{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T14:09:40Z","timestamp":1761919780400,"version":"3.40.4"},"reference-count":17,"publisher":"S. Karger AG","issue":"4-6","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Surg"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background:&lt;\/i&gt;&lt;\/b&gt; Frank intrabiliary rupture (FIR) is a severe complication that occurs in around 30% of patients with liver hydatidosis. When FIR is present, the contents of the cyst may pass into the common bile duct and cause a variety of complications. If the FIR is located in the hilar confluence, surgical repair is a challenge. Currently there are no data regarding its optimum treatment. &lt;b&gt;&lt;i&gt;Material and Methods:&lt;\/i&gt;&lt;\/b&gt; Between May 2007 and December 2012, we treated 59 patients with liver hydatidosis. Four patients, all women, with a mean age of 51.7 years, had hydatid cysts located between segments IVb and V and FIR affecting the hilar plate. In 3 cases, the initial clinical condition was obstructive jaundice. The fourth patient presented recurrence after having undergone two operations as a child. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; In each patient a major hepatectomy was performed with hilar plate reconstruction (3 left and 1 right). Morbidity included mild biliary fistula (1 patient) and abdominal collection resolved by percutaneous drainage (1 patient). There was no mortality. During follow-up (47 months), no recurrences of the disease or biliary strictures were recorded. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; FIR is a severe complication of liver hydatidosis. When it is located in the hilar confluence, liver resection may be the best surgical option for definitive resolution of the problem.<\/jats:p>","DOI":"10.1159\/000356148","type":"journal-article","created":{"date-parts":[[2014,1,7]],"date-time":"2014-01-07T14:14:03Z","timestamp":1389104043000},"page":"439-443","source":"Crossref","is-referenced-by-count":6,"title":["Frank Intrabiliary Rupture in Liver Hydatidosis Located in the Hilar Plate: A Surgical Challenge"],"prefix":"10.1159","volume":"30","author":[{"given":"Jose M.","family":"Ramia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"De-la-Plaza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose","family":"Qui\u00f1\u00f3nes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farah","family":"Adel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Ramiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Garc\u00eda-Parre\u00f1o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2013,12,31]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.141.11.1101"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.136.11.1249"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s005950200107"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1478-3231.2009.02116.x"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(02)01202-3"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.07.034"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.actatropica.2009.11.001"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-9982-9"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1626-2-6455"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2009.06.012"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2482-10-16"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-012-0926-8"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-001-0107-3"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2005.09.014"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2008.05317.x"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v3.i4.43"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2008.05.019"}],"container-title":["Digestive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/356148","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/356148","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:15:55Z","timestamp":1745432155000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000356148"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":17,"journal-issue":{"issue":"4-6","published-online":{"date-parts":[[2014,3,1]]},"published-print":{"date-parts":[[2014,3,3]]}},"URL":"https:\/\/doi.org\/10.1159\/000356148","archive":["Portico"],"relation":{},"ISSN":["0253-4886","1421-9883"],"issn-type":[{"type":"print","value":"0253-4886"},{"type":"electronic","value":"1421-9883"}],"subject":[],"published":{"date-parts":[[2013]]}}}