Pianalto S, Rossi M, Battaglia G, Pizzato D, Ancona E
Istituto di Chirurgia Generale 2, Università degli Studi di Padova.
Ann Ital Chir. 1997 Mar-Apr;68(2):231-3; discussion 233-4.
Cholecystocolic fistula is an unusual complication of biliary tract disease and it may defeat laparoscopic treatment. We recently was a patient who, while undergoing laparoscopic cholecystectomy, was found to have a fistula between the gallbladder and the transverse colon. The fistula was transected with a 3 cm endoscopic linear stapling device and uneventful laparoscopic cholecystectomy was performed. This report shows that, with increasing experience, no absolute contraindications exist to starting laparoscopic cholecystectomy by introducing the laparoscope.
胆囊结肠瘘是胆道疾病的一种罕见并发症,可能会使腹腔镜治疗失败。我们最近遇到一位患者,在进行腹腔镜胆囊切除术时,发现胆囊与横结肠之间存在瘘管。使用3厘米的内镜线性缝合装置切断瘘管,并顺利完成了腹腔镜胆囊切除术。本报告表明,随着经验的增加,在引入腹腔镜开始进行腹腔镜胆囊切除术时不存在绝对禁忌证。