• Spontaneous cholecystocholedochal fistulas are a rare but serious complication of calculous biliary tract disease. An effective repair technique that has good long-term results is to close the defect in the common duct wall by utilizing the proximal part of the gallbladder as a pedicled graft. A T-tube drain inserted into the common duct should be maintained postoperatively until there is firm evidence of free passage of bile into the duodenum.
(Arch Surg 111:197-199, 1976)
Chourdakis CN, Androulakakis PA, Lekakos NL. Repair of Cholecystocholedochal Fistulas Using Gallbladder Patching. Arch Surg. 1976;111(2):197–199. doi:10.1001/archsurg.1976.01360200103022
Surgery in JAMA: Read the Latest
Customize your JAMA Network experience by selecting one or more topics from the list below.