Yıl: 2017 Cilt: 28 Sayı: 2 Sayfa Aralığı: 125 - 130 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Cystobiliary communication in hepatic hydatid cyst: predictors and outcome

Öz:
Background/Aims: Cystobiliary communication (CBF) with hepatic hydatid disease is responsible for postoperative bile leakage after surgical management. This study aims to detect various predictors of CBF and its outcome after surgical management.Materials and Methods: This is a retrospective, cohort study of all patients who underwent surgical management for hydatid disease of the liver. Patient data were recorded on an internal web-based registry system supplemented by paper records. Patients were classified into two groups according to the presence of CBF: group (A) patients with CBF and group (B) patients without CBF.Results: There were 123 patients with a hepatic hydatid cyst with a mean age of 39.92±14.59 years. Patients were classified into group (A), 26 patients (21.1%) with CBF, and group (B), 97 patients (78.9%) without CBF. The age group (p=0.04), presence of jaundice (p=0.001), serum glutamic-pyruvic transaminase (SGPT) (p=0.001), cyst size (p=0.0001), and cyst size group (>10 cm) (p=0.0001) were associated with CBF. That cyst size was the only independent predictor of the occurrence of CBF. Intraoperative suturing and the T tube led to complete healing of CBF, and postoperative endoscopic retrograde cholangio-pancreatography (ERCP) and tubal drainage led to a rapid reduction in the bile output and the healing of the fistulas after 9±2.6 days. Conclusion: That cyst size was the only independent predictor for the occurrence of CBF. Management is related to the size of the fistula, the site of the cyst, and the experience of the hepatobiliary surgeon. ERCP is an important option for the management of CBF.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA NAKEEB A, SALEM A, SOROGY M, MAHDY Y, ELLATİF M, MONEER A, SAİD R, GHAWALBY A, EZZAT H (2017). Cystobiliary communication in hepatic hydatid cyst: predictors and outcome. , 125 - 130.
Chicago NAKEEB Ayman El,SALEM Ali,SOROGY Mohamed El,MAHDY Youssef,ELLATİF Mohamed Abd,MONEER Ahmed,SAİD Rami,GHAWALBY Ahmed El,EZZAT Helmy Cystobiliary communication in hepatic hydatid cyst: predictors and outcome. (2017): 125 - 130.
MLA NAKEEB Ayman El,SALEM Ali,SOROGY Mohamed El,MAHDY Youssef,ELLATİF Mohamed Abd,MONEER Ahmed,SAİD Rami,GHAWALBY Ahmed El,EZZAT Helmy Cystobiliary communication in hepatic hydatid cyst: predictors and outcome. , 2017, ss.125 - 130.
AMA NAKEEB A,SALEM A,SOROGY M,MAHDY Y,ELLATİF M,MONEER A,SAİD R,GHAWALBY A,EZZAT H Cystobiliary communication in hepatic hydatid cyst: predictors and outcome. . 2017; 125 - 130.
Vancouver NAKEEB A,SALEM A,SOROGY M,MAHDY Y,ELLATİF M,MONEER A,SAİD R,GHAWALBY A,EZZAT H Cystobiliary communication in hepatic hydatid cyst: predictors and outcome. . 2017; 125 - 130.
IEEE NAKEEB A,SALEM A,SOROGY M,MAHDY Y,ELLATİF M,MONEER A,SAİD R,GHAWALBY A,EZZAT H "Cystobiliary communication in hepatic hydatid cyst: predictors and outcome." , ss.125 - 130, 2017.
ISNAD NAKEEB, Ayman El vd. "Cystobiliary communication in hepatic hydatid cyst: predictors and outcome". (2017), 125-130.
APA NAKEEB A, SALEM A, SOROGY M, MAHDY Y, ELLATİF M, MONEER A, SAİD R, GHAWALBY A, EZZAT H (2017). Cystobiliary communication in hepatic hydatid cyst: predictors and outcome. Turkish Journal of Gastroenterology, 28(2), 125 - 130.
Chicago NAKEEB Ayman El,SALEM Ali,SOROGY Mohamed El,MAHDY Youssef,ELLATİF Mohamed Abd,MONEER Ahmed,SAİD Rami,GHAWALBY Ahmed El,EZZAT Helmy Cystobiliary communication in hepatic hydatid cyst: predictors and outcome. Turkish Journal of Gastroenterology 28, no.2 (2017): 125 - 130.
MLA NAKEEB Ayman El,SALEM Ali,SOROGY Mohamed El,MAHDY Youssef,ELLATİF Mohamed Abd,MONEER Ahmed,SAİD Rami,GHAWALBY Ahmed El,EZZAT Helmy Cystobiliary communication in hepatic hydatid cyst: predictors and outcome. Turkish Journal of Gastroenterology, vol.28, no.2, 2017, ss.125 - 130.
AMA NAKEEB A,SALEM A,SOROGY M,MAHDY Y,ELLATİF M,MONEER A,SAİD R,GHAWALBY A,EZZAT H Cystobiliary communication in hepatic hydatid cyst: predictors and outcome. Turkish Journal of Gastroenterology. 2017; 28(2): 125 - 130.
Vancouver NAKEEB A,SALEM A,SOROGY M,MAHDY Y,ELLATİF M,MONEER A,SAİD R,GHAWALBY A,EZZAT H Cystobiliary communication in hepatic hydatid cyst: predictors and outcome. Turkish Journal of Gastroenterology. 2017; 28(2): 125 - 130.
IEEE NAKEEB A,SALEM A,SOROGY M,MAHDY Y,ELLATİF M,MONEER A,SAİD R,GHAWALBY A,EZZAT H "Cystobiliary communication in hepatic hydatid cyst: predictors and outcome." Turkish Journal of Gastroenterology, 28, ss.125 - 130, 2017.
ISNAD NAKEEB, Ayman El vd. "Cystobiliary communication in hepatic hydatid cyst: predictors and outcome". Turkish Journal of Gastroenterology 28/2 (2017), 125-130.