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Laparoscopic Management of Cholecystocolic Fistula

Overview
Journal Arq Bras Cir Dig
Specialties Gastroenterology
General Surgery
Date 2015 Jan 29
PMID 25626940
Citations 6
Authors
Lauro Massaud Conde
Pedro Monnerat Tavares
Jorge Luiz Delduque Quintes
Ronny Queiroz Chermont
Mario Castro Alvarez Perez
Affiliations
Soon will be listed here.
Abstract

Introduction: Cholecystocolic fistula is a rare complication of gallbladder disease. Its clinical presentation is variable and nonspecific, and the diagnosis is made, mostly, incidentally during intraoperative maneuver. Cholecystectomy with closure of the fistula is considered the treatment of choice for the condition, with an increasingly reproducible tendency to the use of laparoscopy.

Aim: To describe the laparoscopic approach for cholecystocolic fistula and ratify its feasibility even with the unavailability of more specific instruments.

Technique: After dissection of the communication and section of the gallbladder fundus, the fistula is externalized by an appropriate trocar and sutured manually. Colonic segment is reintroduced into the cavity and cholecystectomy is performed avoiding the conversion procedure to open surgery.

Conclusion: Laparoscopy for resolution of cholecystocolic fistula isn't only feasible, but also offers a shorter stay at hospital and a milder postoperative period when compared to laparotomy.

Citing Articles

Laparoscopic Management of Cholecystoduodenal and Cholecystocolic Fistula: A Clinical Case Report.

Munoz Leija M, Aleman-Jimenez M, Plata-Alvarez H, Cardenas-Salas V, Valdez-Lopez R Cureus. 2023; 15(6):e40657.

PMID: 37476135 PMC: 10356180. DOI: 10.7759/cureus.40657.

Laparoscopic management of cholecystocolonic fistula: A case report and a brief literature review.

Bonventre G, Di Buono G, Buscemi S, Romano G, Agrusa A Int J Surg Case Rep. 2020; 68:218-220.

PMID: 32193139 PMC: 7078439. DOI: 10.1016/j.ijscr.2020.02.052.

Operative management of cholecystogastric fistula: case report and literature review.

Aamery A, Pujji O, Mirza M J Surg Case Rep. 2019; 2019(11):rjz345.

PMID: 31824641 PMC: 6893000. DOI: 10.1093/jscr/rjz345.

BIODEGRADABLE BILIARY STENTS: A NEW APPROACH FOR THE MANAGEMENT OF HEPATICOJEJUNOSTOMY STRICTURES FOLLOWING BILE DUCT INJURY. PROSPECTIVE STUDY.

Gimenez M, Palermo M, Houghton E, Acquafresca P, Finger C, Verde J Arq Bras Cir Dig. 2016; 29(2):112-6.

PMID: 27438039 PMC: 4944748. DOI: 10.1590/0102-6720201600020012.

TOTAL COST OF HOSPITALIZATION OF PATIENTS UNDERGOING ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY RELATED TO NUTRITIONAL STATUS.

DE Menezes F, Menezes L, da Silva G, Melo-Filho A, Melo D, Silva C Arq Bras Cir Dig. 2016; 29(2):81-5.

PMID: 27438031 PMC: 4944740. DOI: 10.1590/0102-6720201600020004.

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