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.
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.
Authors: L Angrisani; F Corcione; A Tartaglia; A Tricarico; F Rendano; R Vincenti; M Lorenzo; A Aiello; U Bardi; D Bruni; S Candela; F Caracciolo; F Crafa; A De Falco; C De Werra; R D'Errico; C Giardiello; O Petrillo; G Rispoli Journal: Surg Endosc Date: 2001-05-02 Impact factor: 4.584
Authors: K Fujitani; Y Hasuike; T Tsujinaka; H Mishima; Y Takeda; E Shin; T Sawamura; I Nishisyo; N Kikkawa Journal: Surg Today Date: 2001 Impact factor: 2.549
Authors: Nicola Antonacci; Giovanni Taffurelli; Riccardo Casadei; Claudio Ricci; Francesco Monari; Francesco Minni Journal: Case Rep Surg Date: 2013-04-17
Authors: Francisco Julimar Correia de Menezes; Lara Gadelha Luna de Menezes; Guilherme Pinheiro Ferreira da Silva; Antônio Aldo Melo-Filho; Daniel Hardy Melo; Carlos Antonio Bruno da Silva Journal: Arq Bras Cir Dig Date: 2016 Apr-Jun