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KMID : 0870420130170030135
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2013 Volume.17 No. 3 p.135 ~ p.138
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Surgical treatment of bronchobiliary fistula due to radiofrequency ablation for recurrent hepatocellular carcinoma
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Kim Dong-Hun
Choi Dong-Wook
Choi Seong-Ho
Heo Jin-Seok
Jeong Jae-Hong
Rhu Jin-Soo
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Abstract
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Bronchobiliary fistula (BBF) is a rare complication of radiofrequency ablation (RFA), in which there is abnormal commu-nications between the biliary tract and the bronchial trees. Surgery should only be considered for BBF when non-in-vasive interventions have failed. In this report, we describe the surgical management for BBF when complicated by an abscess that was encountered after RFA in a 52-year-old woman with recurrent hepatocellular carcinoma (HCC). She had previously undergone central bisectionectomy of HCC 7 years ago, and had been treated with a sixth trans-arterial chemoembolization and first RFA for recurrent HCC after the operation. After the liver abscess and BBF oc-curred in the posterior section of the liver, she received posterior sectionectomy and hepaticojejunostomy, drainage of the lung abscess, diaphragmatic resection and repair because it was impossible to drain the abscess radiologically. Symptomatic improvements were being achieved through operative treatments where pleural effusion and pneumonic consolidation was obliterated on a 2-months follow-up image.
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KEYWORD
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Bronchobiliary fistula, Radiofrequency catheter ablation, Hepatocellular carcinoma, Hepatectomy
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