ERCP, laparoscopy and choledochoscopy for Mirizzi syndrome

VernacularTitle:内窥镜逆行性胰胆管造影联合腹腔镜及胆道镜治疗Mirizzi综合征
Author: Bo LI ; Xun LI ; Wence ZHOU ; Mingyan HE ; Wenbo MENG ; Lei ZHANG
Publication Type:Journal Article
Keywords: Common bile duct diseases; Cholangiopancreatography,endoscopic retrograde; Cholecystectomy,laparoscopic; Mirizzi syndrome
From: Chinese Journal of General Surgery 2012;27(5):381-383
CountryChina
Language:Chinese
Abstract: ObjectiveTo investigate the treatment of Mirizzi syndrome (MS) by ERCP、laparoscopy and choledochoscopy. MethodsIn this study 12 cases were confirmed intraoperatively as with MS from July 2005 to June 2009. Patients were treated by ERCP,laparoscopy and choledochoscopy according to the Csendes Classification. ResultThere were 7 MS patients complicating common bile duct stones among all 12 MS cases.There were 8 cases of Type Ⅰ Csendes MS,3 cases of Type Ⅱ and 1case of Type Ⅲ.11cases were treated by the ERCP、laparoscopy and choledochoscope.4 cases was treated by primary closure of common bile duct in laparoscopy,all the patients were cured.The case of type Ⅲ with T tube placed for stone caused bile duct injury had no stricture of the common bile duct as demonstrated by postoperative follow-up cholangiography.ConclusionsERCP,laparoscopy and choledochoscopy are effective for the treatment of Mirizzi syndrome.