Robot-Assisted Laparoscopic Repair of Spontaneous Appendicovesical Fistula

摘要

BACKGROUND: To report the first case of the spontaneous appendicovesical fistulas' (AVF) repair with robot assisted laparoscopy. CASE PRESENTATION: A 29-year-old male patient with urgent persistant bacteriuria and dysuria was referred to our clinic. Physical examination and blood tests were normal. He had used various antibiotics due to recurrent UTI for about 20 years. Computed tomography revealed the fistula tract between the distal end of the appendix and right lateral wall of the bladder dome. He was successfully treated with robot-assisted laparoscopic repair. Following this surgery, the patient's complaints were resolved completely. CONCLUSION: AVF is the rare condition. Robot-assisted laparoscopy repair of AVF is safe and effective treatment option.