Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Mirizzi's syndrome surgery
Introduction
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Overview
Overview
Surgery
Surgery
- 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]
References
References
- ↑ Beltrán MA (September 2012). “Mirizzi syndrome: history, current knowledge and proposal of a simplified classification”. World J. Gastroenterol. 18 (34): 4639–50. doi:10.3748/wjg.v18.i34.4639. PMC 3442202. PMID 23002333.
- ↑ Cui Y, Liu Y, Li Z, Zhao E, Zhang H, Cui N (October 2012). “Appraisal of diagnosis and surgical approach for Mirizzi syndrome”. ANZ J Surg. 82 (10): 708–13. doi:10.1111/j.1445-2197.2012.06149.x. PMID 22901276.
- ↑ Chen H, Siwo EA, Khu M, Tian Y (January 2018). “Current trends in the management of Mirizzi Syndrome: A review of literature”. Medicine (Baltimore). 97 (4): e9691. doi:10.1097/MD.0000000000009691. PMC 5794376. PMID 29369192.
- ↑ Lledó JB, Barber SM, Ibañez JC, Torregrosa AG, Lopez-Andujar R (December 2014). “Update on the diagnosis and treatment of mirizzi syndrome in laparoscopic era: our experience in 7 years”. Surg Laparosc Endosc Percutan Tech. 24 (6): 495–501. doi:10.1097/SLE.0000000000000079. PMID 25462668.
- ↑ 5.0 5.1 5.2 5.3 Rayapudi K, Gholami P, Olyaee M (May 2013). “Mirizzi syndrome with endoscopic ultrasound image”. Case Rep Gastroenterol. 7 (2): 202–7. doi:10.1159/000351170. PMC 3670630. PMID 23741207.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]