Fístula colovesical secundaria a enfermedad diverticular: cirugía laparoscópica electiva

C, Octavio Castillo; Rodríguez-Carlin, A.; Campaña, Gonzalo; C., Alberto Pérez

doi:10.4067/s0718-40262012000300010

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…The most common cause of colovesical fistula is diverticular disease of the sigmoid colon (66-75% of cases). [3][4][5] The underlying mechanism is the direct extension of ruptured diverticulum or the erosion of a peridiverticular abscess into the bladder, and the mechanism by which colon cancer can take the bladder abscess from the tumor or infiltrate the bladder dome. Most patients (> 90%) with colovesical fistula usually present with recurrent urinary infections and dysuria.…”

Section: Discussionmentioning

confidence: 99%

“…(2,3) In any case, FCVs are observed in very advanced stages of neoplastic diseases. (4,5) This article presents a case of a patient whose initial manifestations of cancer of the colon turned out to be a colovesical fistula. As this is a rare entity in surgical practice and is an unusual manifestation of left colon cancer, we made this presentation.…”

Section: Introductionmentioning

confidence: 99%

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Colovesical fistula, as a manifestation of cancer of the left colon: case presentation

Rodríguez¹,

Duanes²

2022

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Colovesical fistulas are infrequent complications, being those of malignant origin unusual as etiology and often cause problems for their diagnosis. Objective: To present the case of a colovesical fistula of malignant origin which is unusual. Presentation of the case: a patient who entered our service with suspected colovesical fistula, because he had pain in the lower abdomen, pneumatoria and fecaluria, to corroborate said diagnosis by computed tomography, colon by enema with water-soluble contrast and cystography. Discussion: Colovesical fistulas are rare in medical practice, being this unusual as a manifestation of colon cancer. Conclusions: FCV should be suspected in all patients with pneumaturia, fecaluria, lower abdomen pain and palpable suprapubic tumor. Where cytoscopy, tomography and barium enema can give an etiological diagnosis in all cases.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Colovesical fistula, as a manifestation of cancer of the left colon: case presentation

Rodríguez¹,

Duanes²

2022

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“…13,14 These studies suggested that laparoscopic surgery is associated with lower surgical stress which translates into lower morbidity, reduced blood loss, less pain, and shorter length of stay. [15][16][17][18][19][20][21] It is a strong recommendation to perform elective minimally invasive colectomy for non-complicated diverticulitis. 7,8 Nevertheless, for the specific group of patients with CVF, there is no evidence to support laparoscopic over open surgery.…”

Section: Introductionmentioning

confidence: 99%

“…Multiple case series and cohort studies have reported the feasibility and safety of laparoscopic surgery in the treatment of CVF 13,14 . These studies suggested that laparoscopic surgery is associated with lower surgical stress which translates into lower morbidity, reduced blood loss, less pain, and shorter length of stay 15–21 …”

Section: Introductionmentioning

confidence: 99%

Open versus laparoscopic surgery for the treatment of diverticular colovesical fistulas: A systematic review and meta‐analysis

Trejo-Ávila

Vergara-Fernández

2021

ANZ Journal of Surgery

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Background: The aim of this study was to analyze the evidence regarding open versus laparoscopic surgery for the treatment of diverticular colovesical fistula (CVF) in terms of perioperative outcomes. Methods: A systematic review was performed using PubMed, Cochrane, Google Scholar, and Web of Science databases for studies comparing laparoscopic versus open surgery for CVF. We pooled odds ratios (OR) and mean differences (MD) using random or fixed effects models.Results: Five non-randomized studies with 227 patients met the inclusion criteria. All were retrospective studies, published between 2014 and 2020. For laparoscopic surgery, the pooled rate for conversion to laparotomy was 36%. Laparoscopic and open procedures required similar operative time (MD: À11.62; 95% confidence interval [CI]: À51.41 to 28.16). No difference was found in terms of stoma rates between laparoscopic and open surgery (OR: 1.12; 95% CI 0.44-2.86). Overall, the rate of total postoperative complications was lower in the laparoscopic group (OR: 0.55; 95% CI: 0.30-0.99). The pooled analysis showed equivalent rates of anastomotic leaks (OR: 0.61; 95% CI 0.15-2.45), surgical site infections (OR: 0.44; 95% CI 0.19-1.01), and mortality (OR: 0.18; 95% CI 0.03-1.15). The length of stay was significantly reduced with laparoscopic surgery (MD: À2.89; 95% CI À4.20 to À1.58). Conclusion: Among patients with CVF, the laparoscopic approach appears to have shorter hospital length of stay, with no differences in anastomotic leaks, surgical site infections, stoma rates, and mortality, when compared with open surgery.

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Laparoscopic treatment of colovesical fistulas due to complicated colonic diverticular disease: a systematic review

et al. 2014

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Colovesical fistulas originating from complicated sigmoid diverticular disease are rare. The primary aim of this review was to evaluate the role of laparoscopic surgery in the treatment of this complication. The secondary aim was to determine the best surgical treatment for this disease. A systematic search was conducted for studies published between 1992 and 2012 in PubMed, the Cochrane Register of Controlled Clinical Trials, Scopus, and Publish or Perish. Studies enrolling adults undergoing fully laparoscopic, laparoscopic-assisted, or hand-assisted laparoscopic surgery for colovesical fistula secondary to complicated sigmoid diverticular disease were considered. Data extracted concerned the surgical technique, intraoperative outcomes, and postoperative outcomes based on the Cochrane Consumers and Communication Review Group's template. Descriptive statistics were reported according to the PRISMA statement. In all, 202 patients from 25 studies were included in this review. The standard treatment was laparoscopic colonic resection and primary anastomosis or temporary colostomy with or without resection of the bladder wall. Operative time ranged from 150 to 321 min. It was not possible to evaluate the conversion rate to open surgery because colovesical fistulas were not distinguished from other types of enteric fistulas in most of the studies. One anastomotic leak after bowel anastomosis was reported. There was zero mortality. Few studies conducted follow-up longer than 12 months. One patient required two reoperations. Laparoscopic treatment of colovesical fistulas secondary to sigmoid diverticular disease appears to be a feasible and safe approach. However, further studies are needed to establish whether laparoscopy is preferable to other surgical approaches.

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Fístula colovesical secundaria a enfermedad diverticular: cirugía laparoscópica electiva

Cited by 4 publications

References 10 publications

Colovesical fistula, as a manifestation of cancer of the left colon: case presentation

Colovesical fistula, as a manifestation of cancer of the left colon: case presentation

Open versus laparoscopic surgery for the treatment of diverticular colovesical fistulas: A systematic review and meta‐analysis

Laparoscopic treatment of colovesical fistulas due to complicated colonic diverticular disease: a systematic review

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