Laparoscopic conservative treatment of colo-vesical fistulas following trauma and diverticulitis: report of two different cases

Cochetti, Giovanni; Lepri, E.; Cottini, E.; Cirocchi, Roberto; Corsi, Alessia; Barillaro, Francesco; Boni, Andrea; Rosa, Mancuso; Pohja, S.; Ettore, Mearini

doi:10.2478/s11536-013-0195-0

Cited by 6 publications

(2 citation statements)

References 25 publications

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“…The first study concerning the use of laparoscopic surgery in a patient with a CVF was published in 1994 by Puente et al 34 Since then, multiple case reports and small case series have been published 35–39 . However, the first comparative studies between laparoscopic versus open surgery for CVF treatment appeared after 2014 13 .…”

Section: Discussionmentioning

confidence: 99%

“…In addition, no important differences were found in terms of anastomotic leaks, surgical site infections, stoma rates, operating times, The first study concerning the use of laparoscopic surgery in a patient with a CVF was published in 1994 by Puente et al 34 Since then, multiple case reports and small case series have been published. [35][36][37][38][39] However, the first comparative studies between laparoscopic versus open surgery for CVF treatment appeared after 2014. 13 Until now, there is no randomized control trial published yet.…”

Section: Discussionmentioning

confidence: 99%

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Open versus laparoscopic surgery for the treatment of diverticular colovesical fistulas: A systematic review and meta‐analysis

Trejo-Ávila

Vergara-Fernández

2021

ANZ Journal of Surgery

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Background: The aim of this study was to analyze the evidence regarding open versus laparoscopic surgery for the treatment of diverticular colovesical fistula (CVF) in terms of perioperative outcomes. Methods: A systematic review was performed using PubMed, Cochrane, Google Scholar, and Web of Science databases for studies comparing laparoscopic versus open surgery for CVF. We pooled odds ratios (OR) and mean differences (MD) using random or fixed effects models.Results: Five non-randomized studies with 227 patients met the inclusion criteria. All were retrospective studies, published between 2014 and 2020. For laparoscopic surgery, the pooled rate for conversion to laparotomy was 36%. Laparoscopic and open procedures required similar operative time (MD: À11.62; 95% confidence interval [CI]: À51.41 to 28.16). No difference was found in terms of stoma rates between laparoscopic and open surgery (OR: 1.12; 95% CI 0.44-2.86). Overall, the rate of total postoperative complications was lower in the laparoscopic group (OR: 0.55; 95% CI: 0.30-0.99). The pooled analysis showed equivalent rates of anastomotic leaks (OR: 0.61; 95% CI 0.15-2.45), surgical site infections (OR: 0.44; 95% CI 0.19-1.01), and mortality (OR: 0.18; 95% CI 0.03-1.15). The length of stay was significantly reduced with laparoscopic surgery (MD: À2.89; 95% CI À4.20 to À1.58). Conclusion: Among patients with CVF, the laparoscopic approach appears to have shorter hospital length of stay, with no differences in anastomotic leaks, surgical site infections, stoma rates, and mortality, when compared with open surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Open versus laparoscopic surgery for the treatment of diverticular colovesical fistulas: A systematic review and meta‐analysis

Trejo-Ávila

Vergara-Fernández

2021

ANZ Journal of Surgery

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Laparoscopic treatment of colovesical fistulas due to complicated colonic diverticular disease: a systematic review

et al. 2014

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Colovesical fistulas originating from complicated sigmoid diverticular disease are rare. The primary aim of this review was to evaluate the role of laparoscopic surgery in the treatment of this complication. The secondary aim was to determine the best surgical treatment for this disease. A systematic search was conducted for studies published between 1992 and 2012 in PubMed, the Cochrane Register of Controlled Clinical Trials, Scopus, and Publish or Perish. Studies enrolling adults undergoing fully laparoscopic, laparoscopic-assisted, or hand-assisted laparoscopic surgery for colovesical fistula secondary to complicated sigmoid diverticular disease were considered. Data extracted concerned the surgical technique, intraoperative outcomes, and postoperative outcomes based on the Cochrane Consumers and Communication Review Group's template. Descriptive statistics were reported according to the PRISMA statement. In all, 202 patients from 25 studies were included in this review. The standard treatment was laparoscopic colonic resection and primary anastomosis or temporary colostomy with or without resection of the bladder wall. Operative time ranged from 150 to 321 min. It was not possible to evaluate the conversion rate to open surgery because colovesical fistulas were not distinguished from other types of enteric fistulas in most of the studies. One anastomotic leak after bowel anastomosis was reported. There was zero mortality. Few studies conducted follow-up longer than 12 months. One patient required two reoperations. Laparoscopic treatment of colovesical fistulas secondary to sigmoid diverticular disease appears to be a feasible and safe approach. However, further studies are needed to establish whether laparoscopy is preferable to other surgical approaches.

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Do Patients Mandate Resection After a First Episode of Acute Diverticulitis of the Colon with a Complication?

Bendl

Bergamaschi

2017

Advances in Surgery

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Laparoscopic conservative treatment of colo-vesical fistulas following trauma and diverticulitis: report of two different cases

Abstract: Abstract

Cited by 6 publications

References 25 publications

Open versus laparoscopic surgery for the treatment of diverticular colovesical fistulas: A systematic review and meta‐analysis

Open versus laparoscopic surgery for the treatment of diverticular colovesical fistulas: A systematic review and meta‐analysis

Laparoscopic treatment of colovesical fistulas due to complicated colonic diverticular disease: a systematic review

Do Patients Mandate Resection After a First Episode of Acute Diverticulitis of the Colon with a Complication?

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