Laparoscopic management of diverticular colovesical fistula: experience in 15 cases and review of the literature

Marney, Lucy A., and Ho, Yik-Hong (2013) Laparoscopic management of diverticular colovesical fistula: experience in 15 cases and review of the literature. International Surgery, 98 (2). pp. 101-109.

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Abstract

Colovesical fistulas secondary to diverticular disease may be considered a contraindication to the laparoscopic approach. The feasibility of laparoscopic management of complicated diverticulitis and mixed diverticular fistulas has been demonstrated. However, few studies on the laparoscopic management of diverticular colovesical fistulas exist. A retrospective analysis was performed of 15 patients with diverticular colovesical fistula, who underwent laparoscopic-assisted anterior resection and bladder repair. Median operating time was 135 minutes and median blood loss, 75 mL. Five patients were converted to an open procedure (33.3%) with an associated increase in hospital stay (P = 0.035). Median time to return of bowel function was 2 days and median length of stay, 6 days. Overall morbidity was 20% with no major complications. There was no mortality. There was no recurrence during median follow-up of 12.4 months. These results suggest that laparoscopic management of diverticular colovesical fistulas is both feasible and safe in the setting of appropriate surgical expertise.

Item ID: 32333
Item Type: Article (Research - C1)
ISSN: 0020-8868
Keywords: laparoscopy, colovesical fistula, diverticulosis, diverticulitis, minimally invasive surgical procedures
Additional Information:

This article was previously presented at the 38th Biennial World Congress of the International College of Surgeons, Brisbane, Australia.

Date Deposited: 07 Apr 2014 23:32
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110323 Surgery @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920118 Surgical Methods and Procedures @ 100%
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