Laparoscopic bladder-preserving surgery for enterovesical fistula complicated with benign gastrointestinal disease.

ABSTRACT: Enterovesical fistula (EVF) is a relatively uncommon condition that is associated with severe morbidity. Minimally invasive and organ-preserving surgery should be performed in the case of EVF caused by benign diseases. We applied laparoscopic bladder-preserving surgery (LBPS) for EVF caused by benign gastrointestinal disease. Here, we report a surgical technique for LBPS. Patient and instrument port positioning are similar to those used in laparoscopic colorectal surgery. Dissection around the fistula is performed along the intestine as distant from the bladder as possible. If there is sufficient area around the intestinal portion of the fistula, it is isolated and resected using a linear stapler. If this approach is not possible, the intestinal fistula is sharply dissected as far away fro

SUBMITTER: Mizushima T 

PROVIDER: S-EPMC3376346 | biostudies-literature | 2012 May

REPOSITORIES: biostudies-literature