Surgical therapy for bronchobiliary fistula due to hepatic cystic echinococcosis
10.3760/cma.j.issn.1007-631X.2013.11.008
- VernacularTitle:肝囊型包虫病并发胆管支气管瘘的诊治
- Author:
Jingtao ZHOU
;
Arji TUERGANAILI
;
Yingmei SHAO
;
Gang LI
;
Jia LIU
;
Shaohua SHANG
;
Hao WEN
- Publication Type:Journal Article
- Keywords:
Echinococcosis,hepatic;
Bronchial fistula;
Biliary fistula
- From:
Chinese Journal of General Surgery
2013;28(11):839-841
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnosis and treatment efficacy of bronchobiliary fistula due to hepatic cystic echinococcosis.Methods A retrospective evaluation of 39 patients with BBF was performed during 1992 to 2012.We divided the 39 patients into group A treated before 2001 and group B after 2002.A retrospective analysis was made.Results There were three deaths among the 39 BBF patients due to hepatic hydatid disease.The cause of death was septic shock due to severe infection.There were no statistical differences in the basic factors,age (t =0.84,P =0.554),gender (P =1.0),and sputum volume (t =0.98,P =0.703),hydatid diameter (t =1.11,P =0.406),operation time,chest infection (P =1.0),mortality (P =0.235) between the two groups (P ＞ 0.05).While postoperative length of stay(t =7.64,P =0.000),postoperative complications of residual cavity (P =0.001),length of tube drainage(t =6.747,P =0.01),recurrence of bronchial fistula (P =0.022),pleural dissemination (P =0.018),reoperation rate (P =0.049) were all in favour of group B (P ＜ 0.05).Conclusions Surgery is the choice of therapy for BBF due to hepatic hydatid disease,and one-stage procedure is expected to achieve the best outcomes.
