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2026, Number 3

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Cir Gen 2026; 48 (3)

Major hepatic resection in hydatidosis with Franck biliary fistula: a case series

Nari GA, Layún JL, Mariot AD, De Elias ME, González FM, Carrizo F

Language: Spanish
References: 30
Page: 154-160
PDF size: 1853.05 Kb.


ABSTRACT

Introduction: surgical treatment of hepatic hydatid cysts continues to be the procedure with the best results. The main complication of hydatid cysts is communication with the bile duct. Most of cystobiliary communications are occult, and a smaller percentage are frank. The latter are usually wide, allowing hydatid material to pass into the bile duct. Liver resections resolve this complication and simultaneously complete the treatment of the cyst. Material and methods: demographic and clinical-surgical data were collected from patients who underwent right hepatectomy for hepatic hydatidosis with frank communication with the bile duct. Results: three patients underwent surgery in the last 10 years. Two of the right hepatectomies included biliary tract exploration via choledochotomy, and one included an associated transduodenal papillotomy. In both cases, the lesions were due to hydatid contents within the main bile duct. There were no complications or mortality. Conclusion: liver resections for hydatid cysts with cystobiliary communication are a safe procedure that completely resolves the disease.


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