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Surgery Today

, Volume 31, Issue 8, pp 740–742 | Cite as

New Technique of Laparoscopic-Assisted Excision of a Cholecystocolic Fistula: Report of a Case

  • Kazumasa Fujitani
  • Yasunori Hasuike
  • Toshimasa Tsujinaka
  • Hideyuki Mishima
  • Yutaka Takeda
  • Eisei Shin
  • Toshiro Sawamura
  • Isamu Nishisyo
  • Nobuteru Kikkawa

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.

Key words Cholecystocolic fistula Laparoscopy Cholecystectomy 

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Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  • Kazumasa Fujitani
    • 1
  • Yasunori Hasuike
    • 1
  • Toshimasa Tsujinaka
    • 1
  • Hideyuki Mishima
    • 1
  • Yutaka Takeda
    • 1
  • Eisei Shin
    • 1
  • Toshiro Sawamura
    • 1
  • Isamu Nishisyo
    • 1
  • Nobuteru Kikkawa
    • 1
  1. 1.Department of Surgery, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka 540-0006, JapanJP

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