Leakage tests reduce the frequency of biliary fistulas following hydatid liver cyst surgery

Kayaalp, Cüneyt; Aydın, Cemalettin; Olmez, Aydemir; Işık, Sevil; Yilmaz, Sezai

doi:10.1590/s1807-59322011000300010

Cited by 24 publications

(26 citation statements)

References 16 publications

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“…This is just indicating a biliary communication in these cases which is certainly important to be identifi ed or/and confi rmed by a simple test. Kayaalp et al (2011) reported that, biliary fi stulas are the most common morbidity (up to 26 %) following hydatid liver surgery. Thus, raise the importance of rapid intra-operative verifi cation.…”

Section: Discussionmentioning

confidence: 99%

Research Note. One minute, intraoperative assessment of the viability of hydatid cysts using a simple reagent strip test

Saftawy

El-Aal

Badawi³

et al. 2017

Helminthologia

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SummaryThe aim of the current work was to evaluate the possibility of using a rapid and simple reagent strip test to investigate the viability of hydatid cysts intraoperatively, via testing certain biochemical parameters. Thirty eight HCF samples were processed and examined by different methods for determining the viability status. Using the reagent strip test in the current study, the highest signifi cant level of glucose was detected in HCF samples with the highest viability % at pH 7.5 and the lowest signifi cant level of glucose was detected in HCF samples with the lowest viability % at pH 8.5, indicating a likely correlation between glucose concentration and the viability of PSs. On the contrary, protein was not detected in HCF containing viable PSs and was found to be higher in HCF containing non-viable PSs, denoting the possible degenerative processes in such PSs. Haemoglobin was found in trace amounts in all of our samples. In addition, the strip test detected bacterial contamination in 8 samples and biliary leakage in 7 samples. Our results suggest that the simple reagent strip test can assist in providing fast, uncomplicated primary data regarding the viability status of the hydatid cysts. Thus, it may aid the surgeons to make informed decisions for further management and appropriate follow up to minimise the risk of post-operative recurrence.

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Section: Discussionmentioning

confidence: 99%

Research Note. One minute, intraoperative assessment of the viability of hydatid cysts using a simple reagent strip test

Saftawy

El-Aal

Badawi³

et al. 2017

Helminthologia

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“…Stent insertion and nasobiliary tube drainage are usually suggested for high output and persistent fistulas. 27,[30][31][32][33] Stent insertion is better tolerated and avoids bile loss but requires further intervention for exchange and removal. Nasobiliary drainage allows cholangiography for control of the fistula and biliary tree but prolongs the hospital stay and causes patient discomfort.…”

Section: Treatment Of Postoperative Complicationsmentioning

confidence: 99%

Open Surgery for Hepatic Hydatid Disease

Sözüer

Akyüz

Akbulut

2014

International Surgery

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TurkeyHydatid disease is a zoonosis caused by the larvae of Echinococcus granulosus. Humans are an intermediate host and are usually infected by direct contact with dogs or indirectly by contaminated foods. Hydatid disease mainly involves the liver and lungs. The disease can be asymptomatic. Imaging techniques such as ultrasonography and computed tomography are used for diagnosis. The growth of hydatid cysts can lead to complications. Communication between bile duct and cysts is a common complication. The goal of treatment for hydatid disease is to eliminate the parasite with minimum morbidity and mortality. There are 3 treatment options: surgery, chemotherapy, and interventional procedures. Medical treatment has low cure and high recurrence rates. Percutaneous treatment can be performed in select cases. There are many surgical approaches for managing hydatid cysts, although there is no best surgical technique, and conservative and radical procedures are used. Conservative procedures are usually preferred in endemic areas and are easy to perform but are associated with high morbidity and recurrence rates. In these procedures, the parasite is sterilized using a scolicidal agent, and the cyst is evacuated. Radical procedures include hepatic resections and pericystectomy, which have high intraoperative risk and low recurrence rates. Radical procedures should be performed in hepatobiliary centers. The most common postoperative complications are biliary fistulas and cavityrelated complications. Endoscopic retrograde cholangiopancreatography can be used to diagnose and treat biliary system complications. Endoscopic sphincterotomy, biliary stenting, and nasobiliary tube drainage are effective for treating postoperative biliary fistulas.

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“…If the patient has BBF as the presenting symptom, possibility of biliary involvement should be kept in mind and preventive measures should be taken to treat the involved bile ducts (13). The efficacy of intraoperative bile leak test during the surgery for hydatid liver disease have been shown previously (14). The present case report is the first study to emphasize the efficacy of intraoperative bile leak test in the treatment of complicated hydatid liver disease that resulted in BBF.…”

Section: Discussion Discussionmentioning

confidence: 60%

Bronchobiliary Fistula due to Hydatid Liver Cyst and Role of Bile Leakage Test during Surgical Treatment

Çiçek¹,

Koç²,

Sahin³

et al. 2019

SGO

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Background: Bronchobiliary fistula (BBF) is a rare complication of the hydatid liver disease. The diagnosis depends on clinical suspicion and radiologic evaluation. Surgical treatment is the mainstay way for the complicated hydatid liver cysts. However, postoperative biliary fistula can make the situation more complicated. Bile leak test may be helpful for the prevention of this complication. In this study, the surgical management of a patient who developed BBF due to liver hydatid cyst was discussed with the literature. Case Presentation: A patient (45-year-old female) withbilioptysis was diagnosed as BBF due to hydatid liver disease (segment VII, 7 cm) and operated via transabdominal approach. Intraoperative cholangiography confirmed the BBF and hydatid liver cyst was treated by partial pericystectomy. Bile leakwas determined by leak testsusing methylene blue, biliary orifices were sutured and cavity was managed by omentoplasty. Furthermore, the fistula tract to the bronchi was closed by sutures. Postoperative course was uneventful and she was discharged on postoperative 7th day. After a 14 months follow-up, there was no recurrence and she was asymptomatic. Conclusions: Bile leak test can be used in complicated hydatid liver cysts such as BBF.Abbreviations: BBF -Bronchobiliary fistula; AST -Aspartate amino transferase; ALT -alanine amino transferase; CT -computed tomography.

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Leakage tests reduce the frequency of biliary fistulas following hydatid liver cyst surgery

Cited by 24 publications

References 16 publications

Research Note. One minute, intraoperative assessment of the viability of hydatid cysts using a simple reagent strip test

Research Note. One minute, intraoperative assessment of the viability of hydatid cysts using a simple reagent strip test

Open Surgery for Hepatic Hydatid Disease

Bronchobiliary Fistula due to Hydatid Liver Cyst and Role of Bile Leakage Test during Surgical Treatment

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