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[Laparoscopic repair of a cholecystoduodenal fistula--a case report]
Zeljko Busić1, Drazen Servis, Igor Stipancić
1Klinicka bolnica Dubrava, Odjel za abdominalnu kirurgiju II, Avenija Gojka Suska 6, 10000 Zagreb.
Insights
Laparoscopic cholecystectomy is feasible for cholecystoduodenal fistulas. This case demonstrates successful laparoscopic repair of a preoperatively diagnosed fistula, supporting its use in select cases.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Minimally Invasive Surgical Techniques
Background:
- Cholecystoduodenal fistula is traditionally viewed as a contraindication for laparoscopic cholecystectomy.
- However, recent literature suggests successful laparoscopic management is possible.
Observation:
- A case of preoperatively diagnosed cholecystoduodenal fistula is presented.
- The fistula was successfully repaired during an elective laparoscopic cholecystectomy.
Findings:
- The repair utilized an Endo-GIA 35 stapling device.
- This case supports the growing evidence for laparoscopic cholecystectomy in managing cholecystoduodenal fistulas.
Implications:
- Cholecystoduodenal fistula may not be an absolute contraindication for laparoscopic cholecystectomy.
- Laparoscopic approaches can be considered for selected patients with cholecystoduodenal fistulas, potentially offering benefits of minimally invasive surgery.
Abstract:
Although cholecystoduodenal fistula is traditionally considered a contraindication for laparoscopic cholecystectomy, literature search reveals reports of cholecystoduodenal fistulae successfully repaired laparoscopically, regardless whether cholecystoduodenal fistula was diagnosed before or during operation. Here we present a case of preoperatively diagnosed and confirmed cholecystoduodenal fistula that was successfully repaired during elective laparoscopic cholecystectomy using an Endo-GIA 35 stapling device. Thus we side with the growing number of surgeons who do not consider cholecystoduodenal fistula to be a contraindication for laparoscopic cholecystectomy.
