[Operative Treatment of the Invasion of Echinococcus Cysticus of the Liver into the Bile Ducts]

The basic principles, methods, and results of treatment are reported from personal experience in the treatment of 32 patients with intrabiliary rupture of hydatid cysts of the liver. These patients were treated from 1970-1979 in Surgery I of the University of Thessaloniki. Total cystectomy combined with sphincteroplasty of the sphincter Oddi is the method of choice. The clinical data, special types of treatment, and indications are discussed. Reoperation during the same admission in some complicated cases is strongly recommended.