The Role of Wide Pore Drain in Successes of Sponteneous Closure of the Cysto- Biliary Fistula after Hydatid Disease of The Liver

Abstract

This study to determine the role of wide pore use up in successes of spontaneous closure of cystic- biliary fistula after surgery of liver hydatid disease and decrease the postoperative morbidity. The study was conducted in AL-Zahra teaching hospital from May 2006 until May 2014.On134 patients undergo surgery operationused forthe liver hydatid cyst, complain of drain amount producedreliable with a biliary form and a bilirubin levelelevatedcompared with serum bilirubin level after fifth postoperative day, patients were divided based on the presence of wide pore drain(64 patient) group A or classical drain(70 patient) group B . Sex, age, length of hospital stays, drain output, postoperative intervention relationship between cyst diameter and time for fistula to close spontaneously recurrence, and mortality were compared among both group, In group A, meantime for spontaneous fistula closure was12.3 days, no recurrence or death reported, while in group B, meantime for spontaneous fistula closure was17 days. There were three patients(4.3%) recurrence after one year follows up. There was one old female patient (1.4%) died.