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Methods From October 2005 to October 2012, 13 cases were observed in the same center. Biliptysis was the main symptom in 80% of cases. The diagnosis was based on chest radiography ,thoracic and abdominal CT and abdominal ultrasonography, fibrobronchoscopy; all examinations visualised the cyst, intrathoracic collections, a diaphragmatic breach and biliary lesions. All patients were treated by one-stage thoracotomy. The procedures consisted of lung resection (lobectomy and/ or segmentectomy) (n = 11) and decortication (n = 6) in the chest, cyst dome resection (n=13) or part pericystectomy (n = 2) in the abdomen and suture and plastic of the diaphragmatic defect in all cases after hepatodiaphragmatic deconnection. An additional laparotomy was not necessary in all cases.

journal of cardiothoracic surgery

Treatment of hydatid cyst and bilio-bronchial and bilio-pleuro-bronchial fistulas via thoracotomy and transdiafragmal approach from October 2005 to October 2012 in a single unit in Tirana, Albania