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.	林国乐, 赵玉沛, 邱辉忠.胆囊结肠瘘(附15例临床报告).中国现代普通外科进展, 2007, 10(1): 53-56.
5.	陈汉波, 王谦, 刘邦芝.胆囊结石合并胆囊结肠瘘或胆囊十二指肠瘘的诊治.腹腔镜外科杂志, 2007, 12(6): 529-530.
6.	王忠裕, 金实, 巩鹏, 等.生长激素与静脉营养支持并用治疗上消化道瘘.中国临床营养杂志, 2000, 8(3): 51-53.
7.	秦诚, 蔡小勇, 卢榜裕.腹腔镜诊治胆囊结肠瘘1例报告及文献复习.中国内镜杂志, 2007, 13(4): 446-448.
8.	刘涛, 陈丽红.胆囊结石合并胆囊结肠瘘临床分析.西部医学, 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.	刘军成, 刘新, 周和成, 等.胆囊结肠瘘漏诊16例临床分析.实用临床医学, 2014, 15(1): 67-68.
13.	王培红, 周庆贤, 郭江明, 等.胆囊结肠瘘的临床分析.西南国防医药, 2006, 16(4): 399-400.
14.	施红旗, 李劲节, 张启瑜, 等.胆道积气综合征的诊治经验.肝胆胰外科杂志, 2002, 14(4): 235-236.
15.	韩涛, 陈敬彬, 何礼安, 等.腹腔镜手术治疗胆囊十二指肠瘘31例.实用医药杂志, 2010, 27 (4): 294-295.
16.	秦贤举, 陈问谭, 张勇.胆囊十二指肠瘘的诊断与治疗.中国普通外科杂志, 2003, 12(8): 600-602.
17.	高鹏, 徐小东, 黄海云, 等.腹腔镜治疗胆囊-十二指肠瘘6例报告.中国微创外科杂志, 2005, 10(2):142-143.
18.	何德海, 甘启祥, 杨益森, 等.腹腔镜胆囊切除术并发症的诊断和治疗.中国普外基础与临床杂志, 2009, 16(8):661-663．.
19.	戈佳云, 邹浩, 李天柱, 等.医源性胆管损伤的解剖因素分析.中国普外基础与临床杂志, 2010, 17(6):581-585.
20.	蔡秀军, 李哲勇.腹腔镜胆囊切除术中胆道损伤的预防和治疗.肝胆外科杂志, 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.	马逸云, 高鹏, 马小英.腹腔镜胆囊切除术中胆道造影方法的改进.中国普通外科杂志, 2004, 13 (12): 959.
24.	嵇武, 李宁, 黎介寿.腹腔镜结肠全或次全切除术.中国实用外科杂志, 2009, 29(10): 878-880, 884.
25.	酒育红.胆囊结肠瘘2例诊治体会.基层医学论坛, 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. 林国乐, 赵玉沛, 邱辉忠.胆囊结肠瘘(附15例临床报告).中国现代普通外科进展, 2007, 10(1): 53-56.
5. 陈汉波, 王谦, 刘邦芝.胆囊结石合并胆囊结肠瘘或胆囊十二指肠瘘的诊治.腹腔镜外科杂志, 2007, 12(6): 529-530.
6. 王忠裕, 金实, 巩鹏, 等.生长激素与静脉营养支持并用治疗上消化道瘘.中国临床营养杂志, 2000, 8(3): 51-53.
7. 秦诚, 蔡小勇, 卢榜裕.腹腔镜诊治胆囊结肠瘘1例报告及文献复习.中国内镜杂志, 2007, 13(4): 446-448.
8. 刘涛, 陈丽红.胆囊结石合并胆囊结肠瘘临床分析.西部医学, 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. 刘军成, 刘新, 周和成, 等.胆囊结肠瘘漏诊16例临床分析.实用临床医学, 2014, 15(1): 67-68.
13. 王培红, 周庆贤, 郭江明, 等.胆囊结肠瘘的临床分析.西南国防医药, 2006, 16(4): 399-400.
14. 施红旗, 李劲节, 张启瑜, 等.胆道积气综合征的诊治经验.肝胆胰外科杂志, 2002, 14(4): 235-236.
15. 韩涛, 陈敬彬, 何礼安, 等.腹腔镜手术治疗胆囊十二指肠瘘31例.实用医药杂志, 2010, 27 (4): 294-295.
16. 秦贤举, 陈问谭, 张勇.胆囊十二指肠瘘的诊断与治疗.中国普通外科杂志, 2003, 12(8): 600-602.
17. 高鹏, 徐小东, 黄海云, 等.腹腔镜治疗胆囊-十二指肠瘘6例报告.中国微创外科杂志, 2005, 10(2):142-143.
18. 何德海, 甘启祥, 杨益森, 等.腹腔镜胆囊切除术并发症的诊断和治疗.中国普外基础与临床杂志, 2009, 16(8):661-663．.
19. 戈佳云, 邹浩, 李天柱, 等.医源性胆管损伤的解剖因素分析.中国普外基础与临床杂志, 2010, 17(6):581-585.
20. 蔡秀军, 李哲勇.腹腔镜胆囊切除术中胆道损伤的预防和治疗.肝胆外科杂志, 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. 马逸云, 高鹏, 马小英.腹腔镜胆囊切除术中胆道造影方法的改进.中国普通外科杂志, 2004, 13 (12): 959.
24. 嵇武, 李宁, 黎介寿.腹腔镜结肠全或次全切除术.中国实用外科杂志, 2009, 29(10): 878-880, 884.
25. 酒育红.胆囊结肠瘘2例诊治体会.基层医学论坛, 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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