Near-infrared fluorescence for minimally invasive management of colovesical fistula

Bernardi, Daniele; Asti, Emanuele; Acquati, P.; Carmignani, Luca; Bonavina, Luigi

doi:10.1308/rcsann.2021.0172

Cited by 1 publication

(2 citation statements)

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“…To date, there is no evidence about the overall benefit of this procedure with respect to prolonged operative time and the risk of iatrogenic lesions;45 on the other hand, prophylactic ureteral identification during laparoscopic surgery is increasingly adopted, justifying the need of less invasive techniques to improve visualization 46. The use of intraoperative ICG fluorescence through the tip of a 6-French ureteral catheter has been proposed during laparoscopic or robotic surgery, with promising results and the expectation of lower invasiveness compared with double-J stenting 47,48…”

Section: Discussionmentioning

confidence: 99%

“…46 The use of intraoperative ICG fluorescence through the tip of a 6-French ureteral catheter has been proposed during laparoscopic or robotic surgery, with promising results and the expectation of lower invasiveness compared with double-J stenting. 47,48 Intraoperative and Perioperative Management of the Bladder…”

Section: Ureteral Stenting Versus Icg Fluorescencementioning

confidence: 99%

See 1 more Smart Citation

Burden of Colovesical Fistula and Changing Treatment Pathways: A Systematic Literature Review

Froiio

Bernardi

Asti

et al. 2022

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Purpose: Colovesical fistula (CVF) is a rare complication of sigmoid diverticulitis causing significant morbidity and quality of life impairment. Aim of this study was to analyze contemporary literature data to appraise the current standard of care and changes of treatment algorithms over time.Materials and Methods: A systematic review of the literature on surgical management of CVF was conducted through PUBMED, EMBASE, and COCHRANE databases, according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement guidelines.Results: Fourteen papers published between 2014 and 2020 and including 1061 patients were analyzed. One-stage colonic resection with primary anastomosis, with or without loop ileostomy, was the most common surgical procedure. A laparoscopic or robotic approach was attempted in 39.5% of patients, and conversion rate to open surgery was 7.8%. Clavien-Dindo grade ≥ 3 complication rate, 30-day mortality, and recurrence rate were 7.4%, 1.5%, and 0.5%, respectively.Conclusions: Minimally invasive sigmoidectomy with primary anastomosis is safe and should be the first-choice approach for CVF. Bladder repair is not necessary after a negative intraoperative leak test. A standardized perioperative care can improve clinical outcomes and reduce the length of hospital stay and the duration of Foley catheterization.

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Section: Discussionmentioning

confidence: 99%