Laparoscopic repair of common hepatic duct defect caused by Mirizzi syndrome
- VernacularTitle:腹腔镜修复Mirizzi综合征所致的肝总管缺损
- Author:
Hongliang SHEN
;
Lei LU
;
Xiangmin ZHEN
;
Daozhen JIANG
;
Ming QIU
- Publication Type:Journal Article
- Keywords:
Lapatoscopas;
Cystic duct;
Mirizzi syndrome;
Hepatic duct,common;
Repair
- From:
Chinese Journal of General Surgery
2008;23(9):657-659
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the repot of common hepatic duct defect caused by Type Ⅱ or Type Ⅲ Mirizzi syndrome laparoscopically.Methods Eight cases of Type Ⅱ or Type Ⅲ Mirizzi syndrome treated under laparoscopy were analyzed retrospectively.Among them six cases were identified as Mirizzi Ⅱ and a defect on the lateral wall of common hepatic duct was found and repmred by suturing the stubble of cystic duct.The two Mirizzi Ⅲ cases had a defect on front and lateral wall or back and lateral wall of common hepatic duct respectively.Both defects were repaired by a patch from the infundibulum of galllbladder. Results All the 8 cases underwent laparoscopic subtotal cholecystectomy followed by repair of common hepatic duct defect.The operation lasted for 80～150 min(mean 110 min).There was no recurrence of the symptoms after 6～24 months follow up.Conclusion The familiarity of the anatomical characters of Mirizzi syndrome and the skillful suture technique under laparoscopy are both necessary.
