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Titolo:
Surgical treatment of intrabiliary rupture of hydatid cysts of liver: Comparison of choledochoduodenostomy with T-tube drainage
Autore:
Elbir, O; Gundogdu, H; Caglikulekci, M; Kayaalp, C; Atalay, F; Savkilioglu, M; Seven, C;
Indirizzi:
Yuksek Ihtisas Hosp, Dept Gastrointestinal Surg, Ankara, Turkey Yuksek Ihtisas Hosp Ankara Turkey Gastrointestinal Surg, Ankara, Turkey
Titolo Testata:
DIGESTIVE SURGERY
fascicolo: 4, volume: 18, anno: 2001,
pagine: 289 - 293
SICI:
0253-4886(2001)18:4<289:STOIRO>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
DISEASE; MANAGEMENT; DIAGNOSIS;
Keywords:
surgical treatment; intrabiliary rupture; liver hydatid cyst; T-tube; choledochoduodenostomy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Gundogdu, H Samur Sokak 42-4, TR-06660 Ankara, Turkey Samur Sokak 42-4 Ankara Turkey TR-06660 06660 Ankara, Turkey
Citazione:
O. Elbir et al., "Surgical treatment of intrabiliary rupture of hydatid cysts of liver: Comparison of choledochoduodenostomy with T-tube drainage", DIGEST SURG, 18(4), 2001, pp. 289-293

Abstract

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. Copyright (C) 2001 S. Karger AG, Basel.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/09/20 alle ore 10:57:23