Laparoscopic surgery for colovesical fistula associated with sigmoid colon diverticulitis: a review of 39 cases
| Autor: | Hiroya Kuroyanagi, Shuichiro Matoba, Yutaka Hanaoka, Jin Moriyama, Shigeo Toda, Tomohiro Tate, Kenji Tomizawa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Colovesical fistula business.industry medicine.medical_treatment Fistula diverticular disease Sigmoid colon Diverticulitis medicine.disease laparoscopic surgery Surgery diverticulitis colovesical fistula medicine.anatomical_structure Sigmoidectomy Blood loss medicine Diverticular disease lcsh:Diseases of the digestive system. Gastroenterology Original Research Article lcsh:RC799-869 business bladder |
| Zdroj: | Journal of the Anus, Rectum and Colon, Vol 3, Iss 1, Pp 36-42 (2019) Journal of the Anus, Rectum and Colon |
| ISSN: | 2432-3853 |
| Popis: | Objectives Colonic diverticular disease is widespread in Western countries and its associated with aging. In Japan, diverticulitis and colovesical fistula are also occurring more frequently. Colonic resection for diverticula-related fistulas is frequently technically demanding because of associated acute or chronic inflammation. We evaluated the safety and efficacy of a standardized laparoscopic procedure. Methods Data from 39 consecutive patients who had undergone laparoscopic surgery for colovesical fistula between October 2006 and August 2017 were retrospectively reviewed. Results The patients' median age was 60 years and comprised 35 men and four women. Sigmoidectomy was performed in 33 patients, Hartmann's procedure in four, and anterior resection in two. The median operative time was 203 minutes and estimated blood loss 15 mL. There were no intraoperative complications or conversion to open surgery. No patients required bladder repair; three had minor postoperative complications, and none had recurrent diverticulitis or fistula at a mean follow-up of 5.1 years. Conclusions The magnified vision and minimal invasiveness make a laparoscopic approach the ideal means of managing colovesical fistula. To our knowledge, this is the largest study of colovesical fistula managed by a standardized laparoscopic procedure. |
| Databáze: | OpenAIRE |
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