What is the role of laparoscopic cholecystectomy in the treatment of cholecystoduodenal fistula?

Updated: Apr 16, 2020
  • Author: Danny A Sherwinter, MD; Chief Editor: Kurt E Roberts, MD  more...
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Patients with cholecystoduodenal fistula leading to gallstone ileus should undergo exploratory laparotomy and removal of the stone, followed by exploration of the remainder of the gastrointestinal tract for additional stones. The fistula may be addressed at the time of the initial procedure but is probably better addressed at a second operation 3-4 weeks later, after inflammation has subsided. [21]

Cholecystenteric fistula does not represent an absolute contraindication to laparoscopic surgery, though it does necessitate careful visualization of the anatomy and good laparoscopic suturing skills. [22]

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