Laparoscopic conservative surgery of colovesical fistula: is it the right way?

Giovanni Cochetti; Emanuele Cottini; Roberto Cirocchi; Alberto Pansadoro; Emanuele Lepri; Alessia Corsi; Francesco Barillaro; Ettore Mearini

doi:10.5114/wiitm.2011.32808

!!!NEW!!! CLINICAL FORUM !!!NEW!!!
to make the quarterly livelier and more beneficial for doctors and scientists !!!

On June the 1st, 2021 VSJ launches a new discussion platform in the journal.

We invite all MIS surgeons to rapidly submit for publication:
- small forms describing unusual clinical situations related to their practice,
- short clinical comments relating to any publications in VSJ, including the clinical situations described above
- brief communications of original studies deserving fast publication
- your personal opinions as part of a larger discussion on the VSJ publication
- letters concerning the topics described above

Clinical Forum gives you a means of rapid presentation of your findings in the medical databases, scientific citations on the international forum, and also an Impact Factor!

For further details, see: Instructions for Authors

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

2/2013
vol. 8

Send email

Copy url:

abstract:

Case report

Laparoscopic conservative surgery of colovesical fistula: is it the right way?

Giovanni Cochetti

,

Emanuele Cottini

,

Roberto Cirocchi

,

Alberto Pansadoro

,

Emanuele Lepri

,

Alessia Corsi

,

Francesco Barillaro

,

Ettore Mearini

Videosurgery Miniinv 2013; 8 (2): 162-165

DOI: https://doi.org/10.5114/wiitm.2011.32808

Online publish date: 2013/01/16

View full text Get citation

PlumX metrics:

Enterovesical fistula is a rare disease. The standard treatment of colovesical fistula is removal of the fistula, suture of the bladder wall, and colic resection with or without temporary colostomy. The usual approach is open because the laparoscopic one has high conversion rates and morbidity. We report the first laparoscopic conservative treatment of colovesical fistula in our knowledge and its long-term results. A 69-year-old man was affected by colovesical fistula due to endoscopic exeresis of a 2 cm adenomatous polyp in the sigmoid diverticulum. We performed a laparoscopic conservative treatment of the fistula without colic resection. Operative time was 210 min and estimated blood loss was 300 ml. The catheter was removed after 10 days. Time to first flatus was 2 days and the hospital stay was 8 days. No peri- or post-operative complications occurred. At 48-month follow-up fistula did not recur. Laparoscopic conservative surgery for colovesical fistula is safe and feasible. It could be a therapeutic option in selected cases, especially if diverticular disease and inflammation are slight.

keywords:

Laparoscopic conservative surgery of colovesical fistula: is it the right way?

Giovanni Cochetti , Emanuele Cottini , Roberto Cirocchi , Alberto Pansadoro , Emanuele Lepri , Alessia Corsi , Francesco Barillaro , Ettore Mearini

colovesical fistula, laparoscopic conservative treatment, colon resection, diverticular disease

Giovanni Cochetti

,

Emanuele Cottini

,

Roberto Cirocchi

,

Alberto Pansadoro

,

Emanuele Lepri

,

Alessia Corsi

,

Francesco Barillaro

,

Ettore Mearini