ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2019
Laparoscopic Surgery for Diverticular Fistulas: Outcomes of 111 Consecutive Cases at a Single Institution.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 43 citations in OpenAlex.
- Unforeseen consequence of colovesical fistula in diverticulitis presenting as septic cellulitis: A case report.World journal of methodology · 2026Article
- Article
- Laparoscopic Resection of a Colovesical Fistula Secondary to Diverticulitis Using Near-Infrared Fluorescent Ureteral Catheters.Surgical case reports · 2026Article
- Comparison of Open Versus Minimally Invasive Repair of Colovesical Fistula: A Case Report and Propensity-Matched National Database Analysis.Journal of clinical medicine · 2025Article
- Foreign body-induced Colovesical fistula: A case report.International journal of surgery case reports · 2025Article
- Diverticular disease complicated by colovesical and colovaginal fistulas: not so complex robotically.Surgical endoscopy · 2025Article
- Fistulating diverticulitis: a distinct clinical entity?Frontiers in medicine · 2025Review
- Enhancing radiologist's detection: an imaging-based grading system for differentiating Crohn's disease from ulcerative colitis.BMC medicine · 2024Article
- Colo-salpingeal fistula: a rare gynecologic manifestation of diverticular disease.Archives of gynecology and obstetrics · 2024Review
- A case report of a colouterine fistula treatment: when the patient chooses the steeplechase.Annals of coloproctology · 2023Article
- Colovesical Fistula due to Sigmoid Diverticulitis.Case reports in surgery · 2023Article
- Colovesical Fistula: A 28 year experience at a major United States Department of Veterans Affairs Medical Center.Surgery in practice and science · 2022Article
- Short Term Outcomes of Open and Minimally Invasive Approaches to Segmental Colectomy for Benign Colovesical Fistula.Surgery research and practice · 2022Article
- [Recommendations for treatment of diverticular disease].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Review
- Surgical management of colovesical fistulas.Techniques in coloproctology · 2020Article
- Laparoscopic surgery for diverticular colovesical fistula: single-center experience of 11 cases.BMC research notes · 2020Observational
- Combined laparoscopic and cystoscopic surgery for colovesical fistula due to colonic diverticulitis.Techniques in coloproctology · 2019Article
- Robotic Management of Diverticular Colovaginal and Colovesical Fistulas.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study was to review our experience with laparoscopic colectomy and fistula resection, evaluate the frequency of conversion to open, and to compare the perioperative courses of the complete laparoscopic and conversion groups.
methodsThis study is a retrospective analysis of 111 consecutive adult patients with diverticular fistulae diagnosed clinically or radiographically over 11 years at a single institution. Five patients were excluded for preoperative comorbidities. The remaining 106 consecutive patients underwent minimally invasive sigmoid colectomy with primary anastomosis. Preoperative, intraoperative, and postoperative variables were collected from the colorectal surgery service database. A retrospective cohort analysis was performed between laparoscopic and converted groups.
resultsWithin the group, 47% had colovesical fistulas, followed by colovaginal, coloenteric, colocutaneous, and colocolonic fistulas. The overall conversion rate to laparotomy was 34.7% (n = 37). The most common reason for conversion was dense fibrosis. Mean operative time was similar between groups. Combined postoperative complications occurred in 26.4% of patients (21.4% laparoscopic and 37.8% converted, p = 0.075). Length of stay was significantly shorter in the laparoscopic group (5.8 vs 8.1 days, p = 0.014). There were two anastomotic leaks, both in the open group. There were no 30-day mortalities.
conclusionsLaparoscopic sigmoid colectomy for diverticular fistula is safe, with complication rates comparable to open sigmoid resection. We identify a conversion rate which allows the majority of patients to benefit from minimally invasive procedures.
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