Diagnosis and treatment of hepatolithiasis complicated by bronchobiliary fistula: a study on 35 patients
10.3760/cma.j.issn.1007-8118.2012.02.010
- VernacularTitle:肝胆管结石合并支气管胆瘘35例诊治经验
- Author:
Weimin YI
;
Bo JIANG
;
Hailan ZHOU
;
Jinshu WU
- Publication Type:Journal Article
- Keywords:
Hepatolithiasis;
Bronchobiliary fistula
- From:
Chinese Journal of Hepatobiliary Surgery
2012;18(2):115-117
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnosis and treatment of hepatolithiasis complicated by bronchobiliary fistula.Method The data of 35 patients with hepatolithiasis and bronchobiliary fistula treated in our department in the last 10 years were retrospectively studied.Results The operations were:-repair of fistula in the diaphragm (n=35),hepatic segmentectomy (n=22) biliary stricturoplasty (n=13),T-tube drainage of common bile duct (n=19),hepaticojejunostomy (n=3) and bilateral hepatojejunostomy with a Roux-en-Y loop of jejunum (n=13).Residual stones were left in 4 patients.There was no recurrence of the bronchobiliary fistula on follow-up.Conclusions Expectoration of bitter and purulent yellow sputum was an important clinical feature of bronchobiliary fistula.The key steps in a successful operation were reliefing the obstructed bile duct and re-establishment of adequate biliary drainage.
