ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) | |
Laparoscopic management of cholecystocolic fistula | |
Lauro Massaud Conde1  Pedro Monnerat Tavares1  Jorge Luiz Delduque Quintes1  Ronny Queiroz Chermont1  Mario Castro Alvarez Perez1  | |
关键词: Biliary fistula; Intestinal fistula; Cholelithiasis/Complications; Cholecystectomy; Laparoscopy; Fístula biliar; Fístula intestinal; Colelitíase/complicações; Colecistectomia laparoscópica; | |
DOI : 10.1590/S0102-67202014000400013 | |
来源: SciELO | |
【 摘 要 】
INTRODUCTION: 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. AIM: To describe the laparoscopic approach for cholecystocolic fistula and ratify its feasibility even with the unavailability of more specific instruments. TECHNIQUE: 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. CONCLUSION: 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.
【 授权许可】
CC BY
All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
RO202005130095328ZK.pdf | 298KB | download |