Laparoscopic surgery for Mirizzi syndrome, a report of 14 cases

中华普通外科杂志 Pub Date : 2019-08-25 DOI:10.3760/CMA.J.ISSN.1007-631X.2019.08.010

Yan-Feng Song, Quan Jin, F. Qi

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Abstract

Objective To evaluate laparoscopic surgery for Mirizzi syndrome. Methods A retrospective study was carried out on 14 patients undergoing laparoscopic operation for Mirizzi syndrome from Feb. 2013 to Nov. 2018. There were 4 patients of type Ⅰ, 8 patients of type Ⅱ, 2 patients of type Ⅲ according to Csendes classification. Results Laparoscopic procedures were successfully completed in all patients. All 4 cases of typeⅠ received laparoscopic cholecystectomy. 4 patients of type Ⅱ were given laparoscopic cholecystectomy combined with primary suture of common bile duct; the other 4 patients of type Ⅱ underwent laparoscopic cholecystectomy plus T tube drainage. 2 patients of type Ⅲ were treated with laparoscopic partial-cholecystectomy combined with repair of the duct defect and T tube drainage. All the patients recovered uneventfully. The postoperative hospitalization time was 4 to 7 d, with an average of 5.5 d. There were no major postoperative complications. 14 patients were followed up for 1-8 months, and there was no biliary stricture and no stone recurrences. Conclusion For cases of typeⅠ, typeⅡ and type Ⅲ, laparoscopic surgery is a safe treatment. Key words: Mirizzi syndrome; Laparoscopes; Cholelithiasis

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腹腔镜手术治疗Mirizzi综合征14例报告

目的评价腹腔镜手术治疗Mirizzi综合征的疗效。方法对2013年2月至2018年11月14例Mirizzi综合征腹腔镜手术患者进行回顾性研究。按Csendes分类，Ⅰ型4例，Ⅱ型8例，Ⅲ型2例。结果所有患者均顺利完成腹腔镜手术。4例Ⅰ型患者均行腹腔镜胆囊切除术。4例Ⅱ型患者采用腹腔镜胆囊切除术并胆总管一期缝合；其余4例Ⅱ型患者行腹腔镜胆囊切除加T管引流术。2例Ⅲ型患者采用腹腔镜部分胆囊切除术，并结合修复胆管缺损和T管引流。所有病人都平安无事地康复了。术后住院时间4～7d，平均5.5d，无重大术后并发症。14例患者随访1-8个月，无胆管狭窄，无结石复发。结论对于Ⅰ型、Ⅱ型和Ⅲ型患者，腹腔镜手术是一种安全的治疗方法。关键词：Mirizzi综合征；腹腔镜；胆结石

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中华普通外科杂志

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