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[Bilio-bronchial fistulae caused by rupture of an hydatid cyst of the liver. Experiences with a modified method of operation (author's transl)].

In this study, bilio-bronchial fistulae caused by the rupture of an hydatid cyst of the superior surface of the liver to the bronchi of the middle or lower lobe of the right lung, are discussed. Bilio-bronchial fistulae are treated surgically at one stage, through thorako-abdominal or separate abdominal and thoracic incision in combination. The radical treatment of the hydatid cyst of the liver consists in partial cystectomy and capitonnage, followed by common bile duct drainage. The radical treatment of the thoracic lesions consists in excision of the empyematic sac and lung lobectomy or segmental resection if necessary. The results are compared with those of former surgical management.