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February 1976

Repair of Cholecystocholedochal Fistulas Using Gallbladder Patching

Author Affiliations

From the First Propaedeutic Surgical Unit, Athens University Medical School, Hippocration Hospital. Dr Androulakakis is now with the Department of Urology, Evangelismas Medical Center, Athens.

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)

Hess W:  Surgery of the Biliary Passages and Pancreas . New York, Van Nostrand Co Inc, 1965, pp 332-333.
Lasala A, Saporta J:  Biliobiliary fistula .  Arch Surg 80:486-488, 1960.Crossref
Behrend A, Cullen M:  Cholecysto-choledochal fistula .  Ann Surg 132:297-303, 1950.Crossref
Philippakis M, Apostolidis N, Androulakakis P, et al:  Use of the gallbladder neck in the reconstruction of the bifurcation of the main hepatic ducts .  Am Surg 41:103-105, 1975.
Sandblom P, Tabrizian M, Rigo M, et al:  Repair of common bile duct defects using the gallbladder or cystic duct as a pedicled graft .  Surg Gynecol Obstet 140:425-432, 1975.