Abstract
Communication with the biliary tree is the most frequent complication of hepatic hydatid disease. This may result in fistula formation after surgical management of liver hydatidosis. Although frank ruptures are usually diagnosed preoperatively and managed surgically, simple openings may result in biliary fistula formation. It is very difficult to accurately diagnose a small hole in the cyst during surgery in most patients. We describe an easy and reliable technique for finding the point of communication via direct visualization using a telescope during conservative surgery for hepatic hydatidosis.
MeSH terms
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Adult
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Aged
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Bile Duct Diseases / diagnosis*
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Bile Duct Diseases / diagnostic imaging
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Bile Duct Diseases / etiology*
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Biliary Fistula / diagnosis*
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Biliary Fistula / diagnostic imaging
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Biliary Fistula / etiology
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Cholangiography
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Common Bile Duct / diagnostic imaging
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Common Bile Duct / pathology
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Common Bile Duct / surgery
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Cysts / complications*
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Cysts / microbiology
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Cysts / surgery
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Echinococcosis, Hepatic / complications
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Echinococcosis, Hepatic / surgery
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Female
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Humans
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Laparoscopes*
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Liver Diseases / complications*
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Liver Diseases / microbiology
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Liver Diseases / surgery
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Male
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Middle Aged
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Postoperative Complications / diagnosis*
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Postoperative Complications / etiology
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Rupture / surgery
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Video-Assisted Surgery / methods*