Korean Journal of Gastrointestinal Endoscopy 2001;23(2): 127-131.
간암 절제술 후 후기 합병증으로 발생한 기관지담관루의 치료 1 예 ( Bronchobiliary Fistula as a Late Complication of Hepatic Resection )
박현신(Hyun Shin Park),문계혁(Gae Hyuk Moon),김승연(Seung Youn Kim),조진경(Jin Kyoung Cho),김인한(In Han Kim),이진우(Jin Woo Lee),이돈행(Don Haeng Lee),김범수(Pum Soo Kim),김형길(Hyung Gil Kim),김영수(Young Su Kim),박진영(Jin Young Park)
Abstract
A bronchobiliary fistula (BBF), which is defined by an abnormal communication between the biliary system and the bronchial tree, is an uncommon complication after hemihe-patectomy, trauma, hydatid disease, choledocholithiasis, and other causes of biliary obstruction, BBF are rare complication of hepatic resection that can present from days to years after operation. Management of fistula is often very difficult and can be associated with high morbidity and mortality rates. Early recognition and proper management are essential to avoid a fatal outcome. Endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous trans-hepatic cholangiography (PTC) are the diagnostic studies of choice and offer the possibility of therapeutic intervention. Although large series in the literature emphasize the surgical management of BBF, the reoperative procedures tend to be complicated, with a significant morbidity and mortality. Nonsurgical intervention via ERCP or PTC are more recently notably successful when resolution of a distal biliary obstruction is accomplished. Only after aggressive attempts at nonoperative, interventional techniques have failed should operative approaches be entertained. We are reporting a case of BBF secondary to hepatic resection of hepatocellular carcinoma which was managed by surgical operation, (Korean J Gastrointest Endosc 2001;23:127-131)
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