Laparoscopic and endoscopic cooperative surgery with supine position under general anesthesia in the operation of type Ⅰ Mirizzi syndrome with choledocholithiasis
10.3760/cma.j.cn113855-20200306-00160
- VernacularTitle:全麻仰卧位下同步双镜联合在Ⅰ型Mirizzi综合征并胆总管结石手术中的应用价值
- Author:
Zhitang GUO
1
;
Dong WEI
;
Weisi LI
;
Ning XU
;
Zhangbin CHEN
;
Yishang TENG
;
Min SUN
;
Zhitian SHI
;
Zhengchen YE
;
Yu ZHAO
;
Wen LI
;
Lin WANG
;
Jiayun GE
Author Information
1. 昆明医科大学第二附属医院肝胆胰外科 650101
- From:
Chinese Journal of General Surgery
2020;35(9):681-684
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the value of laparoscopic and endoscopic cooperative surgery with the patient lying on supine position under general anesthesia in the operation of type I Mirizzi syndrome with choledocholithiasis.Methods:From Jan 2018 to Jan 2020, 53 cases of Mirizzi syndrome with choledocholithiasis undergoing laparoscopic and endoscopic cooperative surgery (preLC+ ERCP+ EST) at the Second Affiliated Hospital of Kunming Medical University were retrospectively analyzed.Results:53 patients successfully underwent LC without conversion to open surgery, and 2 patients failed in ERCP + EST attempt, with a success rate of 96.2%. One patient developed pancreas pseudocyst as a result of post-operative hemorrhagic necrotizing pancreatitis. Two patients suffered from chronic pancreatitis. Three patients complaining postoperative upper abdominal discomfort were finally diagnosed as stump cystic duct inflammation by MRCP, and no abnormalities were found in the follow-up of the remaining cases.Conclusion:Laparoscopic and endoscopic cooperative surgery in the treatment of patients with type I Mirizzi syndrome combined with choledocholithiasis is minimally invasive and effective.
