Ultrasonographic diagnosis of hepatic polycystosis and the place of transcutaneous interventions under ultrasonographic guidance during palliative treatment

The hepatic polycystosis (HPC) signs are studied up and the disease course stages are formulated. Transcutaneous puncture (TCP) under ultrasonographic investigation guidance with subsequent residual cavity sclerotherapy was applied in 53 patients as a method of palliative treatment of the disease. Indications for the method application, the procedure technique and tactics of the patients management were elaborated. The method of a staged treatment using periodical TCP conduction under ultrasonographic guidance was clinically introduced. Its efficacy was proved as a self-supporting method of palliative treatment of the disease in different stages. The best results were obtained after operative treatment for significant HPC in a compensation stage (the first stage--open or laparoscopic fenestration) with subsequent periodical TCP conduction (second stage - supportive treatment). Such combined tactics we consider the most effective method of HPC palliative treatment.