Intrabiliary rupture of hydatid cysts of the liver

21Citations
Citations of this article
12Readers
Mendeley users who have this article in their library.

Abstract

Background: Intrabiliary rupture is a common and serious complication of hepatic hydatidosis, and its treatment remains controversial. Methods: Sixty-seven patients who underwent surgery for rupture of a hydatid cyst in the biliary tree were studied retrospectively. The following data were analyzed: age, sex, clinical presentation, and so on. Results: In 55 patients, intrabiliary rupture was diagnosed preoperatively and in 12 patients intraoperatively. In 51 patients, partial pericystectomy and closed-tube drainage followed. Pericystorraphy was performed in 9 patients. Omentoplasty was performed in 5 cases. After the meticulous cleansing of the common bile duct, T-tube drainage (60 patients), choledochoduodenostomy (4 patients), or sphincteroplasty (1 patient) was added. In 4 patients, there was a persisting external biliary fistula. The mean length of hospital stay was 18 days. Follow up (1-35 years) elicited 4 recurrences and 1 postoperative death. Conclusions: Our results in intrabiliary rupture of echinococcal cysts are considered to be satisfactory. Surgical treatment can be improved with the modern methods of investigation, wider use of newer chemotherapeutics, and appropriate modification of surgical procedures. © 2009 Elsevier Inc. All rights reserved.

Cite

CITATION STYLE

APA

Prousalidis, J., Kosmidis, C., Kapoutzis, K., Fachantidis, E., Harlaftis, N., & Aletras, H. (2009). Intrabiliary rupture of hydatid cysts of the liver. American Journal of Surgery, 197(2), 193–198. https://doi.org/10.1016/j.amjsurg.2007.10.020

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free