Evidence map›Paper›PMID 24848529›Full record

SynthesisTechniques in coloproctology2014

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

R Cirocchi, G Cochetti, J Randolph, C Listorti, E Castellani, C Renzi, E Mearini, A Fingerhut

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Techniques in coloproctology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Guideline
  2. Laparoscopic approaches to complicated diverticulitis.Langenbeck's archives of surgery · 2018
    Pooled it
  3. Article
  4. Surgery for diverticular peritonitis.Frontiers in medicine · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Observational
  10. Perioperative Management of Patients with Colovesical Fistula.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019
    Article
  11. Article
  12. Laparoscopic Surgery for Diverticular Fistulas: Outcomes of 111 Consecutive Cases at a Single Institution.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019
    Article
  13. Article
  14. Article
  15. [Colovesical fistulas : An interdisciplinary challenge].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017
    Article
  16. Article
  17. Review
  18. Laparoscopic surgery of benign entero-vesical or entero-vaginal fistulae.International journal of colorectal disease · 2016
    Article
  19. Robotic conservative treatment for prostatourethrorectal fistula: original technique step by step.International braz j urol : official journal of the Brazilian Society of Urology
    Article
  20. Over 1-Year Followup of Laparoscopic Treatment of Enterovesical Fistula.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 4 countries.

R CirocchiDepartment of General and Oncologic Surgery, St. Maria Hospital, University of Perugia, Località Sant'Andrea delle Fratte, Via Gambuli n.1, 06156, Perugia, Italy.
G Cochetti
J Randolph
C Listorti
E Castellani
C Renzi
E Mearini
A Fingerhut
University of Perugia · ITMercer University · USNational and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

LaparoscopyAdultAnastomosis, SurgicalColectomyColonColon, SigmoidDiverticulitis, ColonicDiverticulumHumansIntestinal FistulaPostoperative ComplicationsRecurrenceTreatment OutcomeUrinary Bladder

Identifiers

PMID24848529
OpenAlexW2046742739

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.