title: New technique of laparoscopic-assisted excision of a cholecystocolic fistula: report of a case.
abstract: Cholecystocolic fistula is a rare complication of gallstone disease that is most commonly diagnosed at the time of surgery. It is generally considered to be a contraindication to laparoscopic cholecystectomy because of the difficulties involved in its management intraoperatively. Laparoscopic stapling or suturing techniques have been reported as feasible and safe methods for repairing such fistulas; however, these procedures are not always able to be performed due to technical difficulties. We exteriorized a cholecystocolic fistula through an umbilical incision, whereby it was repaired safely and easily. This report describes our new technique for managing a cholecystocolic fistula found incidentally during a laparoscopic cholecystectomy.
authors.affiliation: Department of Surgery, Osaka National Hospital, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Fujitani
authors.forename: Y
authors.initials: Y
authors.lastname: Hasuike
authors.forename: T
authors.initials: T
authors.lastname: Tsujinaka
authors.forename: H
authors.initials: H
authors.lastname: Mishima
authors.forename: Y
authors.initials: Y
authors.lastname: Takeda
authors.forename: E
authors.initials: E
authors.lastname: Shin
authors.forename: T
authors.initials: T
authors.lastname: Sawamura
authors.forename: I
authors.initials: I
authors.lastname: Nishisyo
authors.forename: N
authors.initials: N
authors.lastname: Kikkawa
mesh_terms: D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D003108:Colonic Diseases / Q000601:surgery*; D016154:Digestive System Fistula / Q000601:surgery*; D005260:Female; D005705:Gallbladder Diseases / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery*; D008875:Middle Aged