A case of chronic cholecystitis with cholecystoduodenal fistula and cholecystocholedochal fistula treated by laparoscopic surgery Masashi NOZAWA 1 , Hidetoshi WADA 1 , Masanori SATO 1 , Takanobu ONODA 1 , Takahiro WATANABE 1 , Atsuko MATSUYAMA 1 1Department of General and Laparoscopic Surgery,Hamamatsu University School of Medicine Keyword: 腹腔鏡下胆囊摘出術 , 胆囊消化管瘻 , 胆囊胆管瘻 pp.483-490
Published Date 2016/7/15
DOI https://doi.org/10.11477/mf.4426200288
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 A 77-year-old woman was admitted to our hospital because of acute cholecystitis. We recommended cholecystectomy but she did not agree. We provided conservative treatment and she was discharged. However, we noticed a cholecystoduodenal fistula ninth month after the first treatment, and Mirizzi syndrome(Mcsherry typeⅡ) with cholecystocholedochal fistula in the eleventh month. We preoperatively underwent endoscopic nasobiliary drainage(ENBD) to perform cholangiography during the operation and to decompress the bile duct after the operation. We safely performed laparoscopic surgery in one stage. Laparoscopic surgery for cholecystoenteric fistula or Mirizzi syndrome is very difficult because of severe inflammation. We preoperatively evaluated the state of the gallbladder by ENBD. As a result, we were able to perform laparoscopic surgery safely.

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