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Laparoscopic surgery for diverticular colovesical fistula: single-center experience of 11 cases
- Source :
- BMC Research Notes, Vol 13, Iss 1, Pp 1-6 (2020), BMC Research Notes
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Objective Laparoscopic surgery for diverticular colovesical fistula (CVF) is technically challenging, and the incidence of conversion to open surgery (COS) is high. This study aimed to review our experience with laparoscopic surgery for diverticular CVF and identify preoperative risk factors for COS. Results This was a single institution, retrospective, observational study of 11 patients (10 males and 1 female) who underwent laparoscopic sigmoid colon resection with fistula resection for diverticular CVF from 2014 to 2019. Preoperative magnetic resonance imaging (MRI) was performed to evaluate the fistula location in the bladder, patency of the rectovesical pouch (i.e., the destination of dissection procedure between sigmoid colon and bladder) and estimate the contact area between the sigmoid colon and bladder. The relationship between preoperative variables and COS incidence was analyzed between completed laparoscopy and COS groups. The overall incidence of postoperative morbidity (Clavien–Dindo classification Grade II or higher) was 36% (4/11). Severe morbidity, reoperation, and mortality were not observed. The incidence of COS was 27% (3/11). Posterior bladder fistulas were significantly associated with COS. CVFs located on the posterior bladder appears to be a risk factor for COS. Identifying risk factors for COS preoperatively could help guide the intraoperative course.
- Subjects :
- Adult
Male
Laparoscopic surgery
medicine.medical_specialty
medicine.medical_treatment
Fistula
lcsh:Medicine
Single Center
Colovesical fistula
General Biochemistry, Genetics and Molecular Biology
03 medical and health sciences
0302 clinical medicine
Risk Factors
Intestinal Fistula
medicine
Humans
Risk factor
lcsh:Science (General)
Laparoscopy
lcsh:QH301-705.5
Aged
medicine.diagnostic_test
business.industry
lcsh:R
Sigmoid colon
Conversion to open surgery
Magnetic resonance imaging
Bladder Fistula
General Medicine
Middle Aged
medicine.disease
Magnetic Resonance Imaging
digestive system diseases
Surgery
Research Note
Diverticulum
Treatment Outcome
medicine.anatomical_structure
Diverticular fistula
lcsh:Biology (General)
030220 oncology & carcinogenesis
Female
030211 gastroenterology & hepatology
business
lcsh:Q1-390
Subjects
Details
- ISSN :
- 17560500
- Volume :
- 13
- Database :
- OpenAIRE
- Journal :
- BMC Research Notes
- Accession number :
- edsair.doi.dedup.....c3d3435dbec510155a4ddb19e8927ba9