title: Repair of cholecystocholedochal fistulas using gallbladder patching.
abstract: Spontaneous cholecystocholedochal fistulas are a rare but serious complication of calculous biliary tract disease. An effective repair technique that has good long-term results is to close the defect in the common duct wall by utilizing the proximal part of the gallbladder as a pedicled graft. A T-tube drain inserted into the common duct should be maintained postoperatively until there is firm evidence of free passage of bile into the duodenum.
mesh_terms: D000368:Aged; D001658:Biliary Fistula / Q000601:surgery*; D003135:Common Bile Duct; D005260:Female; D005402:Fistula / Q000601:surgery*; D005705:Gallbladder Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged