RESUMEN
Broncho-biliary fistula (BBF) is an abnormal channel for pathological bile drainage,which has very low incidence,high mortality and complex pathology.It is difficult to diagnose and cure this disease.Currently,the diagnosis of hepatic cystic echinococcosis complicated with brocho-biliary fistula is even more difficult.The sensitivity of magnetic resonance cholangiopancreatography (MRCP) and percutaneous transhepatic cholangiography (PTC) is relatively high.The main treatment is surgery.Surgical treatment could be divided into the abdominal,thoracic and thoracoabdominal surgery based on the location of the incision.The common surgical approach is the simple abdominal incision,which is associated with rapid recovery,minimal trauma and the capability of handling the abdomen and chest lesions.