alexa Abstract | Management of Postoperative Biliary Fistula After Hydatid Liver Surgery: Are There Any Differences between Localizations?

Journal of Research and Development
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article Open Access

Abstract

Objectives

The most common complication of hepatic hydatid cysts is the intra-biliary rupture seen approximately in 10-30% of patients. This complication mainly seen in the centrally localized, large hydatid cyst operations. The aim of this study is to compare managements of postoperative biliary fistula after hydatid liver surgery, according to localization of hepatic cyst.

Method

A total of 156 patients who underwent surgery for hydatid cyst localized to the liver and presented with persistent drainage of bile from drain after surgical intervention, were included in this prospective study. All the patients were done ERCP procedure because of external biliary fistula after hydatid liver surgery. Patients divided in two groups according to cyst localization in liver. Group 1 (n=96) right side localized cysts, group 2 (n=60) left side-localized group.

Results

Closure time of the external biliary fistula was significant differences between group 1 and group 2 (19 days in group 1 and 25 days in group 2, p<0.05). Mean daily fistula output was 294cc (range 100-800 cc) in Group 1, 351 cc (range 200-1000 cc) in Group 2, respectively. The daily fistula output was higher in group 2 than in group 1 p<0.05. In group 1 multiple cysts was more than in group 2.

Conclusions

We suggest to perform earlier ERCP procedure, if localization of hydatid cyst is in the central and fistula output is >300 ml/day. The left lobe located hydatid cysts with external biliary fistula take more time to close than those located in the right lobe.

To read the full article Peer-reviewed Article PDF image | Peer-reviewed Full Article image

Author(s): Gokhan A, Ali K, Bora K, Soykan A, Mustafa K, Emin G, Halil A, Servet K, Sebahattin C and Özgür K

Keywords

ERCP, Liver hydatid cyst, Intrabiliary rupture, Biliary fistula, Liver surgery, Applied research, Basic and Applied Science, Basic research

Share This Page

Additional Info

Loading
Loading Please wait..
 
 
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords