BACKGROUND: @entity292 ( @entity292 ) is a rare complication of @entity2963 . The aim of this study was to evaluate the safety and risk of complications when the laparoscopic approach is applied in @entity1 with @entity292 . METHODS: A questionnaire was mailed to all surgeons with experience of >100 cholecystectomies working in Naples, Italy, and the neighboring area. RESULTS: Between February 1990 and May 1999, 34 @entity1 presented with @entity292 (0.2% of >15,000 laparoscopic cholecystectomies performed in the same period). These @entity1 were allocated into two groups: the LT group (those who underwent laparotomic conversion after the diagnosis of @entity292 ), which consisted of 20 @entity1 , four @entity1 and 16 @entity1 , with a mean age of 66.5 +/- 9.3 years (range, 46-85) and the @entity8433 group (laparoscopically treated @entity1 ), which consisted of 14 @entity1 , three @entity1 and 11 @entity1 , with a mean age of 65.6 +/- 8.8 years (range, 51-74). They types of @entity292 observed were as follows: in the former group of @entity1 , @entity4570 (n = 11, 55%), cholecystocolic @entity292 (n = 5, 25%), @entity292 (n = 3, 15%), and @entity292 (n = 1, 5%); in the latter group, @entity4570 (n = 8, 5.1%), and cholecystocolic @entity292 (n = 4, 28.6) and @entity292 (n = 2, 14.3%). Stapler closure of @entity292 was done in four LT @entity1 and three @entity8433 @entity1 with @entity4570 ; it was also done in three LT @entity1 and three @entity8433 @entity1 with @entity292 . Hand-sutured fistulectomy was performed in six LT @entity1 and three @entity8433 @entity1 with @entity4570 , in two LT @entity1 with @entity292 , and in all @entity1 with @entity292 . There were no deaths or intraoperative complications in either group. One @entity1 in the LT group developed a @entity3127 postoperatively. Postoperative hospital stay was significantly longer in LT @entity1 -17 +/- 4 vs 3+/-1 days (p < 0.001). CONCLUSION: @entity292 is an occasional intraoperative finding during laparoscopic cholecystectomy. The results of this study, which are based on the collective experiences of 19 surgeons, illustrate the growing success of the laparoscopic approach to this condition, including a decreasing rate of conversion to open surgery over the last 3 years.

@entity292 ( XXXX ) is not a contraindication for laparoscopic surgery.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'men'] @entity8433 :: ('MESH:D007888', 'Disease') :: ['LS'] @entity2963 :: ('MESH:D002769', 'Disease') :: ['cholelithiasis'] @entity292 :: ('MESH:D005402', 'Disease') :: ['cholecystoenteric fistula', 'fistulas', 'cholecystogastric fistulas', 'cholecystocolic fistula', 'cholecystojejunal fistulas', 'CF', 'cholecystojejunal or cholecystogastric fistula', 'Cholecystoenteric fistula'] @entity3127 :: ('MESH:D001996', 'Disease') :: ['bronchopneumonia'] @entity4570 :: ('MESH:D007412', 'Disease') :: ['cholecystoduodenal fistula', 'cholecystoduodenal fistulas']
@entity292 :: (MESH:D005402,Disease) :: ['CF']
