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J Minim Access Surg. 2018 Jun 27. doi: 10.4103/jmas.JMAS_88_18. [Epub ahead of print]

Laparoscopic two-stage procedure for gallstone ileus.

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Department of Surgery, Kariya Toyota General Hospital, Aichi, Kariya, Japan.


Gallstone is a rare cause of bowel obstruction and is associated with high rates of morbidity and mortality. Here, we report a case of gallstone ileus treated by laparoscopic two-stage procedure. A 65-year-old man, without a history of any surgery, presented to our hospital with abdominal pain and vomiting. His abdominal computed tomography revealed gallstone ileus with cholecystoduodenal fistula. Then, enterolithotomy was performed as an emergency laparoscopic surgery. After 1 year of the surgery, a second laparoscopic procedure was performed for cholecystectomy and fistula closure. The patient was discharged on the 7th postoperative day. Laparoscopic two-stage procedure is a safe and an efficient approach for the management of gallstone ileus. This definitive treatment is minimally invasive, thereby suitable for treating elderly patients.


Gallstone ileus; laparoscopic surgery; two-stage procedure

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