New technique of laparoscopic-assisted excision of a cholecystocolic fistula: report of a case.
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.
Fujitani
K
K
Department of Surgery, Osaka National Hospital, Japan.
Hasuike
Y
Y
Tsujinaka
T
T
Mishima
H
H
Takeda
Y
Y
Shin
E
E
Sawamura
T
T
Nishisyo
I
I
Kikkawa
N
N
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