Tài liệu Báo cáo y học: "Can Occult Cystobiliary Fistulas in Hepatic Hydatid Disease Be Predicted Before Surg

The patients who were performed on surgical treatment for HHD consecutively in the First Surgical department of İzmir Ataturk Training and Research Hospital between January 2003 and December 2007 have been reviewed retrospectively. In this period 85 patients underwent surgical treatment for HHD. The diagnosis of HHD was confirmed by US and/or CT in all of the patients and it was confirmed that there was no other cyst in the other solid organs by the same techniques. We used the hospital archives for the study. The physical examinations, imaging findings, laboratory findings of all the patients were docu-mented. The patients who had jaundice attack before hospitalization, with total bilirubin value was higher than 2.0 mg/dl and direct bilirubin level was higher than 1.5 mg/dl were excluded from the study. On the other hand the patients who had common bile duct dilatation (more than 10mm) or intrahepatic biliary dilatation in US or CT or MR were also excluded. These patients have been accepted as frank CBC. The patients, who have not frank CBC, were performed external drainage with or without omentoplasty. In our external drainage procedure we input 2 drains in all cysts and before the inputting we explore for biliary yielding in the cyst and if we find a site of biliary coloring we stitch there with unabsorbable sutures.