PDF(Pubmed)
Abstract：
Colovesical fistulas present a diagnostic and therapeutic challenge, commonly arising from complications of diverticular disease. In our case, a 71-year-old male with colovesical fistula symptoms underwent robotic-assisted surgery for complicated sigmoid diverticulitis. Intraoperatively, meticulous adhesiolysis and fistula repair were performed. Histopathology confirmed diverticular disease. Postoperatively, the patient recovered well. Colovesical fistulas may indicate underlying malignancy in diverticulitis. With a lack of standardized protocols, our case suggests that robotic-assisted surgery offers improved outcomes, better vision, and ergonomics. To conclude, robotic-assisted colovesical fistula repair and sigmoidectomy demonstrated excellent outcomes, suggesting a promising approach for enhanced postoperative recovery.
摘要：
结肠膀胱瘘提出了诊断和治疗挑战，通常由憩室病的并发症引起。在我们的案例中,1例71岁男性出现结肠膀胱瘘症状,接受机器人辅助手术治疗复杂乙状结肠憩室炎.术中,进行细致的粘连松解术和瘘管修复。组织病理学证实憩室病。术后,病人恢复得很好。结肠膀胱瘘可能表明憩室炎的潜在恶性肿瘤。由于缺乏标准化的协议，我们的案例表明，机器人辅助手术可以改善结果，更好的视野，和人体工程学。最后，机器人辅助结肠膀胱瘘修复和乙状结肠切除术显示出优异的效果，提出了一种有希望的方法来提高术后恢复。
