Alwan M H
Int Surg. 1982 Oct-Dec;67(4 Suppl):456-8.
In a series of 38 cases of liver hydatid disease, intrabiliary communication occurred in 19 patients (50%), five (13.2%) of whom had frank communication (with main bile duct) and 14 (36.8%) occult communication (with minor bile duct). While various operative procedures were adopted in dealing with the cyst, all 14 patients with the occult communication had evacuation of the cyst contents. In four of them, this was followed by external drainage, where bile continued to be drained for a period of 3 to 8 months. And in the other ten patients, internal drainage using cystojejunostomy was carried out. This procedure proved to be satisfactory, useful and safe. Five (35.7%) of 14 patients developed postoperative complications; there were no operative mortalities.
在一组38例肝包虫病患者中，19例（50%）发生了胆道内瘘，其中5例（13.2%）为明显内瘘（与主胆管相通），14例（36.8%）为隐匿性内瘘（与小胆管相通）。在处理囊肿时采用了各种手术方法，所有14例隐匿性内瘘患者均排出了囊内容物。其中4例随后进行了外引流，胆汁持续引流3至8个月。另外10例患者采用囊肿空肠吻合术进行内引流。该手术方法被证明是满意、有效且安全的。14例患者中有5例（35.7%）发生了术后并发症；无手术死亡病例。
