The Diagnosis and Treatment of Cholecystocolonic Fistula During Laparoscopic Chole-cystectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 GAOYin-sheng ^1,2 , WANGXia ³ , YANGXiao-jun ¹ ,  GAOPeng ¹

1. Second Department of General Surgery, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China;
2. Second Department of General Surgery, The Second Hospital of Lanzhou University, Lanzhou 730000, Gansu Province, China;
3. Department of Information, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China;

Corresponding?author：

GAOPeng, Email: yangxjmd@aliyun.com

Keywords：

Laparoscope; Cholecystectomy; Cholecystocolonic fistula; Intraoperative cholangiography

DOI：

10.7507/1007-9424.20160221

Video：

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Objective To explore the reliability and safety of diagnosis and treatment for cholecystocolonic fistula during laparoscopic cholecystectomy. Methods Data of patients with cholecystocolonic fistula in department of general surgery, Gansu provincial hospital from Jan 2002 to Dec 2015 were analyzed retrospectively. There were 112 cases diagnosed by routine intraoperative cholangiography from 11 472 laparoscopic cholecystectomy patients, including 33 males and 79 females, age from 58 to 84 years〔(67.4±12.6) years〕. Results One hundred and twelve cases of cholecystocolonic fistula were diagnosed by routine intraoperative cholangiography in laparoscopic cholecystectomy. There were 105 cases of cholecystocolonic fistula performed laparoscopic cholecystectomy and colon repair, and 7 cases performed colostomy, no surgical complications occurred. Seventy cases were followed-up for 6-27 months〔(16.4±5.3)months〕after operation, no long-term complications occurred. Conclusions There is a lack of specific symptoms and special diagnosis for cholecystocolonic fistula before operation. Intraoperative cholangiography is a only objective method for diagnosis, and treatment of cholecystocolonic fistula by laparoscopic cholecystectomy and colon repair or colostomy is safe and reliable based on experienced laparoscopic skill.

Citation： GAOYin-sheng, WANGXia, YANGXiao-jun, GAOPeng. The Diagnosis and Treatment of Cholecystocolonic Fistula During Laparoscopic Chole-cystectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(7): 855-857. doi: 10.7507/1007-9424.20160221 Copy

1.	Tahir OM, Fedele CR, Sneider MB, et al. Cholecystocolonic fistula. Del Med J, 2014, 86(12): 373-375.
2.	Kuo JY, Jao YT. Gallbladder papillomatosis and cholecystocolonic fistula: a rare combination. Am J Case Rep, 2014, 15: 466-470.
3.	Antonacci N, Taffurelli G, Casadei R, et al. Asymptomatic cholecy-stocolonic fistula: a diagnostic and therapeutic dilemma. Case Rep Surg, 2013, 2013: 754354.
4.	林國樂, 趙玉沛, 邱輝忠.膽囊結腸瘺(附15例臨床報告).中國現代普通外科進展, 2007, 10(1): 53-56.
5.	陳漢波, 王謙, 劉邦芝.膽囊結石合并膽囊結腸瘺或膽囊十二指腸瘺的診治.腹腔鏡外科雜志, 2007, 12(6): 529-530.
6.	王忠裕, 金實, 鞏鵬, 等.生長激素與靜脈營養支持并用治療上消化道瘺.中國臨床營養雜志, 2000, 8(3): 51-53.
7.	秦誠, 蔡小勇, 盧榜裕.腹腔鏡診治膽囊結腸瘺1例報告及文獻復習.中國內鏡雜志, 2007, 13(4): 446-448.
8.	劉濤, 陳麗紅.膽囊結石合并膽囊結腸瘺臨床分析.西部醫學, 2010, 22(2): 288-289.
9.	Schoofs C, Vanheste R, Bladt L, et al. Cholecystocolonic fistula complicated by gallstone impaction and perforation of the sigmoid. JBR-BTR, 2010, 93(1): 32.
10.	Cheong J, Gilmore A, Keshava A. Gastrointestinal: Cholecystoco-lonic fistula: A rare cause of large bowel obstruction. J Gastroenterol Hepatol, 2016, 31(5): 909.
11.	Carlsson T, Gandhi S. Gallstone ileus of the sigmoid colon: an extre-mely rare cause of large bowel obstruction detected by multiplanar CT. BMJ Case Rep, 2015, 2015. pii: bcr2015209654.
12.	劉軍成, 劉新, 周和成, 等.膽囊結腸瘺漏診16例臨床分析.實用臨床醫學, 2014, 15(1): 67-68.
13.	王培紅, 周慶賢, 郭江明, 等.膽囊結腸瘺的臨床分析.西南國防醫藥, 2006, 16(4): 399-400.
14.	施紅旗, 李勁節, 張啟瑜, 等.膽道積氣綜合征的診治經驗.肝膽胰外科雜志, 2002, 14(4): 235-236.
15.	韓濤, 陳敬彬, 何禮安, 等.腹腔鏡手術治療膽囊十二指腸瘺31例.實用醫藥雜志, 2010, 27 (4): 294-295.
16.	秦賢舉, 陳問譚, 張勇.膽囊十二指腸瘺的診斷與治療.中國普通外科雜志, 2003, 12(8): 600-602.
17.	高鵬, 徐小東, 黃海云, 等.腹腔鏡治療膽囊-十二指腸瘺6例報告.中國微創外科雜志, 2005, 10(2):142-143.
18.	何德海, 甘啟祥, 楊益森, 等.腹腔鏡膽囊切除術并發癥的診斷和治療.中國普外基礎與臨床雜志, 2009, 16(8):661-663．.
19.	戈佳云, 鄒浩, 李天柱, 等.醫源性膽管損傷的解剖因素分析.中國普外基礎與臨床雜志, 2010, 17(6):581-585.
20.	蔡秀軍, 李哲勇.腹腔鏡膽囊切除術中膽道損傷的預防和治療.肝膽外科雜志, 2010, 18(2): 89-91.
21.	Costi R, Randone B, Violi V, et al. Cholecystocolonic fistula: facts and myths. A review of the 231 published cases. J Hepatobiliary Pancreat Surg, 2009, 16(1): 8-18.
22.	Okada N, Hirooka Y, Itoh A, et al. Cholecystocolonic fistula preo-peratively diagnosed by endoscopic ultrasound of the colon. J Gastroenterol Hepatol, 2005, 20(10): 1621-1624.
23.	馬逸云, 高鵬, 馬小英.腹腔鏡膽囊切除術中膽道造影方法的改進.中國普通外科雜志, 2004, 13 (12): 959.
24.	嵇武, 李寧, 黎介壽.腹腔鏡結腸全或次全切除術.中國實用外科雜志, 2009, 29(10): 878-880, 884.
25.	酒育紅.膽囊結腸瘺2例診治體會.基層醫學論壇, 2015, 19(33):4609-4610, 4753.

1. Tahir OM, Fedele CR, Sneider MB, et al. Cholecystocolonic fistula. Del Med J, 2014, 86(12): 373-375.
2. Kuo JY, Jao YT. Gallbladder papillomatosis and cholecystocolonic fistula: a rare combination. Am J Case Rep, 2014, 15: 466-470.
3. Antonacci N, Taffurelli G, Casadei R, et al. Asymptomatic cholecy-stocolonic fistula: a diagnostic and therapeutic dilemma. Case Rep Surg, 2013, 2013: 754354.
4. 林國樂, 趙玉沛, 邱輝忠.膽囊結腸瘺(附15例臨床報告).中國現代普通外科進展, 2007, 10(1): 53-56.
5. 陳漢波, 王謙, 劉邦芝.膽囊結石合并膽囊結腸瘺或膽囊十二指腸瘺的診治.腹腔鏡外科雜志, 2007, 12(6): 529-530.
6. 王忠裕, 金實, 鞏鵬, 等.生長激素與靜脈營養支持并用治療上消化道瘺.中國臨床營養雜志, 2000, 8(3): 51-53.
7. 秦誠, 蔡小勇, 盧榜裕.腹腔鏡診治膽囊結腸瘺1例報告及文獻復習.中國內鏡雜志, 2007, 13(4): 446-448.
8. 劉濤, 陳麗紅.膽囊結石合并膽囊結腸瘺臨床分析.西部醫學, 2010, 22(2): 288-289.
9. Schoofs C, Vanheste R, Bladt L, et al. Cholecystocolonic fistula complicated by gallstone impaction and perforation of the sigmoid. JBR-BTR, 2010, 93(1): 32.
10. Cheong J, Gilmore A, Keshava A. Gastrointestinal: Cholecystoco-lonic fistula: A rare cause of large bowel obstruction. J Gastroenterol Hepatol, 2016, 31(5): 909.
11. Carlsson T, Gandhi S. Gallstone ileus of the sigmoid colon: an extre-mely rare cause of large bowel obstruction detected by multiplanar CT. BMJ Case Rep, 2015, 2015. pii: bcr2015209654.
12. 劉軍成, 劉新, 周和成, 等.膽囊結腸瘺漏診16例臨床分析.實用臨床醫學, 2014, 15(1): 67-68.
13. 王培紅, 周慶賢, 郭江明, 等.膽囊結腸瘺的臨床分析.西南國防醫藥, 2006, 16(4): 399-400.
14. 施紅旗, 李勁節, 張啟瑜, 等.膽道積氣綜合征的診治經驗.肝膽胰外科雜志, 2002, 14(4): 235-236.
15. 韓濤, 陳敬彬, 何禮安, 等.腹腔鏡手術治療膽囊十二指腸瘺31例.實用醫藥雜志, 2010, 27 (4): 294-295.
16. 秦賢舉, 陳問譚, 張勇.膽囊十二指腸瘺的診斷與治療.中國普通外科雜志, 2003, 12(8): 600-602.
17. 高鵬, 徐小東, 黃海云, 等.腹腔鏡治療膽囊-十二指腸瘺6例報告.中國微創外科雜志, 2005, 10(2):142-143.
18. 何德海, 甘啟祥, 楊益森, 等.腹腔鏡膽囊切除術并發癥的診斷和治療.中國普外基礎與臨床雜志, 2009, 16(8):661-663．.
19. 戈佳云, 鄒浩, 李天柱, 等.醫源性膽管損傷的解剖因素分析.中國普外基礎與臨床雜志, 2010, 17(6):581-585.
20. 蔡秀軍, 李哲勇.腹腔鏡膽囊切除術中膽道損傷的預防和治療.肝膽外科雜志, 2010, 18(2): 89-91.
21. Costi R, Randone B, Violi V, et al. Cholecystocolonic fistula: facts and myths. A review of the 231 published cases. J Hepatobiliary Pancreat Surg, 2009, 16(1): 8-18.
22. Okada N, Hirooka Y, Itoh A, et al. Cholecystocolonic fistula preo-peratively diagnosed by endoscopic ultrasound of the colon. J Gastroenterol Hepatol, 2005, 20(10): 1621-1624.
23. 馬逸云, 高鵬, 馬小英.腹腔鏡膽囊切除術中膽道造影方法的改進.中國普通外科雜志, 2004, 13 (12): 959.
24. 嵇武, 李寧, 黎介壽.腹腔鏡結腸全或次全切除術.中國實用外科雜志, 2009, 29(10): 878-880, 884.
25. 酒育紅.膽囊結腸瘺2例診治體會.基層醫學論壇, 2015, 19(33):4609-4610, 4753.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The Diagnosis and Treatment of Cholecystocolonic Fistula During Laparoscopic Chole-cystectomy

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