Laparoscopic treatment of colovesical fistulas: technique and review of the literature

Tsivian, Alexander; Kyzer, S; Shtricker, Avraham; Benjamin, Shalva; Sidi, Avner

doi:10.1111/j.1442-2042.2006.01382.x

Cited by 26 publications

(18 citation statements)

References 15 publications

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“…8 Tsivian et al described another successful laparoscopic resection with a shorter operating time (230 minutes). 9 In the current study, operating times were significantly lower (median 135 minutes) and compared favorably with those reported for laparoscopic management of complicated diverticular disease, diverticular fistulas, and mixed fistulas (see Table 1). Shorter operating times likely reflect the surgeon's experience and the evolution of surgical technology.…”

Section: Laparoscopic Managementmentioning

confidence: 48%

“…[4][5][6][7] A review of the literature indicated very few studies on the laparoscopic management of diverticular colovesical fistulas exist. 4,8,9 The outcomes of recent studies are difficult to interpret as many have incorporated both recurrent uncomplicated and complicated disease, have not differentiated between colovesical fistulas and other diverticular fistulas, [10][11][12][13][14][15] or have included fistulas of various aetiologies. [16][17][18][19][20] Other studies have not used a total laparoscopic approach but have performed technically challenging aspects with a resection-facilitated or hand-assisted technique.…”

mentioning

confidence: 99%

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Laparoscopic Management of Diverticular Colovesical Fistula: Experience in 15 Cases and Review of the Literature

Marney

2013

International Surgery

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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 ¼ 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.

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Section: Laparoscopic Managementmentioning

confidence: 48%

mentioning

confidence: 99%

Laparoscopic Management of Diverticular Colovesical Fistula: Experience in 15 Cases and Review of the Literature

Marney

2013

International Surgery

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“…Intravenous urography does not delineate the fistula unless the patient has severe outflow obstruction [43]. Barium enema imaging rarely reveals a fistula but can demonstrate the nature and extent of colonic disease [3]; the reported sensibility rate of barium enema is approximately 20% [4-6]-35% [11,44]. Radiography of centrifuged urine samples obtained immediately after a barium enema (Bourne test) may enhance the yield of the enema by showing barium in the urinary sediment [3].…”

Section: Imagingmentioning

confidence: 97%

Enterovesical fistulas: diagnosis and management

2010

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Enterovesical fistula (EVF) is an abnormal communication between the intestine and the bladder. It represents a rare complication of inflammatory or neoplastic disease, and traumatic or iatrogenic injuries. The most common aetiologies are diverticular disease and colorectal carcinoma. Over 75% of affected patients describe pathognomonic features of pneumaturia, faecaluria and recurrent urinary tract infections. The diagnosis of EVF can be challenging, and frequently patients are monitored for months before the condition is recognised and treated effectively. Diagnostic tools include laboratory tests, imaging studies and endoscopic procedures. Although conservative management can be attempted in selected patients, in most cases, the treatment is mainly based on surgical interventions. Recently, the laparoscopic approach to EVF has been shown to be safe and effective. Although it is a rare condition in a general surgery setting, EVF is a challenging condition leading to high morbidity and mortality rates.

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“…Kolovezikal fistüller tüm vezikointestinal fistülle-rin en yaygınıdır (%70). Sıklık olarak sonrasında ileovezikal (%16) ve rektovezikal (%11) fistüller bulunur [1] .…”

Section: Discussionunclassified

“…Sistoskopi invaziv bir yöntem olmasına rağmen oldukça duyarlı bir yöntemdir (%36,4-79) [1] . Literatürde maliyet olarak en uygun yöntem olduğunu belirten yayınlar mevcuttur ancak bu konu tartışmalıdır.…”

Section: Discussionunclassified

Laparoscopic Treatment of an Atypic Vezicosygmoid Fistula

Akan¹

2017

Haydarpasa Numune Med J

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Kolovezikal fistüller nadirdir ve tanı ve tedavileri zordur. Bu hastalarda tedavinin amacı, fistül traktının çıkarılıp üriner ve fekal sızdırmazlık ve sürekliliğin yeniden tesis edilmesidir. Ancak bu tedavi bazen, basit bir yönlendirme kolostomi iken bazen de kompleks çok aşamalı prosedürlere kadar değişen cerrahi tedavileri içermektedir. Benign kolorektal hastalıkta laparoskopi uygulaması son zamanlarda endoskopik işlemlerin doğasında olan avantajları nedeniyle çeki-ci bir seçenek haline gelmiştir.Biz de burada vezikosigmoid fistül nedeniyle laparoskopik cerrahi uyguladığımız hastamızı literatür eşliğinde tartıştık. Olgu SunumuHastaya oral, rektal ve iv kontrastlı tüm abdomen spiral (helikal) bilgisayarlı tomografi (BT) yapıldı. BT'de mesanede duvar kalınlaşması dışında herhangi bir patolojik bulgu görülmedi. İntestinal hava/sıvı seviyesi görülmedi. GastroMesane ile sigmoid kolon arasında spontan fistül oluşumu oldukça nadirdir. Genelde altta yatan sebep sigmoid kolon divertiküllerinin inflame olması ve mesane duvarına perfore olmasıdır. Bazen sigmoid kolondaki tümörlerin mesaneye infiltre olması ile de gelişebilir. Bunların dışında inflamatuvar bağırsak hastalıkları, tüberküloz, lenfoma, travma ve geçi-rilmiş cerrahi girişimler altta yatan diğer sebeplerdir. Biz bu sebeplerin hiçbirinin olmadığı, spontan gelişen ve nedeni belli olmayan bir vezikosigmoid fistül olgusunu sunduk. Anahtar sözcükler: ; Laparoskopi; sigmoid kolon; vezikosigmoid fistül. Laparoscopic Treatment of an Atypical Vesicosygmoid FistulaAbstract Spontaneous fistula formation between the bladder and the sigmoid colon is a very rare entity. In general, the underlying cause is that the sigmoid colon diverticulum is inflated and perforated in the bladder wall. Sometimes, it can also develop due to infiltration of sigmoid tumors to the bladder wall. Inflammatory bowel diseases, tuberculosis, lymphoma, trauma, and previous surgical interventions are other potential underlying causes. Herein, a case of a vesicosigmoid fistula that developed spontaneously without any underlying specific etiology is presented.

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Laparoscopic treatment of colovesical fistulas: technique and review of the literature

Cited by 26 publications

References 15 publications

Laparoscopic Management of Diverticular Colovesical Fistula: Experience in 15 Cases and Review of the Literature

Laparoscopic Management of Diverticular Colovesical Fistula: Experience in 15 Cases and Review of the Literature

Enterovesical fistulas: diagnosis and management

Laparoscopic Treatment of an Atypic Vezicosygmoid Fistula

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