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February 1976

Repair of Cholecystocholedochal Fistulas Using Gallbladder Patching

Arch Surg. 1976;111(2):197-199. doi:10.1001/archsurg.1976.01360200103022

• 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)