[Cholecystobiliary fistula: laparoscopic treatment with an endostapler]

The Authors report a case of cholecystobiliary fistula due to cholelithiasis and bile duct lithiasis, treated laparoscopically with an endostapler. In view of the rarity of this condition, we believe it may be useful to discuss the diagnostic work-up in the light of the diagnostic and therapeutic measures currently available. We also review the literature with a view to defining the existing classifications of cholecystobiliary fistulas. We conclude by stressing the importance the endoscopic placement of nasobiliary catheters preoperatively to facilitate laparoscopic treatment.