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Laparoscopic management of cholecystoenteric fistula: A single-center experience
AIM: To report our experience regarding management of cholecystoenteric fistula (CEF) and identify the most effective diagnostic methods and surgical treatment. METHODS: In total, 10,588 patients underwent laparoscopic cholecystectomy for cholecystolithiasis from January 2000 to December 2014 at the...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5536399/ https://www.ncbi.nlm.nih.gov/pubmed/28417651 http://dx.doi.org/10.1177/0300060517699038 |
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author | Li, Xiang-yang Zhao, Xin Zheng, Peng Kao, Xiao-Ming Xiang, Xiao-Song Ji, Wu |
author_facet | Li, Xiang-yang Zhao, Xin Zheng, Peng Kao, Xiao-Ming Xiang, Xiao-Song Ji, Wu |
author_sort | Li, Xiang-yang |
collection | PubMed |
description | AIM: To report our experience regarding management of cholecystoenteric fistula (CEF) and identify the most effective diagnostic methods and surgical treatment. METHODS: In total, 10,588 patients underwent laparoscopic cholecystectomy for cholecystolithiasis from January 2000 to December 2014 at the Research Institute of General Surgery, Jinling Hospital (Nanjing, China). Twenty-nine patients were diagnosed with CEF preoperatively or intraoperatively. Data were retrospectively collected on demographics, preoperative diagnostics, intraoperative findings, laparoscopic procedures, complications, and follow-up. RESULTS: Twenty-nine patients (female/male ratio, 2.2; mean age, 68.7 years) with CEF were evaluated. Twenty-three (79.3%) patients had a cholecystoduodenal fistula (CDF), four (13.8%) had a cholecystocolonic fistula (CCF), one (3.4%) had a cholecystogastric fistula, and one (3.4%) had a CDF combined with a CCF. Only nine (31.0%) patients obtained a preoperative diagnosis. All patients initially underwent laparoscopic treatment, but five (17.2%) underwent conversion to open surgery; three of these five developed postoperative morbidity or mortality, and the other two had an uneventful postoperative course. Among patients managed successfully by laparoscopy, the hospital stay ranged from 3 to 6 days (mean, 4 days). All patients were asymptomatic at a mean follow-up of 13 months (range, 3–21 months). CONCLUSION: Ultrasound and computed tomography can provide valuable diagnostic clues for CEF. Laparoscopic management of CEF in experienced hands is safe, feasible, and associated with rapid postoperative recovery. |
format | Online Article Text |
id | pubmed-5536399 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-55363992017-10-03 Laparoscopic management of cholecystoenteric fistula: A single-center experience Li, Xiang-yang Zhao, Xin Zheng, Peng Kao, Xiao-Ming Xiang, Xiao-Song Ji, Wu J Int Med Res Clinical Reports AIM: To report our experience regarding management of cholecystoenteric fistula (CEF) and identify the most effective diagnostic methods and surgical treatment. METHODS: In total, 10,588 patients underwent laparoscopic cholecystectomy for cholecystolithiasis from January 2000 to December 2014 at the Research Institute of General Surgery, Jinling Hospital (Nanjing, China). Twenty-nine patients were diagnosed with CEF preoperatively or intraoperatively. Data were retrospectively collected on demographics, preoperative diagnostics, intraoperative findings, laparoscopic procedures, complications, and follow-up. RESULTS: Twenty-nine patients (female/male ratio, 2.2; mean age, 68.7 years) with CEF were evaluated. Twenty-three (79.3%) patients had a cholecystoduodenal fistula (CDF), four (13.8%) had a cholecystocolonic fistula (CCF), one (3.4%) had a cholecystogastric fistula, and one (3.4%) had a CDF combined with a CCF. Only nine (31.0%) patients obtained a preoperative diagnosis. All patients initially underwent laparoscopic treatment, but five (17.2%) underwent conversion to open surgery; three of these five developed postoperative morbidity or mortality, and the other two had an uneventful postoperative course. Among patients managed successfully by laparoscopy, the hospital stay ranged from 3 to 6 days (mean, 4 days). All patients were asymptomatic at a mean follow-up of 13 months (range, 3–21 months). CONCLUSION: Ultrasound and computed tomography can provide valuable diagnostic clues for CEF. Laparoscopic management of CEF in experienced hands is safe, feasible, and associated with rapid postoperative recovery. SAGE Publications 2017-04-18 2017-06 /pmc/articles/PMC5536399/ /pubmed/28417651 http://dx.doi.org/10.1177/0300060517699038 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Clinical Reports Li, Xiang-yang Zhao, Xin Zheng, Peng Kao, Xiao-Ming Xiang, Xiao-Song Ji, Wu Laparoscopic management of cholecystoenteric fistula: A single-center experience |
title | Laparoscopic management of cholecystoenteric fistula: A single-center experience |
title_full | Laparoscopic management of cholecystoenteric fistula: A single-center experience |
title_fullStr | Laparoscopic management of cholecystoenteric fistula: A single-center experience |
title_full_unstemmed | Laparoscopic management of cholecystoenteric fistula: A single-center experience |
title_short | Laparoscopic management of cholecystoenteric fistula: A single-center experience |
title_sort | laparoscopic management of cholecystoenteric fistula: a single-center experience |
topic | Clinical Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5536399/ https://www.ncbi.nlm.nih.gov/pubmed/28417651 http://dx.doi.org/10.1177/0300060517699038 |
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