urmjУральский медицинский журналUral Medical Journal2949-4389Ural State Medical University10.52420/2071-5943-2023-22-4-18-26urmj-1288Research ArticleОригинальные статьи | Original articlesOriginal articlesЭффективность двухэтапных обширных резекционных вмешательств при хирургическом лечении пациентов с распространенным эхинококкозом печениEfficiency of two-stage extensive resection interventions in the surgical treatment of patients with disseminated echinococcosis of the liverhttps://orcid.org/0000-0001-7617-6422КрасновА. О.KrasnovA. O.

Аркадий Олегович Краснов, кандидат медицинских наук,

Кемерово

Arkadiy O. Krasnov, Ph.D. in medicine, 

Kemerovo

aokrasnov@mail.ruhttps://orcid.org/0000-0002-9262-3656КрасновК. А.KrasnovK. A.

Константин Аркадьевич Краснов, кандидат медицинских наук,

Кемерово

Konstantin A. Krasnov, Ph.D. in medicine,

Kemerovo

krasnov8k@rambler.ruhttps://orcid.org/0000-0001-8230-6676ПельцВ. А.PeltzV. A.

Владислав Александрович Пельц, кандидат медицинских наук,

Кемерово

Vladislav A. Peltz, Ph.D. in medicine, 

Kemerovo

vpelc_c1@rambler.ruhttps://orcid.org/0000-0002-5214-7771КрасновО. А.KrasnovO. A.

Олег Аркадьевич Краснов, доктор медицинских наук, 

Кемерово

Oleg A. Krasnov, Doctor of Science (Medicine),

Kemerovo

xo1@mail.ruhttps://orcid.org/0000-0001-9439-2049ПавленкоВ. В.PavlenkoV. V.

Владимир Вячеславович Павленко, доктор медицинских наук,

Кемерово

Vladimir V. Pavlenko, Doctor of Science (Medicine),

Kemerovo

pavlenkovv@list.ruКузбасская клиническая больница скорой медицинской помощи им. М.А. ПодгорбунскогоРоссияKuzbass Clinical Emergency Hospital named after M. A. PodgorbunskyRussian FederationКузбасская клиническая больница скорой медицинской помощи им. М.А. Подгорбунского; Кемеровский государственный медицинский университетРоссияKuzbass Clinical Emergency Hospital named after M. A. Podgorbunsky; Kemerovo State Medical UniversityRussian FederationКемеровский государственный медицинский университетРоссияKemerovo State Medical UniversityRussian Federation2023100820232241826Copyright © Краснов А.О., Краснов К.А., Пельц В.А., Краснов О.А., Павленко В.В., 20232023Краснов А.О., Краснов К.А., Пельц В.А., Краснов О.А., Павленко В.В.Krasnov A.O., Krasnov K.A., Peltz V.A., Krasnov O.A., Pavlenko V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.umjusmu.ru/jour/article/view/1288Введение

Введение. Основной и эффективной опцией лечения эхинококкоза печени являются хирургические операции. Проблема выбора характера оперативного вмешательства при распространенной форме эхинококкоза печени в условиях предполагаемого дефицита функциональных резервов органа и развития пострезекционной печеночной недостаточности остается актуальной.

Цель исследования – представить и проанализировать эффективность двухэтапных обширных резекционных вмешательств у пациентов с распространенным эхинококкозом печени.

Материалы и методы

Материалы и методы. В статье представлены результаты хирургического лечения 22 пациентов, 8 мужчин (36,4 %) и 14 женщин (63,6 %), оперированных в хирургическом отделении № 2 Кузбасской клинической больницы скорой медицинской помощи им. М.А. Подгорбунского (г. Кемерово) по поводу распространенного эхинококкоза печени. Критерием включения в исследование было применение протокола двухэтапного обширного резекционного вмешательства.

Результаты

Результаты. Примененные в нашем исследовании хирургические этапные методы профилактики пострезекционной печеночной недостаточности показали эффективность в отношении следующих показателей: КТ-волюметрия (p < 0,05), остаточная концентрация индоцианина зеленого на 15 минуте (p < 0,05), значение статистической прогностической модели (p < 0,05) и позволили подготовить пациентов к резекционному обширному вмешательству с достаточным уровнем безопасности. Специфические послеоперационные осложнения после обширного резекционного вмешательства выявлены у девяти пациентов (40,1 %), неспецифические – у трех (13,6 %). Специфические осложнения, в основном, представлены проявлениями ППН, – шесть случаев (66,7 %), из них категория «А» по ISGLS − 5 случаев (83,3 %), «В» − один случай (16,7 %). Летальных случаев и случаев рецидива не отмечено ни в одной из исследуемых групп. Обсуждение. При анализе литературных данных отмечена тенденция к проведению поиска эффективных и безопасных методов прекращения кровотока портальной системы печени с целью достижения викарной гипертрофии ремнанта. Распространенной методикой для получения викарной гипертрофии будущего ремнанта печени является рентгенэндохирургическая эмболизация портального кровотока. Однако существуют технические ограничения доступности процедуры. Лапароскопический метод клипирования правой ветви воротной вены является альтернативным вариантом операции.

Заключение

Заключение. Методики достижения викарной гипертрофии ремнанта печени, доказали свою эффективность и позволили подготовить пациентов к выполнению обширных резекций печени. Двухэтапные обширные резекционные вмешательства при распространенном эхинококкозе печени эффективны и в достаточной степени безопасны при выполнении операций в специализированных гепатологических центрах.

Introduction

Introduction. Surgical operations are the main and effective option for treatment of hepatic echinococcosis. The problem of the choice of the type of surgical intervention in the advanced form of hepatic echinococcosis in the conditions of supposed deficiency of the organ functional reserves and development of post-resection hepatic insufficiency remains topical.

The aim of the study was to present and analyze the effectiveness of two-stage extensive resection interventions in patients with advanced liver echinococcosis.

Materials and methods

Materials and methods. The paper presents the results of surgical treatment of 22 patients, 8 male (36.4%) and 14 female (63.6%) operated in the surgical department № 2 of Kuzbass Clinical Emergency Hospital named after M.A. Podgorbunskiy in Kemerovo. The criterion for inclusion in the study was to use of a two-stage extensive resection protocol.

Results

Results. The surgical staging methods used in our study to prevent post-resection liver failure showed efficacy in the following parameters: CT volumetry (p < 0.05), residual concentration of indocyanine green at 15 minutes (p < 0.05), statistical predictive model value (p < 0.05) and allowed to prepare patients for resection extensive intervention with a sufficient level of safety. Specific postoperative complications after extensive resection were identified in nine patients (40.1 %) and non-specific complication in three patients (13.6 %). Specific complications are mainly represented by manifestations of PPN manifistations − six cases (66.7 %), including 5 cases (83.3%) with “A” category according to ISGLS, with “B” category − one case (16.7 %). There were no fatalities or relapses in any of the study groups. Discussion When analysing the literature, there is a tendency to search for effective and safe methods of stopping the blood flow of the liver portal system in order to achieve vicarious hypertrophy of the remnant. A common technique for obtaining vicarious hypertrophy of the future liver remnant is radiopaque endosurgical embolization of the portal blood flow. However, there are technical limitations to the availability of the procedure. Laparoscopic clipping of the right portal vein branch is an alternative surgical option.

Conclusion

Conclusion. Techniques to achieve vicarious hypertrophy of the liver remnant have proven effective and have prepared patients for extensive liver resections. Two-stage extensive resection interventions for advanced liver echinococcosis are effective and sufficiently safe when performed in specialised hepatology centres.

распространенный эхинококкоз печенидвухэтапные резекцииэффективность леченияwidespread liver echinococcosistwo-stage resectionstreatment efficiencyReferencesBaimakhanov Z, Kaniyev S, Serikuly E et al. Radical versus conservative surgical management for liver hydatid cysts: A single-center prospective cohort study. JGH Open 2021;5(10):1179−1182. https://doi.org/10.1002/jgh3.12649.Baimakhanov Z, Kaniyev S, Serikuly E et al. Radical versus conservative surgical management for liver hydatid cysts: A single-center prospective cohort study. JGH Open 2021;5(10):1179−1182. https://doi.org/10.1002/jgh3.12649.Ramia JM, Serrablo A, Serradilla M et al. Major hepatectomies in liver cystic echinococcosis: A bi-centric experience. Retrospective cohort study. Int J Surg. 2018;54(Pt A):182−186. https://doi.org/10.1016/j.ijsu.2018.04.049.Ramia JM, Serrablo A, Serradilla M et al. Major hepatectomies in liver cystic echinococcosis: A bi-centric experience. Retrospective cohort study. Int J Surg. 2018;54(Pt A):182−186. https://doi.org/10.1016/j.ijsu.2018.04.049.Akbulut S, Sahin TT, Yilmaz S. A Commentary on “Major hepatectomies in liver cystic echinococcosis: A bi-centric experience. Retrospective cohort study” [Int J.Surg. 2018;54:182−186]. Int J Surg. 2020;79:271−272. https://doi.org/10.1016/j.ijsu.2020.05.029.Akbulut S, Sahin TT, Yilmaz S. A Commentary on “Major hepatectomies in liver cystic echinococcosis: A bi-centric experience. Retrospective cohort study” [Int J.Surg. 2018;54:182−186]. Int J Surg. 2020;79:271−272. https://doi.org/10.1016/j.ijsu.2020.05.029.Gomez I, Gavara C, López-Andújar R et al. Review of the treatment of liver hydatid cysts. World J Gastroenterol. 2015;21(1):124−131. https://doi.org/10.3748/wjg.v21.i1.124.Gomez I, Gavara C, López-Andújar R et al. Review of the treatment of liver hydatid cysts. World J Gastroenterol. 2015;21(1):124−131. https://doi.org/10.3748/wjg.v21.i1.124.Al-Saeedi M, Ramouz A, Khajeh E et al. Endocystectomy as a conservative surgical treatment for hepatic cystic echinococcosis: A systematic review with single-arm meta-analysis. PLoS Negl Trop Dis. 2021;15(5):e0009365. https://doi.org/10.1371/journal.pntd.0009365.Al-Saeedi M, Ramouz A, Khajeh E et al. Endocystectomy as a conservative surgical treatment for hepatic cystic echinococcosis: A systematic review with single-arm meta-analysis. PLoS Negl Trop Dis. 2021;15(5):e0009365. https://doi.org/10.1371/journal.pntd.0009365.Wen H, Vuitton L, Tuxun T et al. Echinococcosis: advances in the 21st century. Clin Microbiol Rev. 2019;32(2):e00075−18. https://doi.org/10.1128/CMR.00075-18.Wen H, Vuitton L, Tuxun T et al. Echinococcosis: advances in the 21st century. Clin Microbiol Rev. 2019;32(2):e00075−18. https://doi.org/10.1128/CMR.00075-18.Dehkordi AB, Sanei B, Yousefi M et al. Albendazole and treatment of hydatid cyst: review of the literature. Infect Disord Drug Targets. 2019;19(2):101−104. https://doi.org/10.2174/1871526518666180629134511.Dehkordi AB, Sanei B, Yousefi M et al. Albendazole and treatment of hydatid cyst: review of the literature. Infect Disord Drug Targets. 2019;19(2):101−104. https://doi.org/10.2174/1871526518666180629134511.Yamamoto Y, Sakamoto Y, Kamiyama T et al. A case of alveolar echinococcosis in the liver that ruptured into the pericardium treated by a combination of hepatectomy and albendazole. Surg Case Rep. 2022;8(1):63. https://doi.org/10.1186/s40792-022-01417-6.Yamamoto Y, Sakamoto Y, Kamiyama T et al. A case of alveolar echinococcosis in the liver that ruptured into the pericardium treated by a combination of hepatectomy and albendazole. Surg Case Rep. 2022;8(1):63. https://doi.org/10.1186/s40792-022- 01417-6.Bayrak M, Altıntas Y. Current approaches in the surgical treatment of liver hydatid disease: single center experience. BMC Surg. 2019;19(1):95. https://doi.org/10.1186/s12893-019-0553-1.Bayrak M, Altıntas Y. Current approaches in the surgical treatment of liver hydatid disease: single center experience. BMC Surg. 2019;19(1):95. https://doi.org/10.1186/s12893-019-0553-1.Ibrahim I, Yasheng A, Tuerxun K et al. Effectiveness of a clinical pathway for hepatic cystic echinococcosis surgery in Kashi Prefecture, Northwestern China: a propensity score matching analysis. Infect Dis Ther. 2021;10(3):1465−1477. https://doi.org/10.1007/s40121-021-00466-y.Ibrahim I, Yasheng A, Tuerxun K et al. Effectiveness of a clinical pathway for hepatic cystic echinococcosis surgery in Kashi Prefecture, Northwestern China: a propensity score matching analysis. Infect Dis Ther. 2021;10(3):1465−1477. https://doi.org/10.1007/s40121-021-00466-y.Меджидов Р.Т., Султанова Р.С. Лечение и профилактика рецидива эхинококкоза печени. Вестник хирургии им. И.И. Грекова. 2020;179(2):26−32. https://doi.org/10.24884/0042-4625-2020-179-2-26-32.Majidov RT, Sultanova RS. Treatment and prevention of recurrence of liver echinococcosis. Bulletin of Surgery named after I. I. Grekov = Vestnik hirurgii im. I.I. Grekova. 2020;179(2):26−32. (In Russ.). https://doi.org/10.24884/0042-4625-2020-179-2-26-32.Восканян С.Э., Найденов Е.В., Башков А.Н., Чолакян С.В. Оптимизация хирургической тактики при эхинококкозе печени. Анналы хирургической гепатологии. 2021;26(4):41−50. https://doi.org/10.16931/1995-5464.2021-4-41-50.Voskanyan SE, Naidenov EV, Bashkov AN, Cholakyan SV. Optimization of surgical tactics in liver echinococcosis. Annals of surgical hepatology = Annaly hirurgicheskoj gepatologii. 2021;26(4):41−50. (In Russ.).https://doi.org/10.16931/1995-5464.2021-4-41-50.Deo KB, Kumar R, Tiwari G et al. Surgical management of hepatic hydatid cysts − conservative versus radical surgery. HPB (Oxford). 2020;22(10):1457−1462. https://doi.org/10.1016/j.hpb.2020.03.003.Deo KB, Kumar R, Tiwari G et al. Surgical management of hepatic hydatid cysts − conservative versus radical surgery. HPB (Oxford). 2020;22(10):1457−1462. https://doi.org/10.1016/j.hpb.2020.03.003.Farhat W, Ammar H, Rguez A et al. Radical versus conservative surgical treatment of liver hydatid cysts: a paired comparison analysis. Am J Surg. 2022;224(1 Pt A):190−195. https://doi.org/10.1016/j.amjsurg.2021.12.014.Farhat W, Ammar H, Rguez A et al. Radical versus conservative surgical treatment of liver hydatid cysts: a paired comparison analysis. Am J Surg. 2022;224(1 Pt A):190−195. https://doi.org/10.1016/j.amjsurg.2021.12.014.Ramia Ángel JM, Vázquez MA, Román GC et al. Radical surgery in hepatic hydatidosis: analysis of results in an endemic area. Rev Esp Enferm Dig. 2020;112(9):708-711. https://doi.org/10.17235/reed.2020.6722/2019.Ramia Ángel JM, Vázquez MA, Román GC et al. Radical surgery in hepatic hydatidosis: analysis of results in an endemic area. Rev Esp Enferm Dig. 2020;112(9):708-711. https://doi.org/10.17235/reed.2020.6722/2019.Al Harbawi LQ, Jawad NK, Al-Dhahiry KJ, Abass KS. A retrospective analysis of surgical techniques and outcomes of hydatid disease in Wasit, Iraq. J Med Life. 2022;15(3):374−378. https://doi.org/10.25122/jml-2021-0093.Al Harbawi LQ, Jawad NK, Al-Dhahiry KJ, Abass KS. A retrospective analysis of surgical techniques and outcomes of hydatid disease in Wasit, Iraq. J Med Life. 2022;15(3):374−378. https://doi.org/10.25122/jml-2021-0093.Muhammedoğlu B, Pircanoğlu EM, Pişkin E et al. Treatment of hepatic hydatid disease: role of surgery, ERCP, and percutaneous drainage: a retrospective study. Surg Laparosc Endosc Percutan Tech. 2020;31(3):313−320. https://doi.org/10.1097/SLE.0000000000000861.Muhammedoğlu B, Pircanoğlu EM, Pişkin E et al. Treatment of hepatic hydatid disease: role of surgery, ERCP, and percutaneous drainage: a retrospective study. Surg Laparosc Endosc Percutan Tech. 2020;31(3):313−320. https://doi.org/10.1097/SLE.0000000000000861.Jaén-Torrejimeno I, López-Guerra D, Rojas-Holguín A et al. Surgical treatment of liver hydatid cyst in elderly patients: A propensity score-matching retrospective cohort study. Acta Trop. 2022;232:106466. https://doi.org/10.1016/j.actatropica.2022.106466.Jaén-Torrejimeno I, López-Guerra D, Rojas-Holguín A et al. Surgical treatment of liver hydatid cyst in elderly patients: A propensity score-matching retrospective cohort study. Acta Trop. 2022;232:106466. https://doi.org/10.1016/j.actatropica.2022.106466.Chansangrat J, Keeratibharat N. Portal vein embolization: rationale, techniques, outcomes and novel strategies. Hepat Oncol. 2021;8(4):HEP42. https://doi.org/10.2217/hep-2021-0006Chansangrat J, Keeratibharat N. Portal vein embolization: rationale, techniques, outcomes and novel strategies. Hepat Oncol. 2021;8(4):HEP42. https://doi.org/10.2217/hep-2021-0006Dueland S, Yaqub S, Syversveen T et al. Survival outcomes after portal vein embolization and liver resection compared with liver transplant for patients with extensive colorectal cancer liver metastases. JAMA Surg. 2021;156(6):550−557. https://doi.org/10.1001/jamasurg.2021.0267.Dueland S, Yaqub S, Syversveen T et al. Survival outcomes after portal vein embolization and liver resection compared with liver transplant for patients with extensive colorectal cancer liver metastases. JAMA Surg. 2021;156(6):550−557. https://doi.org/10.1001/jamasurg.2021.0267.Heil J, Schadde E. Simultaneous portal and hepatic vein embolization before major liver resection. Langenbecks Arch Surg. 2021;406(5):1295−1305. https://doi.org/10.1007/s00423-020-01960-6.Heil J, Schadde E. Simultaneous portal and hepatic vein embolization before major liver resection. Langenbecks Arch Surg. 2021;406(5):1295−1305. https://doi.org/10.1007/s00423-020-01960-6.Kohno S, Isoda H, Ono A et al. Portal vein embolization: radiological findings predicting future liver remnant hypertrophy. AJR Am J Roentgenol. 2020;214(3):687−693. https://doi.org/10.2214/AJR.19.21440.Kohno S, Isoda H, Ono A et al. Portal vein embolization: radiological findings predicting future liver remnant hypertrophy. AJR Am J Roentgenol. 2020;214(3):687−693. https://doi.org/10.2214/AJR.19.21440.Nozawa Y, Ashida H, Michimoto K et al. Efficacy of portal vein embolization with a procedure of sheath injection and balloon occlusion with gelatin sponge. J Belg Soc Radiol. 2021;105(1):42. https://doi.org/10.5334/jbsr.2485.Nozawa Y, Ashida H, Michimoto K et al. Efficacy of portal vein embolization with a procedure of sheath injection and balloon occlusion with gelatin sponge. J Belg Soc Radiol. 2021;105(1):42. https://doi.org/10.5334/jbsr.2485.Okada M, Ihara K, Miyoshi K et al. Portal vein embolization via the ipsilateral percutaneous transhepatic approach versus laparotomic transileocecal approach: complications, profile and changes in future liver remnant volume. Br J Radiol. 2022;95(1135):20210854. https://doi.org/10.1259/bjr.20210854.Okada M, Ihara K, Miyoshi K et al. Portal vein embolization via the ipsilateral percutaneous transhepatic approach versus laparotomic transileocecal approach: complications, profile and changes in future liver remnant volume. Br J Radiol. 2022;95(1135):20210854. https://doi.org/10.1259/bjr.20210854.Yamao T, Tamura Y, Hayashi H et al. Novel approach via the round ligament in portal vein embolization. World J Surg. 2021;45(9):2878−2885. https://doi.org/10.1007/s00268-021-06145-w.Yamao T, Tamura Y, Hayashi H et al. Novel approach via the round ligament in portal vein embolization. World J Surg. 2021;45(9):2878−2885. https://doi.org/10.1007/s00268-021-06145-w.Mukund A, Mondal A, Patidar Y, Kumar S. Safety and outcomes of pre-operative portal vein embolization using N-butyl cyanoacrylate (Glue) in hepatobiliary malignancies: A single center retrospective analysis. Indian J Radiol Imaging. 2019;29(1):40−46. https://doi.org/10.4103/ijri.IJRI_454_18.Mukund A, Mondal A, Patidar Y, Kumar S. Safety and outcomes of pre-operative portal vein embolization using N-butyl cyanoacrylate (Glue) in hepatobiliary malignancies: A single center retrospective analysis. Indian J Radiol Imaging. 2019;29(1):40−46. https://doi.org/10.4103/ijri.IJRI_454_18.Laurent C, Fernandez B, Marichez A et al. Radiological simultaneous portohepatic vein embolization (RASPE) before major hepatectomy: a better way to optimize liver hypertrophy compared to portal vein embolization. Ann Surg. 2020;272(2):199−205. https://doi.org/10.1097/SLA.0000000000003905.Laurent C, Fernandez B, Marichez A et al. Radiological simultaneous portohepatic vein embolization (RASPE) before major hepatectomy: a better way to optimize liver hypertrophy compared to portal vein embolization. Ann Surg. 2020;272(2):199−205. https://doi.org/10.1097/SLA.0000000000003905.Maruyama M, Yoshizako T, Ando S et al. Coil volume embolization ratio for preventing recanalization after portal vein embolization. Diagn Interv Radiol. 2021;27(3):366−371. https://doi.org/10.5152/dir.2021.20043.Maruyama M, Yoshizako T, Ando S et al. Coil volume embolization ratio for preventing recanalization after portal vein embolization. Diagn Interv Radiol. 2021;27(3):366−371. https://doi.org/10.5152/dir.2021.20043.Park HJ, Kim KW, Choi SH et al. Dilatation of left portal vein after right portal vein embolization: a simple estimation for growth of future liver remnant. J Hepatobiliary Pancreat Sci. 2019;26(7):300−309. https://doi.org/10.1002/jhbp.633.Park HJ, Kim KW, Choi SH et al. Dilatation of left portal vein after right portal vein embolization: a simple estimation for growth of future liver remnant. J Hepatobiliary Pancreat Sci. 2019;26(7):300−309. https://doi.org/10.1002/jhbp.633.Najafi A, Schadde E, Binkert CA. Combined simultaneous embolization of the portal vein and hepatic vein (double vein embolization) − a technical note about embolization sequence. CVIR Endovasc. 2021;4(1):43. https://doi.org/10.1186/s42155-021-00230-wNajafi A, Schadde E, Binkert CA. Combined simultaneous embolization of the portal vein and hepatic vein (double vein embolization) − a technical note about embolization sequence. CVIR Endovasc. 2021;4(1):43. https://doi.org/10.1186/s42155-021-00230-wКраснов А.О. Современные критерии резектабельности у больных с объемными образованиями печени: специальность 14.01.17 «Хирургия»: автореферат диссертации на соискание ученой степени кандидата медицинских наук. Новосибирск ; 2017. 22 с.Krasnov A.O. Modern criteria for resectability in patients with large-scale liver formations: specialty 14.01.17 “Surgery”: dissertation abstract for the degree of Candidate of Medical Sciences. Novosibirsk ; 2017. 22 p. (In Russ.).Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240(2):205−213. https://doi.org/10.1097/01.sla.0000133083.54934.ae.Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240(2):205−213. https://doi.org/10.1097/01.sla.0000133083.54934.ae.Koch M, Garden OJ, Padbury R et al. Bile leakage after hepatobiliary and pancreatic surgery: a definition and grading of severity by the International Study Group of Liver Surgery. Surgery. 2011;149(5):680−688. https://doi.org/10.1016/j.surg.2010.12.002.Koch M, Garden OJ, Padbury R et al. Bile leakage after hepatobiliary and pancreatic surgery: a definition and grading of severity by the International Study Group of Liver Surgery. Surgery. 2011;149(5):680−688. https://doi.org/10.1016/j.surg.2010.12.002.Rahbari NN, Garden OJ, Padbury R et al. Posthepatectomy liver failure: a definition and grading by the International Study Group of Liver Surgery (ISGLS). Surgery. 2011;149(5):713−724. https://doi.org/10.1016/j.surg.2010.10.001.Rahbari NN, Garden OJ, Padbury R et al. Posthepatectomy liver failure: a definition and grading by the International Study Group of Liver Surgery (ISGLS). Surgery. 2011;149(5):713−724. https://doi.org/10.1016/j.surg.2010.10.001.Rahbari NN, Garden OJ, Padbury R et al. Post-hepatectomy haemorrhage: a definition and grading by the International Study Group of Liver Surgery (ISGLS). HPB (Oxford). 2011;13(8):528−535. https://doi.org/10.1111/j.1477-2574.2011.00319.x.Rahbari NN, Garden OJ, Padbury R et al. Post-hepatectomy haemorrhage: a definition and grading by the International Study Group of Liver Surgery (ISGLS). HPB (Oxford). 2011;13(8):528−535. https://doi.org/10.1111/j.1477-2574.2011.00319.x.Краснов А.О., Краснов К.А., Пельц В.А. с соавт. Малые анатомические резекционные методики в лечении эхинококкоза печени. Вестник Ивановской медицинской академии. 2022;27(4):27−32. https://doi.org/10.52246/1606-8157_2022_27_4_27.Krasnov AO, Krasnov KA, Pel’ts VA et al. Small anatomical resection techniques in the treatment of liver echinococcosis. Bulletin of the Ivanovo Medical Academy = Vestnik Ivanovskoj medicinskoj akademii. 2022;27(4):27−32. (In Russ.). https://doi.org/10.52246/1606-8157_2022_27_4_27.Краснов А.О., Анищенко В.В., Краснов К.А. с соавт. Эффективность применения радикальных органосберегающих хирургических методов лечения гидатидозного эхинококкоза печени. Вятский медицинский вестник. 2023;1(77):18−23. https://doi.org/10.24412/2220-7880-2023-1-18-23.Krasnov AO, Anishchenko VV, Krasnov KA et al. The effectiveness of the use of radical organ-sparing surgical methods for the treatment of hydatidosis echinococcosis of the liver. Vyatka Medical Bulletin = Vjatskij medicinskij vestnik. 2023;1(77):18−23. (In Russ.). https://doi.org/10.24412/2220-7880-2023-1-18-23.Краснов А.О., Анищенко В.В. Нерезекционные хирургические методики в лечении эхинококкоза печени. Высшая школа: научные исследования: материалы Межвузовского международного конгресса, Москва, 19 января 2023 года. М ; Инфинити : 2023. С. 135−142.Krasnov AO, Anishchenko VV, Non-resection surgical techniques in the treatment of liver echinococcosis. Higher School: Scientific Research: Proceedings of the Interuniversity International Congress, Moscow, January 19, 2023. Moscow ; Infiniti : 2023. pp. 135−142.Luz JHM, Gomes FV, Coimbra E et al. Preoperative portal vein embolization in hepatic surgery: a review about the embolic materials and their effects on liver regeneration and outcome. Radiol Res Pract. 2020;2020:9295852. https://doi.org/10.1155/2020/9295852Luz JHM, Gomes FV, Coimbra E et al. Preoperative portal vein embolization in hepatic surgery: a review about the embolic materials and their effects on liver regeneration and outcome. Radiol Res Pract. 2020;2020:9295852. https://doi.org/10.1155/2020/9295852Zhang ZH, Zhang W, Liu QX et al. Embolization of the transhepatic tract after percutaneous portal vein interventions: single-centre retrospective study comparing n-butyl cyanoacrylate versus coils. Cardiovasc Intervent Radiol. 2021;44(11):1728−1733. https://doi.org/10.1007/s00270-021-02883-5.Zhang ZH, Zhang W, Liu QX et al. Embolization of the transhepatic tract after percutaneous portal vein interventions: single-centre retrospective study comparing n-butyl cyanoacrylate versus coils. Cardiovasc Intervent Radiol. 2021;44(11):1728−1733. https://doi.org/10.1007/s00270-021-02883-5.Plewe JM, Wabitsch S, Krenzien F et al. Single-incision laparoscopic surgery portal vein embolisation before extended hepatectomy. J Minim Access Surg. 2019;16(2):185−189. https://doi.org/10.4103/jmas.JMAS_211_18.Plewe JM, Wabitsch S, Krenzien F et al. Single-incision laparoscopic surgery portal vein embolisation before extended hepatectomy. J Minim Access Surg. 2019;16(2):185−189. https://doi.org/10.4103/jmas.JMAS_211_18.

The authors declare that there are no conflicts of interest present.