Laparoscopic surgery for cholecystoenteric fistula

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Other Title
  • 胆嚢消化管瘻に対する腹腔鏡下手術症例の検討

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Abstract

We have tried laparoscopic approach for 6 cases of cholecystoenteric fistula since 1996. Five cases had cholecystoduodenal fistula and one case had cholecystogastric fistula. Preoperatively, cholecystoenteric fistula was diagnosed in five cases. Two cases were diagnosed as having cholecystoenteric fistula and no residual gallstone. Therefore we followed these cases without biliary surgery expecting spontaneous closure of the fistel, but they finally received cholecystectomy and fistula repair because of repeated cholangitis. All procedures were started laparoscopically, but two cases were converted to laparotomy because of sever adhesion. In three cases cholecystectomy and fistelectomy was done, but in the last case the atrophic gallbladder was preserved. Laparoscopic fistelectomy was done using by the endoscopic linear stapler. One case had intra-abdominal abscess and another had leakage from the closure site of the duodenum. There was no delayed complication.

Journal

  • Tando

    Tando 20 (5), 577-583, 2006

    Japan Biliary Association

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