title: Surgical management of hydatid Bilio-bronchial fistula by exclusive thoracotomy.
abstract: In the industrialized countries, most of Bilio-bronchial fistula are secondary to hepatobiliary trauma, hepatic resection surgery or in the case of congenital malformation of the biliary tract, Bilio-bronchial fistula is recognized as the complication of a number of infectious pathologies such as hydatidosis and hepatic amoebiasis. Among the causes, the Bilio-bronchial fistula of hydatic origin is by far the most frequent especially in the zones of hydatid endemic as Morocco. It is a serious complication of liver hydatid cysts. The surgical management has long been believed to be difficult, and often associated with a very pejorative prognosis due to the simultaneous attack of the thoracic and abdominal stage through the diaphragm. This tripartite involvement reflects the difficulty of choosing the first approach between the thoracic, abdominal or a combination of both approaches. However, progress, especially in the possibility of carrying out adequate preoperative preparation with the increasing introduction of retrograde endoscopic cholangiography with sphincterotomy, has made possible this exclusive thoracotomy surgery with acceptable outcomes.
authors.affiliation: Department of Thoracic Surgery, CHU Hassan II, Fes, Morocco. Electronic address: rabiousani2@icloud.com.
authors.forename: Sani
authors.initials: S
authors.lastname: Rabiou
authors.affiliation: Department of Thoracic Surgery, CHU Hassan II, Fes, Morocco.
authors.forename: Marouane
authors.initials: M
authors.lastname: Lakranbi
authors.affiliation: Department of Thoracic Surgery, CHU Hassan II, Fes, Morocco; Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
authors.forename: Yassine
authors.initials: Y
authors.lastname: Ouadnouni
authors.affiliation: Division of Transplantation, Montpellier University Hospital, College of Medicine, France.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Panaro
authors.affiliation: Department of Thoracic Surgery, CHU Hassan II, Fes, Morocco; Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Smahi
mesh_terms: D000328:Adult; D001658:Biliary Fistula / Q000209:etiology / Q000601:surgery*; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D002758:Cholangiography / Q000379:methods; D003964:Diaphragm / Q000601:surgery; D004444:Echinococcosis, Hepatic / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016717:Sphincterotomy, Endoscopic / Q000379:methods; D013908:Thoracotomy / Q000379:methods*
keywords: Biliptysie; Bronchial biliary fistula; Cholangiography; Hepatic hydatid; Sphincterotomy; Thoracotomy