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Surgical Treatment of Intrabiliary Rupture of Hydatid Cysts of Liver: Comparison of Choledochoduodenostomy with T-Tube Drainage

Background: Intrabiliary rupture is one of the most serious complications of liver hydatid cysts (LHC). The kind of surgery for these patients is still controversial. T-tube drainage and choledochoduodenostomy (CD) are used by most of the surgeons. But there is no comparative study in the literature... Full description

Journal Title: Digestive surgery 2001, Vol.18 (4), p.289-293
Main Author: Elbir, Orhan
Other Authors: Gundogdu, Haldun , Caglikulekci, Mehmet , Kayaalp, Cuneyt , Atalay, Fuat , Savkilioglu, Metin , Seven, Canbek
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: Basel, Switzerland: S. Karger AG
ID: ISSN: 0253-4886
Link: https://www.ncbi.nlm.nih.gov/pubmed/11528138
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title: Surgical Treatment of Intrabiliary Rupture of Hydatid Cysts of Liver: Comparison of Choledochoduodenostomy with T-Tube Drainage
format: Article
creator:
  • Elbir, Orhan
  • Gundogdu, Haldun
  • Caglikulekci, Mehmet
  • Kayaalp, Cuneyt
  • Atalay, Fuat
  • Savkilioglu, Metin
  • Seven, Canbek
subjects:
  • Adolescent
  • Adult
  • Aged
  • Choledochostomy - methods
  • Common Bile Duct - surgery
  • Drainage
  • Echinococcosis, Hepatic - complications
  • Echinococcosis, Hepatic - surgery
  • Female
  • Humans
  • Male
  • Middle Aged
  • Original Paper
  • Rupture, Spontaneous
  • Treatment Outcome
ispartof: Digestive surgery, 2001, Vol.18 (4), p.289-293
description: Background: Intrabiliary rupture is one of the most serious complications of liver hydatid cysts (LHC). The kind of surgery for these patients is still controversial. T-tube drainage and choledochoduodenostomy (CD) are used by most of the surgeons. But there is no comparative study in the literature. Methods: Eighty patients with symptomatic intrabiliary rupture were treated between 1980 and 1995. All patients had jaundice. In addition to treatment of the cyst cavity, T-tube drainage of the common bile duct (CBD) was performed in 53 patients, 25 patients underwent a CD for biliary drainage and two patients were treated by a T-tube placed in the CBD without treating the cyst. The T-tube drainage and CD groups were compared in regard to morbidity, mortality, duration of the operation, rate of relaparatomy and duration of postoperative hospital stay. Results: The morbidity rate was 40% (10/25) after CD and 18.1% (10/55) after T-tube drainage. Relaparatomy was necessary in 8% (2/25) and 1.8% (1/55) of patients treated with CD and T-tube drainage, respectively. T-tube drainage was performed much more rapidly than CD (p < 0.05). The length of hospital stay for both groups was the same. One patient who was treated with CD died postoperatively. Conclusion: Our results suggest that T-tube drainage is superior to CD for intrabiliary rupture of LHC in most cases.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0253-4886
fulltext: fulltext
issn:
  • 0253-4886
  • 1421-9883
url: Link


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titleSurgical Treatment of Intrabiliary Rupture of Hydatid Cysts of Liver: Comparison of Choledochoduodenostomy with T-Tube Drainage
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creatorElbir, Orhan ; Gundogdu, Haldun ; Caglikulekci, Mehmet ; Kayaalp, Cuneyt ; Atalay, Fuat ; Savkilioglu, Metin ; Seven, Canbek
creatorcontribElbir, Orhan ; Gundogdu, Haldun ; Caglikulekci, Mehmet ; Kayaalp, Cuneyt ; Atalay, Fuat ; Savkilioglu, Metin ; Seven, Canbek
descriptionBackground: Intrabiliary rupture is one of the most serious complications of liver hydatid cysts (LHC). The kind of surgery for these patients is still controversial. T-tube drainage and choledochoduodenostomy (CD) are used by most of the surgeons. But there is no comparative study in the literature. Methods: Eighty patients with symptomatic intrabiliary rupture were treated between 1980 and 1995. All patients had jaundice. In addition to treatment of the cyst cavity, T-tube drainage of the common bile duct (CBD) was performed in 53 patients, 25 patients underwent a CD for biliary drainage and two patients were treated by a T-tube placed in the CBD without treating the cyst. The T-tube drainage and CD groups were compared in regard to morbidity, mortality, duration of the operation, rate of relaparatomy and duration of postoperative hospital stay. Results: The morbidity rate was 40% (10/25) after CD and 18.1% (10/55) after T-tube drainage. Relaparatomy was necessary in 8% (2/25) and 1.8% (1/55) of patients treated with CD and T-tube drainage, respectively. T-tube drainage was performed much more rapidly than CD (p < 0.05). The length of hospital stay for both groups was the same. One patient who was treated with CD died postoperatively. Conclusion: Our results suggest that T-tube drainage is superior to CD for intrabiliary rupture of LHC in most cases.
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subjectAdolescent ; Adult ; Aged ; Choledochostomy - methods ; Common Bile Duct - surgery ; Drainage ; Echinococcosis, Hepatic - complications ; Echinococcosis, Hepatic - surgery ; Female ; Humans ; Male ; Middle Aged ; Original Paper ; Rupture, Spontaneous ; Treatment Outcome
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descriptionBackground: Intrabiliary rupture is one of the most serious complications of liver hydatid cysts (LHC). The kind of surgery for these patients is still controversial. T-tube drainage and choledochoduodenostomy (CD) are used by most of the surgeons. But there is no comparative study in the literature. Methods: Eighty patients with symptomatic intrabiliary rupture were treated between 1980 and 1995. All patients had jaundice. In addition to treatment of the cyst cavity, T-tube drainage of the common bile duct (CBD) was performed in 53 patients, 25 patients underwent a CD for biliary drainage and two patients were treated by a T-tube placed in the CBD without treating the cyst. The T-tube drainage and CD groups were compared in regard to morbidity, mortality, duration of the operation, rate of relaparatomy and duration of postoperative hospital stay. Results: The morbidity rate was 40% (10/25) after CD and 18.1% (10/55) after T-tube drainage. Relaparatomy was necessary in 8% (2/25) and 1.8% (1/55) of patients treated with CD and T-tube drainage, respectively. T-tube drainage was performed much more rapidly than CD (p < 0.05). The length of hospital stay for both groups was the same. One patient who was treated with CD died postoperatively. Conclusion: Our results suggest that T-tube drainage is superior to CD for intrabiliary rupture of LHC in most cases.
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atitleSurgical Treatment of Intrabiliary Rupture of Hydatid Cysts of Liver: Comparison of Choledochoduodenostomy with T-Tube Drainage
jtitleDigestive surgery
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issue4
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abstractBackground: Intrabiliary rupture is one of the most serious complications of liver hydatid cysts (LHC). The kind of surgery for these patients is still controversial. T-tube drainage and choledochoduodenostomy (CD) are used by most of the surgeons. But there is no comparative study in the literature. Methods: Eighty patients with symptomatic intrabiliary rupture were treated between 1980 and 1995. All patients had jaundice. In addition to treatment of the cyst cavity, T-tube drainage of the common bile duct (CBD) was performed in 53 patients, 25 patients underwent a CD for biliary drainage and two patients were treated by a T-tube placed in the CBD without treating the cyst. The T-tube drainage and CD groups were compared in regard to morbidity, mortality, duration of the operation, rate of relaparatomy and duration of postoperative hospital stay. Results: The morbidity rate was 40% (10/25) after CD and 18.1% (10/55) after T-tube drainage. Relaparatomy was necessary in 8% (2/25) and 1.8% (1/55) of patients treated with CD and T-tube drainage, respectively. T-tube drainage was performed much more rapidly than CD (p < 0.05). The length of hospital stay for both groups was the same. One patient who was treated with CD died postoperatively. Conclusion: Our results suggest that T-tube drainage is superior to CD for intrabiliary rupture of LHC in most cases.
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