Leakage tests reduce the frequency of biliary fistulas following hydatid liver cyst surgery

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dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorAydin, Cemalettin
dc.contributor.authorOlmez, Aydemir
dc.contributor.authorIsik, Sevil
dc.contributor.authorYilmaz, Sezai
dc.date.accessioned2024-08-04T20:32:50Z
dc.date.available2024-08-04T20:32:50Z
dc.date.issued2011
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBACKGROUND AND AIM: Biliary fistulas are the most common morbidity (8.2-26%) following hydatid liver surgery. The aim of our study was to reduce the incidence of postoperative biliary fistulas after the suturing of cystobiliary communications by applying a bile leakage test. PATIENTS AND METHODS: A total of 133 hydatid liver cysts from 93 patients were divided into two groups, according to whether the test was performed. Tests were performed on 56 cysts from 34 patients, and the remaining 77 cysts from 59 patients were treated without the test. In both groups, all visible biliary orifices in the cysts were suture ligated, and drains were placed in all cysts. The visibility of the biliary orifices and postoperative biliary drainage through the drains were recorded. Patients in both groups were also compared with respect to the number of days living with the drains, the length of the hospital stay, and secondary interventions related to biliary complications. RESULTS: Biliary orifices were more visible in the tested cysts (13% vs. 48%; P < 0.001). Fewer biliary complications occurred in the tested patients (8.8% vs. 27.7%, P = 0.033). The mean drain removal time (4.1 +/- 3.3 days vs. 6.8 +/- 8.9 days, P < 0.05) and the length of the hospital stay (6.7 +/- 2.7 days vs. 9.7 +/- 6.3 days, P < 0.01) were shorter for the tested patients. None of the patients in the test group required postoperative Endoscopic retrograde cholangiopancreaticography (ERCP) or nasobiliary drainage (0.0% vs. 8.4%, P = 0.09). There were no long-term biliary complications for either group after three years of follow-up. CONCLUSIONS: Identification of biliary orifices with a bile leakage test and the suturing of cystobiliary communications significantly reduced postoperative biliary complications following hydatid liver surgery.en_US
dc.identifier.doi10.1590/S1807-59322011000300010
dc.identifier.endpage424en_US
dc.identifier.issn1807-5932
dc.identifier.issue3en_US
dc.identifier.pmid21552666en_US
dc.identifier.scopus2-s2.0-79957585880en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage421en_US
dc.identifier.urihttps://doi.org/10.1590/S1807-59322011000300010
dc.identifier.urihttps://hdl.handle.net/11616/95335
dc.identifier.volume66en_US
dc.identifier.wosWOS:000290351300010en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherHospital Clinicas, Univ Sao Pauloen_US
dc.relation.ispartofClinicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSurgical-Treatmenten_US
dc.subjectIntrabiliary Ruptureen_US
dc.subjectRandomized-Trialen_US
dc.subjectTube Drainageen_US
dc.subjectDiseaseen_US
dc.subjectComplicationsen_US
dc.subjectOmentoplastyen_US
dc.subjectExperienceen_US
dc.subjectManagementen_US
dc.titleLeakage tests reduce the frequency of biliary fistulas following hydatid liver cyst surgeryen_US
dc.typeArticleen_US

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