title: Prevention of Postoperative Bile Leak in Partial Cystectomy for Hydatid Liver Disease: Tricks of the Trade.
abstract: BACKGROUND
  The presence of postoperative bile leak is the major outcome measure for the assessment of operative success in partial cystectomy for hydatid liver disease. However, the optimal operative strategy to reduce the postoperative bile leak rate is yet to be defined.
  
  
  METHODS
  Medical records of patients who underwent partial cystectomy for hydatid liver disease between January 2013 and January 2015 were reviewed in this retrospective analysis. All patients were managed with a specific operative protocol. The primary outcome measure was the rate of persistent postoperative bile leak. The secondary outcome measures were the morbidity and mortality rate, and the length of hospital stay.
  
  
  RESULTS
  Twenty-eight patients were included in the study. Only one patient (3.6 %) developed persistent postoperative bile leak. The overall morbidity and mortality rate was 17.8 and 0 %, respectively. The median length of hospital stay was 5 days.
  
  
  CONCLUSIONS
  Aggressive preventative surgical measures have led to low persistent bile leak rates with low morbidity and mortality.
authors.affiliation: General Surgery, Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba Mh, Tevfik Saglam Cad. No: 11, 34147, Bakirkoy, Istanbul, Turkey. pekerkivancderya@gmail.com.
authors.forename: Kivanc Derya
authors.initials: KD
authors.lastname: Peker
authors.affiliation: General Surgery, Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba Mh, Tevfik Saglam Cad. No: 11, 34147, Bakirkoy, Istanbul, Turkey.
authors.forename: Alpen Yahya
authors.initials: AY
authors.lastname: Gumusoglu
authors.affiliation: General Surgery, Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba Mh, Tevfik Saglam Cad. No: 11, 34147, Bakirkoy, Istanbul, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Seyit
authors.affiliation: General Surgery, Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba Mh, Tevfik Saglam Cad. No: 11, 34147, Bakirkoy, Istanbul, Turkey.
authors.forename: Hamit Ahmet
authors.initials: HA
authors.lastname: Kabuli
authors.affiliation: Interventional Radiology, Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
authors.forename: Aysun Erbahceci
authors.initials: AE
authors.lastname: Salik
authors.affiliation: General Surgery, Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba Mh, Tevfik Saglam Cad. No: 11, 34147, Bakirkoy, Istanbul, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Gonenc
authors.affiliation: General Surgery, Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba Mh, Tevfik Saglam Cad. No: 11, 34147, Bakirkoy, Istanbul, Turkey.
authors.forename: Selin
authors.initials: S
authors.lastname: Kapan
authors.affiliation: General Surgery, Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba Mh, Tevfik Saglam Cad. No: 11, 34147, Bakirkoy, Istanbul, Turkey.
authors.forename: Halil
authors.initials: H
authors.lastname: Alis
mesh_terms: D000328:Adult; D000368:Aged; D001646:Bile; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000401:mortality / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D017063:Outcome Assessment, Health Care; D012189:Retrospective Studies; D055815:Young Adult
keywords: Bile leak; Hydatid cyst; Hydatid disease; Partial cystectomy