A Case of Gastrocolic Fistula Treated by Laparoscopic Fistulectomy and Omental Implantation

Takashi Sakurai, Shigeyuki Kawachi, Takaaki Yamamoto, So Inoue and Hideyuki Kawahara

Division of Surgery, Kawasaki Municipal Hospital Ida

Gastrocolic fistulas are rare complication. A 60-year-old male of this disease following gastroduodenal anastomosis was successfully treated by laparoscopic fistulectomy and omental implantation. Operative time was 4 hr 32 min, and blood loss was little. To recognize the fistula, the light of intraoperative gastrofiberscope was very useful. Omental implantation was technically easy, rare to make stenosis and not needed to take postoperative anti-acidic drugs. The postoperative period was uneventful, and now the patient is good condition without any medications. Although prior abdominal surgery has been felt to represent a relative contraindication to laparoscopic surgery, a laparoscopic approach to cases such as described here seems to be technically feasible and beneficial.

Key words
gastrocolic fistula, laparoscopic surgery, omental implantation

Reprint requests
Takashi Sakurai Division of Surgery, Kawasaki Municipal Hospital Ida, 2-27-1 ida, Nakahara-ku, Kawasaki-City, 211-0035 JAPAN

Accepted
December 22, 1999

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