1 Jan 2019Article
Predictive factors of occult cystobiliary fistula after conservative surgical treatment of the hepatic hydatid cyst A retrospective study of 105 patients
Aymen Trigui 1Haitham Rejab 1Amira Akrout 1Sami Fendri 2Nozha Toumi 3Ahmed Kachaou 4Aida Jemal 3Mohamed Amar 4Rafik Mzali 4
Affiliations
Article Info
1 Department of general and digestive surgery，University of Sfax, Faculty of Mediciem,“Habib Bourghuib” Hospital, Tunisia Department of general and digestive surgery
2 University of Sfax, Faculty of Mediciem,“Habib Bourghuib” Hospital, Tunisia
3 Department of radiology
4 Department of general and digestive surgery
Ann. Ital. Chir., 2019, 90(1), 52-56;
Published: 1 Jan 2019
Copyright © 2019 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
OBJECTIVES: The objective of our study was to determine the predictive factors of their occurrence during conservative surgical treatment of the hepatic hydatid cyst (HHC). PATIENTS AND METHODS: We carried out a retrospective review of patients who had undergone conservative surgical treatment of the HHC during 6 years. Univariate analyzes were used to determine the predictive factors of an occult cystobiliary fistula (CBF). RESULTS: This current study included 105 patients. Concerning the predictive factors of an CBF regardless of its pattern of evolution, we noted that the presence of fistula was statistically correlated with the a cyst size (bigger than 8.65 cm ; p = 0.003) and with advanced age (p=0.035). Interestingly enough, the correlation to a degenerated cyst (p=0.069) were of little significance. CONCLUSION: The size of the cyst greater than 8.65 cm and the advanced age are the risk factors of CBF according to our study.
Keywords
- Biliary Fistula
- Diagnosis
- Echinococcosis
- Hepatic
- Prevention and control
