Double versus single T-tube drainage for frank cysto-biliary communication in patients with hepatic cystic echinococcosis: a retrospective cohort study with median 11 years follow-up

Abstract Background Partial peri-cystectomy (PPC) is one of the major surgical approaches for hepatic cystic echinococcosis (CE) and has been practiced in most centers worldwide. Cysto-biliary communication (fistula, leakage, rupture) a problematic issue CE patients. T-tube useful technique situations where an exploration decompression are needed common bile duct (CBD). However, postoperative biliary complications cavity still remains to be studied depth. Methods A retrospective cohort analysis cases our single center database from 2007 March 2012 December was performed. Patients (n = 51) were divided into two cohorts: double drainage (one at CBD fistula sustaining cavity, n 23) group (only decompression, 28). Short-/long-term focusing on system recorded detail they followed-up median 11 years. Results Overall complication rates drainages 17.4% vs. 39.3% ( P > 0.05). Short-term ranged minor leakages, infection abscess formation, prevalence 21.4% 0.05) respectively groups; importantly, had obvious advantages regarding long-term < 0.05), which stricture needing surgery it observed only group. Conclusions Double better outcomes without procedure-specific than drainage. Meanwhile, we recommend follow-up when comparing residual related patients as could happen lately.