Mirizzi's syndrome surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Please help WikiDoc by adding more content here. It’s easy! Click here to learn about editing.

• The treatment of choice in Mirizzi’s syndrome is surgical excision of the gallbladder and reconstruction of the common hepatic duct and common bile duct.
• Total cholecystectomy or subtotal cholecystectomy (in case of severe inflammation) is usually performed in Mirizzi’s syndrome Type I using open or laparoscopic surgical technique. ^[1]
• Partial/Subtotal cholecystectomy is done for Type II-Type III ^[2]
• Choledochol-enteric anastomosis may be required in some cases with fistula. ^[3]
• Cholecystectomy and Roux-en-Y hepaticojejunostomy (RYHJ) is thought to be the best treatment for Type IV. ^{[4] [5]}
• Laparotomy should be done for Type V Mirrizzi’s syndrome. ^[5]
• Laparoscopic techniques are usually reserved for Type I Mirizzi’s syndrome. It is avoided in other types due to increased risk of biliary injury from severe inflammation and anatomical distortion. ^[5]
• Endoscopy and robot-assisted surgery with or without electrohydraulic lithotripsy or laser lithotripsy are some of the other procedures that are being used. ^[5]