Surgical management of colovesical fistulas.
Colovesical fistula
Diverticular disease
Resection
Surgical management
Journal
Techniques in coloproctology
ISSN: 1128-045X
Titre abrégé: Tech Coloproctol
Pays: Italy
ID NLM: 9613614
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
05
03
2020
accepted:
19
05
2020
pubmed:
29
5
2020
medline:
28
4
2021
entrez:
29
5
2020
Statut:
ppublish
Résumé
The most common etiology of colovesical fistulas is complicated diverticular disease and the treatment of choice is surgical resection. There are very few reports of the application of minimally invasive approaches for these surgeries. The aim of our study was to evaluate the role of laparoscopy in this challenging surgical setting. A retrospective analysis of patients who underwent transabdominal surgery for colovesical fistula in 2008-2018 was performed. Patients were divided into 2 groups: patients who had open surgery and patients treated with laparoscopy. The postoperative course was reviewed for the length of stay, postoperative complications, readmission, emergency re-operation, and mortality RESULTS: Thirty-five patients were included (13 females [37%]; median age 68 [range 28-84] years) with a mean body mass index of 29 ± 7.19 kg/m Laparoscopic management of colovesical fistula is both safe and feasible in a high volume laparoscopic colorectal surgery center. Laparoscopy offers potential benefits including a decreased incidence of surgical site infections and medical complications.
Sections du résumé
BACKGROUND
The most common etiology of colovesical fistulas is complicated diverticular disease and the treatment of choice is surgical resection. There are very few reports of the application of minimally invasive approaches for these surgeries. The aim of our study was to evaluate the role of laparoscopy in this challenging surgical setting.
METHODS
A retrospective analysis of patients who underwent transabdominal surgery for colovesical fistula in 2008-2018 was performed. Patients were divided into 2 groups: patients who had open surgery and patients treated with laparoscopy. The postoperative course was reviewed for the length of stay, postoperative complications, readmission, emergency re-operation, and mortality RESULTS: Thirty-five patients were included (13 females [37%]; median age 68 [range 28-84] years) with a mean body mass index of 29 ± 7.19 kg/m
CONCLUSIONS
Laparoscopic management of colovesical fistula is both safe and feasible in a high volume laparoscopic colorectal surgery center. Laparoscopy offers potential benefits including a decreased incidence of surgical site infections and medical complications.
Identifiants
pubmed: 32462452
doi: 10.1007/s10151-020-02247-0
pii: 10.1007/s10151-020-02247-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
851-854Références
Woods RJ, Lavery IC, Fazio VW et al (1988) Internal fistulas in diverticular disease. Dis Colon Rectum 31:591–596
doi: 10.1007/BF02556792
Badic B, Leroux G, Thereaux J et al (2017) Colovesical fistula complicating diverticular disease: a 14-year experience. Surg Laparosc Endosc Percutan Tech 27:94–97
doi: 10.1097/SLE.0000000000000375
Martinolich J, Croasdale DR, Bhakta AS et al (2019) Laparoscopic surgery for diverticular fistulas: outcomes of 111 consecutive cases at a single institution. J Gastrointest Surg 23(5):1015–1021
doi: 10.1007/s11605-018-3950-3
Bhakta A, Tafen M, Glotzer O et al (2016) Laparoscopic sigmoid colectomy for complicated diverticulitis is safe: review of 576 consecutive colectomies. Surg Endosc 30:1629–1634
doi: 10.1007/s00464-015-4393-5
Laurent SR, Detroz B, Detry O et al (2005) Laparoscopic sigmoidectomy for fistulized diverticulitis. Dis Colon Rectum 48:148–152
doi: 10.1007/s10350-004-0745-2
Cirocchi R, Arezzo A, Renzi C et al (2015) Is laparoscopic surgery the best treatment in fistulas complicating diverticular disease of the sigmoid colon? A systematic review. Int J Surg 24:95–100
doi: 10.1016/j.ijsu.2015.11.007
Dolejs SC, Penning AJ, Guzman MJ et al (2019) Perioperative management of patients with colovesical fistula. J Gastrointest Surg 23(9):1867–1873
doi: 10.1007/s11605-018-4034-0
Bahadursingh AM, Virgo KS, Kaminski DL et al (2003) Spectrum of disease and outcome of complicated diverticular disease. Am J Surg 186:696–701
doi: 10.1016/j.amjsurg.2003.08.019
Bertelson NL, Abcarian H, Kalkbrenner KA et al (2018) Diverticular colovesical fistula: what should we really be doing? Tech Coloproctol 22(1):31–36
doi: 10.1007/s10151-017-1733-6