Subadventitial cystectomy in the management of biliary fistula with liver hydatid disease

Surgical Treatment of Multiple Hydatid Cysts in the Liver of a Pediatric Patient

“…(Figure 2C-F). 4 The hepatic hydatid cysts along the virtual space between the adventitia and the outer membrane were completely stripped. Intraoperative blood loss was 150 mL.…”

“…Subtotal cystectomy was performed, because the cyst wall was adhered to the first hepatic portal vein. 4 Intraoperatively, the remnant cyst wall was inspected for evidence of bile leaks, and visible biliary openings were sutured individually in healthy tissue. The cyst in the caudate lobe was found to communicate with the largest cyst, and its contents were removed completely.…”

“…In subadventitial subtotal exocystectomy treatment, a small portion of the ectocyst may remain adjacent to the junction of the vena cava or upper hepatic vein. 4 To reduce post-operative recurrence and residual cavity complications, radical surgery was conducted for four of six unilocular cysts, and the largest hepatic cyst, which was in segments VI and VII, was treated with conservative surgery because of its proximity to the first hepatic portal vein. The last cyst in the caudate lobe was also treated conservatively.…”