New technique of laparoscopic-assisted excision of a cholecystocolic fistula: Report of a case

Cholecystocolic fistula is a rare complication of gallstone disease that is most commonly diagnosed at the time of surgery. It is generally considered to be a contraindication to laparoscopic cholecystectomy because of the di fficulties involved in its management intraoperatively. Laparoscopic stapli ng or suturing techniques have been reported as feasible and safe methods f or repairing such fistulas; however, these procedures are not always able t o be performed due to technical difficulties. We exteriorized a cholecystoc olic fistula through an umbilical incision. whereby it was repaired safely and easily. This report describes our new technique for managing a cholecys tocolic fistula found incidentally during a laparoscopic cholecystectomy.