Diagnosis and Treatment of Intrabiliary Rupture of Hydatid Cyst of the Liver

摘要: • Thirty-nine patients with jaundice from intrabiliary rupture of hydatid cysts were treated. Nine underwent hepatic lobectomy; 23, total cystectomy; and seven, partial cystectomy internal drainage by a Roux-en-Y pericystojejunostomy. Cholecystectomy was performed on 28 for cholelithiasis or cholecystitis. All 39 had choledochotomy, which supplemented in four choledochoduodenostomy because underlying ampullar carcinoma two high risk potential recurrent choledocholithiasis the other two. No biliary fistulas recurrence disease elicited during one- to 14-year follow-up period. Overall mortality 2.56%; morbidity, 5.8%; mean (±SD) hospital stay, 10±2 days. (Arch Surg1983;118:1186-1189)