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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2012 December;171(6):815-21

language: English

Percutaneous management with small catheters for cystobiliary fistulas developing in percutaneously treated liver hydatid cysts

Aribas B. K. 1, Arda K. 1, Aribas Ö. 2, Çiledag N. 1, Yildirim E. 3, Kavak S. 1, Cosar Y. 1, Tekin E. 1

1 Department of Radiology, A.Y. Ankara Oncology Education and Research Hospital, Demetevler, Ankara, Turkey;
2 Mathematics, Faculty of Science, University of Ankara, Tandoğan, Ankara, Turkey;
3 Department of Surgery, A.Y. Ankara Oncology Education and Research Hospital, Demetevler, Ankara, Turkey


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We have discussed via our experience whether it is suitable to use the mean volume, which is drained from a liver hydatic cyst with cystobiliary fistula developing after percutaneous treatment, for predicting the type of treatment as conservative versus surgery. Cystobiliary fistulas can be separated due to treatment. Drainage volumes may be analyzed for determining which patient should go to surgery or conservative percutaneous treatment, as surgical and conservative management. Practically, the mean volumes until 20 days after detecting the biliary fistula can be used. Our cystobiliary fistulas have been managed with small (8 F) catheters. Due to our experience, we consider that patients with <211 mL/day mean drainage of the 20 days can undergo conservative treatment. The need for surgical treatment can be up to 30% rate in developing cystobiliary fistulas of liver hydatid disease. To reduce superfluous costs and time, cystobiliary fistula with <211 mL/day mean drainage of the 20 days may be efficiently treated with percutaneous drainage associated or not with biliary intervention using small catheters.

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