Arsen T ,Ulan I, Akeshov A, Saparov S,Mamatov N, Vityala Y. Relaparotomy for PeritonitisFollowing Liver Surgery in Alveococcosis andEchinococcosis: A Retrospective Analysis of 924Cases. J Commun Dis. 2024;56(4):153-157. DOI: https://doi.org/10.24321/0019.5138.202486