Abstract | BACKGROUND: Bronchobiliary fistula (BBF) is an uncommon but severe complication of hydatid disease of the liver. Operation is considered the treatment of choice but the most appropriate operation is uncertain. The aim of this study was to evaluate the early and long-term outcomes following different surgical procedures. METHODS: A retrospective evaluation of 31 patients with BBF was performed. Surgical access consisted of laparotomy, thoracotomy or a thoracoabdominal (TA) incision. Surgical procedures for the treatment of the cyst were classified as conservative or radical. RESULTS: CONCLUSIONS: The better outcome achieved in TA patients is the result of the simultaneous radical treatment of all the pathological aspects of BBF.
|
Authors | Adriano Tocchi, Gianluca Mazzoni, Michelangelo Miccini, Andrea Drumo, Diletta Cassini, Lidia Colace, Sandro Tagliacozzo |
Journal | Liver international : official journal of the International Association for the Study of the Liver
(Liver Int)
Vol. 27
Issue 2
Pg. 209-14
(Mar 2007)
ISSN: 1478-3223 [Print] United States |
PMID | 17311615
(Publication Type: Journal Article)
|
Topics |
- Abdomen
(surgery)
- Adult
- Biliary Fistula
(parasitology)
- Bronchial Fistula
(parasitology)
- Drainage
- Echinococcosis, Hepatic
(complications, surgery)
- Echinococcosis, Pulmonary
(complications, surgery)
- Female
- Follow-Up Studies
- Humans
- Laparotomy
- Male
- Middle Aged
- Postoperative Complications
- Reoperation
- Retrospective Studies
- Thoracotomy
(mortality)
- Treatment Outcome
|