We read with interest the article on the management of hydatid bronchobiliary fistulas (BBF) by Tocchi et al. (1), but we have questions and issues regarding their management strategy in patients with BBF.Firstly, they mentioned that their patients with liver echinococcosis underwent surgical procedures. Is it their policy to treat all patients with liver hydatidosis surgically, or did their study only include patients managed by means of operative procedures? As we all know, today, many patients with liver hydatid cysts can be treated using a combination of topical scolicidal agents and minimally invasive methods. Our institution's cumulative experience with these methods currently exceeds 200 cases (2).
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