New technique of laparoscopic-assisted excision of a cholecystocolic fistula: report of a case

Surg Today. 2001;31(8):740-2. doi: 10.1007/s005950170083.

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.

Publication types

  • Case Reports

MeSH terms

  • Cholecystectomy, Laparoscopic / methods*
  • Colonic Diseases / surgery*
  • Digestive System Fistula / surgery*
  • Female
  • Gallbladder Diseases / surgery*
  • Humans
  • Intestinal Fistula / surgery*
  • Middle Aged