[Treatment and etiological analysis of biliary fistula associated with liver hydatidosis: report of 13 cases].

OBJECTIVE

To explore the cause and the treatment of liver hydatidosis complicated by biliary fistula, to reduce or prevent the incidence of the complication.

METHODS

From 1982 to 2002, 1 666 patients with liver hydatidosis were treated surgically in our hospital, and a retrospective analysis was conducted in 13 from the cohort, who developed biliary fisltula after the surgeries.

RESULTS

The incidence of liver hydatidosis-associated biliary fistula was 0.78% (13/1666), and 8 (61.5%) out of such cases were due to the primary liver hydatidosis, 3 (15.38%) were caused by damage to the small accessory hepatic duct or parahepatic byliary duct, and 2 (7.69%) by the puncture of the needle.

CONCLUSION

Biliary fistula often arises from liver hydatidosis itself, and can be partly attributed to erroneous operation on the part of the operators, and prevention of this complication, therefore, is possible through careful operation.