Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
CLINICAL STUDIES
Five cases of diverticulitis with colovesical fistula treated by laparoscopic surgery
Tomoyuki TAKABAJin MORIYAMATsuyoshi YOKOYAMAShuichiro MATOBAToshihito SAWADA
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2008 Volume 69 Issue 3 Pages 614-619

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Abstract
Diverticulitis of sigmoid colon with colovesical fistula is rare. Laparotomy was the standard surgery, but cases of laparoscopic surgery are reported in recent years. We experienced 5 cases of laparoscopic surgery for fistulized diverticulitis between 1998 and 2006. There was no conversion case to laparotomy. The mean operative time was 194 minutes. The mean hospital stay after surgery was 14.6 days. There was no mortality. Postoperative morbidity consisted of one ureterostenosis and one subcutaneous abscess. In our cases, the bladder wall required no sutures or staplings. Laparoscopic surgery is safe and could be carried out even for diveticulitis of sigmoid colon with colovesical fistula.
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© 2008 Japan Surgical Association
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