LAPAROSCOPIC REPAIR OF A CHOLECYSTODUODENAL FISTULA – A CASE REPORT

Autori:

ŽELJKO BUŠIĆ, DRAŽEN SERVIS, IGOR STIPANČIĆ, VLATKA BUŠIĆ

Sažetak
Iako se kolecistoduodenalna fistula tradicionalno smatra kontraindikacijom za laparoskopsku kolecistektomiju, u literaturi se mogu naći prikazi njezina uspješnog laparoskopskog zbrinjavanja, bez obzira na to da li je ustanovljena preoperativno ili intraoperativno. Ovdje prikazujemo slučaj preoperativno ustanovljene i potvrđene kolecistoduodenalne fistule koja je uspješno riješena elektivnim laparoskopskim zahvatom, s pomoću staplera Endo-GIA 35. Time se i mi pridružujemo sve većem broju kirurga s mišljenjem da kolecistoduodenalna fistula, pogotovo ako je ustanovljena preoperativno, nije kontraindikacija za laparoskopsku kolecistektomiju.
Summary

Summary. Although cholecystoduodenal fistula is traditionally considered a contraindication for laparoscopic cholecystecto- my, literature search reveals reports of cholecystoduodenal fistulae successfully repaired laparoscopically, regardless whether cholecystoduodenal fistula was diagnosed before or during operation. Here we present a case of preoperatively diagnosed and confirmed cholecystoduodenal fistula that was successfully repaired during elective laparoscopic cholecystectomy using an Endo-GIA 35 stapling device. Thus we side with the growing number of surgeons who do not consider cholecystoduodenal fistula to be a contraindication for laparoscopic cholecystectomy.

Volumen: 11-12, 2004

Liječ Vjesn 2004;126:304–306

Dražen Servis, Igor Stipančić, VLATKA BUŠIĆ, Željko Bušić

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