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Surgical interventions are required for Enterocutaneous fistula (ECF) which fails to resolve after a period of conservative management. However, surgery in this situation is usually difficult and hazardous as most of these patients have already undergone multiple surgical procedures. Furthermore, it may lead to inadvertent bowel injury during the mobilization. Possibility of laparoscopic-assisted surgery for ECF had been explored and reported in the literature as an alternative to overcome the above complications. In this study, we describe our initial experience with laparoscopicassisted ECF repair surgery.

Laparoscopic approach to surgical management of enterocutaneous fistula