OPTIMIZING SURGICAL TREATMENT OF HEPATIC ECHINOCOCCOSIS IN ENDEMIC AREAS: EXPERIENCE FROM KYRGYZSTAN tilya666@gmail.com

PW07-15

OPTIMIZING SURGICAL TREATMENT OF HEPATIC ECHINOCOCCOSIS IN ENDEMIC AREAS: EXPERIENCE FROM KYRGYZSTAN

2

Kyrgyzstan

Oral only

Echinococcosis remains a growing public health concern in Central Asia and South America. In Kyrgyzstan, the incidence of cystic echinococcosis (CE) has increased since the 1990s, reaching up to 18 cases per 100,000 annually. Similarly, alveolar echinococcosis cases have risen significantly. In South America, CE continues to affect thousands yearly despite control efforts. This study aims to evaluate surgical treatment outcomes of hepatic CE in a highly endemic region.

A retrospective analysis was performed on 123 patients who underwent surgical treatment for hepatic cystic echinococcosis at the Medical Center of I.K. Akhunbaev Kyrgyz State Medical Academy between 2020 and 2024. Surgical methods included echinococcectomy with abdominalization (70%), omentoplasty (20%), and partial pericystectomy (10%).

The mean patient age was 38.5 ± 12.3 years; 60% were female. The average hospital stay was shortest in the omentoplasty group (7.2 ± 1.5 days) compared to abdominalization (9.4 ± 2.3 days) and partial pericystectomy (8.8 ± 2.1 days). Postoperative complications were most frequent after abdominalization (15%), mainly bile leakage and wound infections, while omentoplasty had the lowest complication rate (5%). Recurrence occurred in 1.6% of cases (2 patients), both following abdominalization. No mortality was recorded.

Omentoplasty offers superior postoperative outcomes in hepatic cystic echinococcosis management, with shorter hospitalization and fewer complications. It should be considered the preferred surgical technique in endemic settings. Further studies with larger cohorts are needed to validate these findings.