Ibrahim I M, Wolodiger F, Saber A A, Dennery B
Department of Surgery, Englewood Hospital and Medical Center, NJ 07631, USA.
Surg Endosc. 1995 Jun;9(6):728-9. doi: 10.1007/BF00187951.
Cholecystocolonic fistula is an unusual complication of biliary tract disease. Many of the signs and symptoms of these fistulas are nonspecific, so the diagnosis is often not suspected preoperatively. It is important to make the diagnosis then to prevent fecal contamination when the fistula is divided. We recently encountered a patient who, while undergoing laparoscopic cholecystectomy, was found to have a fistula between the gallbladder and the proximal transverse colon. Important features in the management of this case are (1) maintaining a high index of suspicion for the presence of this complication, (2) use of cholecystography to establish the diagnosis, and (3) use of laparoscopic stapling techniques to divide the fistula while preventing fecal soilage.
胆囊结肠瘘是胆道疾病的一种罕见并发症。这些瘘的许多体征和症状都不具有特异性，因此术前往往不会怀疑有此诊断。做出诊断对于防止在分离瘘时出现粪便污染很重要。我们最近遇到一名患者，在进行腹腔镜胆囊切除术时，发现胆囊与近端横结肠之间存在瘘。该病例处理中的重要要点包括：（1）对存在这种并发症保持高度警惕；（2）使用胆囊造影术来确立诊断；（3）使用腹腔镜吻合器技术分离瘘同时防止粪便污染。
