Laparoscopic Repair of Cholecystoduodenal Fistula: Report of Two Cases
- 1 August 2000
- journal article
- case report
- Published by Mary Ann Liebert Inc in Journal of Laparoendoscopic & Advanced Surgical Techniques
- Vol. 10 (4), 223-226
- https://doi.org/10.1089/109264200421630
Abstract
Background: Laparoscopic surgery has become the standard of care for benign gallbladder disease. Patients and Methods: We treated two middle-aged women having acute exacerbations of chronic gallbladder disease with laparoscopic cholecystectomy. A cholecystoduodenal fistula was diagnosed intraoperatively in each case. These fistulae were repaired laparoscopically using an endoscopic stapling device without complication. Results: Each patient did well postoperatively and was discharged to home on the second postoperative day in good condition. Conclusions: Biliary-enteric fistula is a known complication of chronic gallbladder disease that is traditionally considered a contraindication to laparoscopic cholecystectomy. However, we believe laparoscopic repair to be a safe and effective approach in the hands of surgeons with significant laparoscopic experience.Keywords
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