Predictive factors of occult cystobiliary fistula after conservative surgical treatment of the hepatic hydatid cyst A retrospective study of 105 patients.

Authors:
Aymen Trigui
Aymen Trigui
Habib Bourguiba's Teaching Hospital
Haitham Rejab
Haitham Rejab
Habib Bourguiba Hospital
Sami Fendri
Sami Fendri
Hôpital Habib Bourguiba
Sfax | Tunisia
Mohamed Ben Amar
Mohamed Ben Amar
University of Sherbrooke
Canada

Ann Ital Chir 2019 ;90:52-56

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.

Key Words: Biliary Fistula, Diagnosis, Echinococcosis, Hepatic, Prevention and control.

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January 2019
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