Ezer Ali, Parlakgumus Alper
Department of General Surgery, Baskent University School of Medicine, Adana Teaching and Research Center, Adana, Turkey.
J Coll Physicians Surg Pak. 2016 Nov;26(11):S92-S94.
Hydatid disease remains an important health problem in endemic areas; and by the way of travel and immigration, it can also be encountered in non-endemic areas. The most common cases with complications following hydatid liver surgeries are biliary fistulas with a frequency of 14.6 - 27.5%. Postoperative biliary leakage is generally due to unnoticed biliary tract communications. It is technically difficult to determine and suture the biliary fistulas, particulary for deep located ones with giant cavities for patients with high body mass index. We report a novel technique viavideo-assisted suturing of potentially unnoticeable biliocystic fistula in open surgery for patients with hydatid disease.
包虫病在流行地区仍然是一个重要的健康问题；而且通过旅行和移民，在非流行地区也可能遇到。肝包虫手术术后出现并发症的最常见情况是胆瘘，发生率为14.6% - 27.5%。术后胆漏通常是由于未被发现的胆道相通。确定并缝合胆瘘在技术上具有挑战性，尤其是对于体重指数高且有巨大囊肿的深部胆瘘患者。我们报告了一种在开放性手术中通过视频辅助缝合肝包虫病患者潜在不易察觉的胆囊肿瘘的新技术。
