Clinical Study of 5 Cases of Colon Diverticulitis with Colovesical Fistula Treated Laparoscopically
We report 5 cases of colovesical fistula from diverticulitis treated in laparoscopic surgery. All subjects were men of a mean age of 60.0 years and chiefly reported pneumaturia and cloudy urine. Urinary bladder air in computed tomography (CT) is useful in a definitive diagnosis, but barium enema and...
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| Published in | The Japanese Journal of Gastroenterological Surgery Vol. 44; no. 4; pp. 468 - 473 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japanese Society of Gastroenterological Surgery
2011
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0386-9768 1348-9372 |
| DOI | 10.5833/jjgs.44.468 |
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| Abstract | We report 5 cases of colovesical fistula from diverticulitis treated in laparoscopic surgery. All subjects were men of a mean age of 60.0 years and chiefly reported pneumaturia and cloudy urine. Urinary bladder air in computed tomography (CT) is useful in a definitive diagnosis, but barium enema and colonoscopy are not. All subjects underwent laparoscopic fistula separation and sigmoidectomy. No additional urinary bladder procedure was required. A covering ileostomy was added in one case. Average operating time was 280 minutes (4.67 hours), intraoperative blood loss was 43g, and urinary drainage took 7 days and postoperative hospital stay 10-11 days, except in 1 case. No mortality was seen, although 1 case of anastomotic colon leakage occurred. No malignancy was seen at the fistula pathologically. Laparoscopic surgery for colovesical fistula from diverticulitis not requiring lymph node dissection is feasible, less invasive, and more beneficial to subjects than other approaches. |
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| AbstractList | We report 5 cases of colovesical fistula from diverticulitis treated in laparoscopic surgery. All subjects were men of a mean age of 60.0 years and chiefly reported pneumaturia and cloudy urine. Urinary bladder air in computed tomography (CT) is useful in a definitive diagnosis, but barium enema and colonoscopy are not. All subjects underwent laparoscopic fistula separation and sigmoidectomy. No additional urinary bladder procedure was required. A covering ileostomy was added in one case. Average operating time was 280 minutes (4.67 hours), intraoperative blood loss was 43g, and urinary drainage took 7 days and postoperative hospital stay 10-11 days, except in 1 case. No mortality was seen, although 1 case of anastomotic colon leakage occurred. No malignancy was seen at the fistula pathologically. Laparoscopic surgery for colovesical fistula from diverticulitis not requiring lymph node dissection is feasible, less invasive, and more beneficial to subjects than other approaches. |
| Author | Hayashi, Kohji Yamane, Takaaki Hirata, Toshihiko Nakasima, Masayuki Kimura, Yu Tanaka, Eiji Yamada, Kenji Yokomizo, Hiroshi |
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| References | 4) Stallman N, Raskin JB. Diverticular disease of the colon. Lancet 2004;363:631-9. 26) Lu CT, Ho YH. Elective laparoscopic surgical management of recurrent and complicated sigmoid diverticulitis. Tech Coloproctol 2008;12:201-6. 25) Zapletal C, Woeste G, Bechstein WO, Wullstein C. Laparoscopic sigmoid resections for diverticulitis complicated by abscesses or fistulas. Int J Colorectal Dis 2007;22:1515-21. 1) Miura S, Kodaira S, Shatari T, Nishioka M, Hosoda Y, Hisa K. Recent trends in diverticulosis of the right colon in Japan; Retrospective review in a regional hospital. Dis colon Rectum 2000;43:1383-9. 23) Nguyen SQ, Divino CM, Vine A, Reiner M, Katz LB, Salky B. Laparoscopic surgery for diverticular disease complicated by fistulae. JSLS 2006;10:166-8. 8) 林哲太郎，田辺徹行，森山浩之，中原雅浩，下村 学，高倉有二ほか．腹腔鏡下手術を行ったS状結腸膀胱瘻の1例．泌尿器外科 2004;17:421-4. 18) Poulin EC, Schlachta CM, Mamazza J, Seshadri PA. Should enteric fistulas from Crohn's disease or diverticulitis be treated laparoscopically or by open surgery? A matched cohort study. Dis Colon Rectum 2000;43:621-6. 7) Bartus CM, Lipof T, Sarwar CM, Vignati PV, Johnson KH, Sardella WV, et al. Colovesical fistula: not a contraindication to elective laparoscopic colectomy. Dis Colon Rectum 2005;48:233-6. 12) Hewett PJ, Stitz R. The treatment of internal fistulae that complicate diverticular disease of the sigmoid colon by laparoscopically assisted colectomy. Surg Endosc 1995;9:411-3. 10) 鷹羽智之，森山 仁，横山 剛，的場周一郎，澤田壽仁．腹腔鏡下手術を施行した結腸膀胱瘻を伴ったS状結腸憩室炎の5例．日本臨床外科学会雑誌 2008;69:614-9. 15) Lee SW, Yoo J, Dujovny N, Sonoda T, Milsom JW. Laparoscopic vs. hand-assisted laparoscopic sigmoidectomy for diverticulitis. Dis Colon Rectum 2006;49:464-9. 6) 浦川雅巳，花崎和弘，古澤徳彦，池野龍雄，宮本英雄，市川英幸．憩室炎に伴うS状結腸膀胱瘻の1例—本邦報告119例の検討—．消化器外科 2007;30:249-56. 11) Puente I, Sosa JL, Desai U, Sleeman D, Hartmann R. Laparoscopic treatment of colovesical fistulas: technique and report of two cases. Surg Laparosc Endosc 1994;4:157-60. 9) 西村 淳，河内保之，牧野成人，新国恵也，清水武昭．腹腔鏡下手術を行った結腸膀胱瘻を伴うS状結腸憩室炎の1例．日本臨床外科学会雑誌 2007;68:2553-7. 19) Menenakos E, Hahnloser D, Nassiopoulos K, Chanson C, Sinclair V, Petropoulos P. Laparoscopic surgery for fistulas that complicate diverticular disease. Langenbecks Arch Surg 2003;388:189-93. 14) Tsivian A, Kyzer S, Shtricker A, Benjamin S, Sidi AA. Laparoscopic treatment of colovesical fistulas: technique and review of the literature. International Journal of Urology 2006;13:664-7. 5) Najjar SF, Jamal MK, Savas JF, Miller TA. The spectrum of colovesical fistula and diagnostic paradigm. Am J Surg 2004;188:617-21. 16) Franklin ME Jr, Dorman JP, Jacobs M, Plasencia G. Is laparoscopic surgery applicable to complicated colonic diverticular disease? Surg Endosc 1997;11:1021-5. 3) Young-Fadok TM, Roberts PL, Spencer MP, Wolff BG. Colonic diverticular disease. Curr Probl Surg 2000;37:459-514. 13) Kockerling F, Schneider C, Reymond MA, Scheidbach H, Scheuerlein H, Konradt J, et al. Laparoscopic resection of sigmoid diverticulitis. Results of multicenter study. Surg Endosc 1999;13:567-71. 17) Joo JS, Agachan F, Wexner SD. Laparoscopic surgery for lower gastrointestinal fistulas. Surg Endosc 1997;11:116-8. 24) Engledow AH, Pakzad F, Ward NJ, Arulampalam T, Motson RW. Laparoscopic resection of diverticular fistulae: a 10-year experience. Colorectal Dis 2007;9:632-4. 2) Nakaji S, Danjo K, Munakata A, Sugawara K, MacAuley D, Kernohan G. Comparison of etiology of right-sided diverticula in Japan with that of left-sided diverticula in the West. Int J Colorectal Dis 2002;17:365-73. 20) Moorthy K, Shaul T, Foley RJ. The laparoscopic management of benign bowel fistulas. JSLS 2004;8:356-8. 21) Pokala N, Delaney CP, Brady KM, Senagore AJ. Elective laparoscopic surgery for benign internal enteric fistulas:a review of 43 cases. Surg Endosc 2005;19:222-5. 22) Laurent SR, Detroz B, Detry O, Degauque C, Honore P, Meurisse M. Laparoscopic sigmoidectomy for fistulized diverticulitis. Dis Colon Rectum 2005;48:148-52. |
| References_xml | – reference: 23) Nguyen SQ, Divino CM, Vine A, Reiner M, Katz LB, Salky B. Laparoscopic surgery for diverticular disease complicated by fistulae. JSLS 2006;10:166-8. – reference: 3) Young-Fadok TM, Roberts PL, Spencer MP, Wolff BG. Colonic diverticular disease. Curr Probl Surg 2000;37:459-514. – reference: 13) Kockerling F, Schneider C, Reymond MA, Scheidbach H, Scheuerlein H, Konradt J, et al. Laparoscopic resection of sigmoid diverticulitis. Results of multicenter study. Surg Endosc 1999;13:567-71. – reference: 2) Nakaji S, Danjo K, Munakata A, Sugawara K, MacAuley D, Kernohan G. Comparison of etiology of right-sided diverticula in Japan with that of left-sided diverticula in the West. Int J Colorectal Dis 2002;17:365-73. – reference: 19) Menenakos E, Hahnloser D, Nassiopoulos K, Chanson C, Sinclair V, Petropoulos P. Laparoscopic surgery for fistulas that complicate diverticular disease. Langenbecks Arch Surg 2003;388:189-93. – reference: 21) Pokala N, Delaney CP, Brady KM, Senagore AJ. Elective laparoscopic surgery for benign internal enteric fistulas:a review of 43 cases. Surg Endosc 2005;19:222-5. – reference: 6) 浦川雅巳，花崎和弘，古澤徳彦，池野龍雄，宮本英雄，市川英幸．憩室炎に伴うS状結腸膀胱瘻の1例—本邦報告119例の検討—．消化器外科 2007;30:249-56. – reference: 10) 鷹羽智之，森山 仁，横山 剛，的場周一郎，澤田壽仁．腹腔鏡下手術を施行した結腸膀胱瘻を伴ったS状結腸憩室炎の5例．日本臨床外科学会雑誌 2008;69:614-9. – reference: 24) Engledow AH, Pakzad F, Ward NJ, Arulampalam T, Motson RW. Laparoscopic resection of diverticular fistulae: a 10-year experience. Colorectal Dis 2007;9:632-4. – reference: 1) Miura S, Kodaira S, Shatari T, Nishioka M, Hosoda Y, Hisa K. Recent trends in diverticulosis of the right colon in Japan; Retrospective review in a regional hospital. Dis colon Rectum 2000;43:1383-9. – reference: 25) Zapletal C, Woeste G, Bechstein WO, Wullstein C. Laparoscopic sigmoid resections for diverticulitis complicated by abscesses or fistulas. Int J Colorectal Dis 2007;22:1515-21. – reference: 26) Lu CT, Ho YH. Elective laparoscopic surgical management of recurrent and complicated sigmoid diverticulitis. Tech Coloproctol 2008;12:201-6. – reference: 20) Moorthy K, Shaul T, Foley RJ. The laparoscopic management of benign bowel fistulas. JSLS 2004;8:356-8. – reference: 5) Najjar SF, Jamal MK, Savas JF, Miller TA. The spectrum of colovesical fistula and diagnostic paradigm. Am J Surg 2004;188:617-21. – reference: 12) Hewett PJ, Stitz R. The treatment of internal fistulae that complicate diverticular disease of the sigmoid colon by laparoscopically assisted colectomy. Surg Endosc 1995;9:411-3. – reference: 15) Lee SW, Yoo J, Dujovny N, Sonoda T, Milsom JW. Laparoscopic vs. hand-assisted laparoscopic sigmoidectomy for diverticulitis. Dis Colon Rectum 2006;49:464-9. – reference: 18) Poulin EC, Schlachta CM, Mamazza J, Seshadri PA. Should enteric fistulas from Crohn's disease or diverticulitis be treated laparoscopically or by open surgery? A matched cohort study. Dis Colon Rectum 2000;43:621-6. – reference: 11) Puente I, Sosa JL, Desai U, Sleeman D, Hartmann R. Laparoscopic treatment of colovesical fistulas: technique and report of two cases. Surg Laparosc Endosc 1994;4:157-60. – reference: 14) Tsivian A, Kyzer S, Shtricker A, Benjamin S, Sidi AA. Laparoscopic treatment of colovesical fistulas: technique and review of the literature. International Journal of Urology 2006;13:664-7. – reference: 16) Franklin ME Jr, Dorman JP, Jacobs M, Plasencia G. Is laparoscopic surgery applicable to complicated colonic diverticular disease? Surg Endosc 1997;11:1021-5. – reference: 7) Bartus CM, Lipof T, Sarwar CM, Vignati PV, Johnson KH, Sardella WV, et al. Colovesical fistula: not a contraindication to elective laparoscopic colectomy. Dis Colon Rectum 2005;48:233-6. – reference: 9) 西村 淳，河内保之，牧野成人，新国恵也，清水武昭．腹腔鏡下手術を行った結腸膀胱瘻を伴うS状結腸憩室炎の1例．日本臨床外科学会雑誌 2007;68:2553-7. – reference: 4) Stallman N, Raskin JB. Diverticular disease of the colon. Lancet 2004;363:631-9. – reference: 22) Laurent SR, Detroz B, Detry O, Degauque C, Honore P, Meurisse M. Laparoscopic sigmoidectomy for fistulized diverticulitis. Dis Colon Rectum 2005;48:148-52. – reference: 17) Joo JS, Agachan F, Wexner SD. Laparoscopic surgery for lower gastrointestinal fistulas. Surg Endosc 1997;11:116-8. – reference: 8) 林哲太郎，田辺徹行，森山浩之，中原雅浩，下村 学，高倉有二ほか．腹腔鏡下手術を行ったS状結腸膀胱瘻の1例．泌尿器外科 2004;17:421-4. |
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| Title | Clinical Study of 5 Cases of Colon Diverticulitis with Colovesical Fistula Treated Laparoscopically |
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