title: New technique for finding the ruptured bile duct into the liver cysts: scope in the cave technique.
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.
authors.affiliation: Department of Surgery, Ankara Numune Teaching and Research Hospital, Turkey. mmahir@excite.com
authors.forename: M Mahir
authors.initials: MM
authors.lastname: Ozmen
authors.forename: Faruk
authors.initials: F
authors.lastname: Coskun
mesh_terms: D000328:Adult; D000368:Aged; D001649:Bile Duct Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology*; D001658:Biliary Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D002758:Cholangiography; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D003560:Cysts / Q000150:complications* / Q000382:microbiology / Q000601:surgery; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000601:surgery; D005260:Female; D006801:Humans; D020706:Laparoscopes; D008107:Liver Diseases / Q000150:complications* / Q000382:microbiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology; D012421:Rupture / Q000601:surgery; D020535:Video-Assisted Surgery / Q000379:methods*