[Treatment and etiological analysis of biliary fistula associated with liver hydatidosis: report of 13 cases].
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.
Peng
Xian-lin
XL
41 Hospital of PLA, Shannan 856100, China.
He
Jin-hua
JH
Li
Ze-wen
ZW
Peng
Shun-zhou
SZ
Wang
Xiao-fang
XF
Zhao
Shu-zhe
SZ
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