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. 2024 Mar;69(3):961-968.
doi: 10.1007/s10620-024-08284-1. Epub 2024 Feb 10.

A Novel Technique for the Management of Persistent Biliary Fistulas Developing After Liver Hydatid Cyst Surgeries: Drain Clamping Technique

Latif Yilmaz  1 , Aziz Bulut  2 , Alper Aytekin  2 , Ilyas Baskonus  2 , Fahrettin Yildiz  2 , Sacid Coban  2 , Ahmet A Balik  2
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A Novel Technique for the Management of Persistent Biliary Fistulas Developing After Liver Hydatid Cyst Surgeries: Drain Clamping Technique

Latif Yilmaz et al. Dig Dis Sci. 2024 Mar.

Abstract

Background: External biliary fistula, where the residual cyst is associated with the biliary tree, is one of the most common complications after liver hydatid cyst surgery. Surgical procedures become a consideration for patients in whom the biliary fistula persists despite all endoscopic procedures. However, reoperation for biliary fistula after hydatid cyst surgery leads to additional complications and increases morbidity and mortality.

Aim: This study aims to treat persistent biliary fistulas that develop after liver hydatid cyst surgery using a simple noninvasive technique.

Materials and methods: External drainage surgery was performed on 295 patients with liver hydatid cysts. Endoscopic treatment methods were used in patients who developed biliary fistula after surgery. Despite all endoscopic treatment methods, 14 patients developed persistent biliary fistulas. These patients were subsequently treated using the drain clamping technique.

Findings: All persistent fistulas occluded in 11.86 days (with a range of 8-20 days). No complications were observed in the one-year follow-up visits.

Conclusion: Drain clamping, a novel approach to the treatment of persistent biliary fistulas developed despite all available endoscopic methods, can be safely used. This technique resulted in a complete recovery in patients without the need for surgical procedures.

Keywords: Biliary fistula; Biliary leakage; Drain clamping technique; Hydatid cyst.

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References

    1. Balik AA, Basoglu M, Celebi F et al. Surgical Treatment of Hydatid Disease of the Liver; Review of 304 Cases. Arc Surg. 1999;134:166–169. - DOI
    1. Adas G, Arikan S, Gurbuz E et al. Comparison of EndoscopicTherapeutic Modalities for Postoperative Biliary Fistula of Liver Hydatid Cyst: A Retrospective Multicentric Study. Surg Laparosc Endosc Percutan Tech. 2010;20:223–227. - DOI - PubMed
    1. Ormeci N, Kır M, Coban S et al. The usefulness of endoscopic retrograde cholangiopancreatography and 99mTc-labeled albumin macroaggregates in diagnosing hydatid disease fistulae. Dig Dis Sci. 2007;52:1410–1414. - DOI - PubMed
    1. Saritas U, Parlak E, Akoglu M et al. Effectiveness of endoskopic treatment modalities in complicated hepatic hydatid disease after surgical intervention. Endoscopy. 2001;33:858–863. - DOI
    1. Semesh E, Klein E, Abramowich D et al. Common bile duct obstruction caused by hydatid daughter cysts-management by endoscopic retrograde sphincterotomy. Am J Gastroenterol. 1986;81:280–282.

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