The detection of cysto-biliary communications during surgery for liver hydatid cysts: let's speak the unspoken

Intraoperative air leak test was useful for the detection of a small biliary fistula: A rare case of non-parasitic hepatic cysts with biliary communication

“…Even in surgery for hepatic hydatid cysts, in which postoperative biliary fistula is reported to be more common (8.2–26%) [19] , air injection technique had never been proposed although some authors have mentioned the technical usefulness of injection of a colored agent into biliary system [20] . To the best of our knowledge, this is the first report of application of the intraoperative transcystic air injection method in non-parasitic hepatic cyst surgery, which we considered to be rational and useful to detect the site of cyst–biliary communication.…”

Intraoperative diagnosis of cystobiliary communications of hydatid liver cysts

“…Technical details of the surgical methods are very useful for clinicians who treat hydatid cysts. We would like to thank Irkörücü et al ( 1 ) for their interest in our study ( 2 ). We agree with the authors that a colored agent injected into the biliary tree can make the orifices more visible.…”