title: Laparoscopic management of cholecystocolic fistula.
abstract: BACKGROUND
  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.
  
  
  OBJECTIVE
  To describe the laparoscopic approach for cholecystocolic fistula and ratify its feasibility even with the unavailability of more specific instruments.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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: Santa Casa de Bom Jardim, Bom Jardim, RJ, Brazil.
authors: Lauro Massaud
authors: LM
authors: Conde
authors: Santa Casa de Bom Jardim, Bom Jardim, RJ, Brazil.
authors: Pedro Monnerat
authors: PM
authors: Tavares
authors: Santa Casa de Bom Jardim, Bom Jardim, RJ, Brazil.
authors: Jorge Luiz Delduque
authors: JL
authors: Quintes
authors: Santa Casa de Bom Jardim, Bom Jardim, RJ, Brazil.
authors: Ronny Queiroz
authors: RQ
authors: Chermont
authors: Santa Casa de Bom Jardim, Bom Jardim, RJ, Brazil.
authors: Mario Castro Alvarez
authors: MC
authors: Perez
mesh_terms: D001658:Biliary Fistula / Q000601:surgery*; D003108:Colonic Diseases / Q000601:surgery*; D005705:Gallbladder Diseases / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery*; D010535:Laparoscopy
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