title: [Treatment and etiological analysis of biliary fistula associated with liver hydatidosis: report of 13 cases].
abstract: OBJECTIVE
  To explore the cause and the treatment of liver hydatidosis complicated by biliary fistula, to reduce or prevent the incidence of the complication.
  
  
  METHODS
  From 1982 to 2002, 1 666 patients with liver hydatidosis were treated surgically in our hospital, and a retrospective analysis was conducted in 13 from the cohort, who developed biliary fisltula after the surgeries.
  
  
  RESULTS
  The incidence of liver hydatidosis-associated biliary fistula was 0.78% (13/1666), and 8 (61.5%) out of such cases were due to the primary liver hydatidosis, 3 (15.38%) were caused by damage to the small accessory hepatic duct or parahepatic byliary duct, and 2 (7.69%) by the puncture of the needle.
  
  
  CONCLUSIONS
  Biliary fistula often arises from liver hydatidosis itself, and can be partly attributed to erroneous operation on the part of the operators, and prevention of this complication, therefore, is possible through careful operation.
authors.affiliation: 41 Hospital of PLA, Shannan 856100, China.
authors.forename: Xian-lin
authors.initials: XL
authors.lastname: Peng
authors.forename: Jin-hua
authors.initials: JH
authors.lastname: He
authors.forename: Ze-wen
authors.initials: ZW
authors.lastname: Li
authors.forename: Shun-zhou
authors.initials: SZ
authors.lastname: Peng
authors.forename: Xiao-fang
authors.initials: XF
authors.lastname: Wang
authors.forename: Shu-zhe
authors.initials: SZ
authors.lastname: Zhao
mesh_terms: D000328:Adult; D001658:Biliary Fistula / Q000209:etiology*; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies