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Sanjeev Kumar Sareen
DISCUSSION 4. Azra Latic, Ferid Lati, Mirela Delibegovic, Josip Samardzic,
Darko Kraljik, Samir Delibegovic. Successful laparoscopic
After introduction of laparoscopy cholecystectomy in late treatment of cholecystoduodenal fistula. Med Arh 2010;64(6):
decade of 1980, the field of general surgery was 379-80.
revolutionized. Many articles about successful laparoscopic 5. Moreno Ruiz FJ, del Rey Moreno A, Suescun García RM,
repair of CCDF have been written. It was found that Martínez Ferriz JA, Hidalgo Garrido JM, Espadas Padial B,
laparoscopy has many benefits to patients’ life—less pain, et al. Treatment of cholecystoduodenal fistula in the era of
laparoscopy Rev Esp. Enferm Dig Nov 2001;93(11):715-20.
less blood loss during operation decrease hospital stay, 6. Al_Rashedy ME, Issa P Ballester, et al. Impending
morbidity, earlier return to normal activities and cosmesis. cholecystoduodenal fistula as a cause for an usually sited bleeding
After review, many articles about cholecystoduodenal fistula duodenal ulcer. The Internet Journal of Surgery 2005;7(1).
and risk factor of injuries and their proper management and 7. Sharma A, Sullivan M, English R. Laparoscopic repair of
long-term better effect on quality of life. It is a good option cholecystoduodenal fistulae. Surg Laparosc Endos Dec
1994;(6):433-35.
for treatment of symptomatic gallstone disease, complicated 8. Cooper (1987), Kasano (1997), Romano (1997), Farman (1998)
gall bladder diseases and cholecystoduodenal fistula. With et al. Diagnosis of biliary fistula and gallstone ileus.
more experience and improved techniques, most of these 9. Laws HL. The difficult cholecystectomy: Problems during
cases could be performed laparoscopically, with all of the dissection and extraction. Semin Laparosc Surg June 1998;5(2):
81-91.
4
advantages of minimally invasive surgery. The 10. Scott D Crouch, Mark Kuhnke. Journal of Laparoscopic and
Cholecystoenteric/Cholecystoduodenal fistula is a difficult Advanced Surgical Techniques August 2000;10(4):223-26.
problem usually diagnosed intraoperatively. A high degree 11. Chikamori F, Okumiya K, et al. Laparoscopic cholecysto-
of suspicion at operation is mandatory. A stapled fistulectomy for preoperatively diagnosed cholecystoduodenal
fistula. J Gastroenterol 2001;36(2):125-28.
cholecystofistulectomy may be the procedure of choice, 12. Pradeep K Chowbey, Samik K Bandyopadhyay, Anil Sharma,
since it avoids contamination of the peritoneal cavity. Rajesh Khullar, Vandana Soni, Manish Baijal. Journal of
Complete laparoscopic management of cholecystoenteric/ Laparoendoscopic and Advanced Surgical Techniques Oct.
cholecystoduodenal fistula is possible in well-equipped 2006;16(5):467-72.
centers. 12 13. Maciej Stachowiak. Coexistence of two cholecystoduodenal
fistulas with common bile duct stones in a patient without
CONCLUSION AND RECOMMENDATION jaundice. Polish Nov. 2007;79(11).
14. El Dhuwaib Y, bAmmori BJ. Staged and complete laparoscopic
Laparoscopic surgery has become the standard care for management of cholelithiasis in a patient with gallstone ileus and
the cases of benign gallbladder diseases. Cholecystoduodenal bile duct calculi. Surg Endosc June 2003;17(6):988-89.
fistula can no longer be considered a contraindication for 15. Oka M, Yoshimoto Y, Ueno T, Yoshimura K, Maeda Y,
laparoscopic treatment, and it does not increase morbidity A Tangoku. Surgical laparoscopy, endoscopy and percutaneous
techniques 01/07/1999; 9(3):213-6. ISSN: 1530-4515.
risk. The cholecystoduodenal fistula does not preclude a 16. Tae Hoon Lee, et al. Spontaneous choledhoduodenal fistula after
laparoscopic approach. With more and more endeavors metallic stent placement in the patient of ampulla of vater
being made in the field of laparoscopy, more and more carcinoma, cheonan hospital, korea. Gut and Liver Dec 2009;3(4):
360-63.
complicated cases which were relatively contraindicated a 17. Rosin D, Portnoy O, Stanewsky A, Bar Zakai B, Yanko-
few years ago are now being tackled laparoscopically. We Arazi R, Kuriansky Y, Shabtai M, Avalon A. The laparoscopic
feel that laparoscopic repair is a safe and effective approach treatment of gallstone ileus. Department of General Surgery and
in the hands of surgeons with significant laparoscopic Transplantation, F. Sheba Medical Center, Tel Hashomer
experience. Harefuah Mar 2003;142(3):176-78, 239.
18. Collet D, Edy M, et al. Conversion and complications of
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