Laparoscopic treatment of colovesical fistulas: technique and report of two cases.
Colovesical fistulas are a serious complication of diverticular disease. Management by one-stage resection and anastomosis has resulted in lower morbidity and shorter hospital stay. Nevertheless, hospital time remains long, approaching an average of 2-3 weeks. Here we describe our technique of laparoscopic approach to colovesical fistulas. Our initial experience suggests that this is a safe operation with minimal pain, absent ileus, and a short postoperative stay.
Puente
I
I
University of Miami School of Medicine, Department of Surgery, Florida 33101.
Sosa
J L
JL
Desai
U
U
Sleeman
D
D
Hartmann
R
R
D000328:Adult; D004241:Diverticulum, Colon / Q000150:complications; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012810:Sigmoid Diseases / Q000601:surgery*; D001747:Urinary Bladder Fistula / Q000601:surgery*