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  • Title: New technique of laparoscopic-assisted excision of a cholecystocolic fistula: report of a case.
    Author: Fujitani K, Hasuike Y, Tsujinaka T, Mishima H, Takeda Y, Shin E, Sawamura T, Nishisyo I, Kikkawa N.
    Journal: Surg Today; 2001; 31(8):740-2. PubMed ID: 11510616.
    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.
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