A case of Mirizzi syndrome that was successfully treated by laparoscopic choledochoplasty using a gallbladder patch

Abstract

The use of laparoscopic surgery in the treatment of Mirizzi syndrome is considered controversial due to the degree of technical difficulty. We herein describe the case of a 36-year-old woman who was admitted to our hospital due to appetite loss, nausea and back pain. Endoscopic retrograde cholangiography revealed a round-shaped filling defect at the confluence of the bile duct. The patient was diagnosed with Mirizzi syndrome Type II according to the Csendes classification. Before surgery, an endoscopic nasobiliary drainage tube was placed for intraoperative cholangiography. Based on the intraoperative findings, the anterior wall of Hartmann’s pouch was excised to remove the impacted gallstone. The neck portion of the gallbladder wall was then used to make a gallbladder patch, which was sutured to cover the anterior wall of the common hepatic bile duct. Laparoscopic choledochoplasty using a gallbladder patch was a technically feasible treatment for Mirizzi syndrome Type II.

The strategy for Mirizzi syndrome type II with laparoscopic surgery: A case report

“…ERBD tube replacement may thus be useful as a landmark of the common bile duct during surgery. If the ENBD tube could be easily replaced, intraoperative cholangiography would be more helpful for obtaining information on the passage of the bile duct and bile leakage [ 17 ].…”

“…5 b). Regarding Mirizzi syndrome type II, recent reports have shown the successful completion of laparoscopic surgery, including partial resection and choledochoplasty [ 12 , 17 ]. The surgical procedure should be determined based on the proficiency in laparoscopic surgery of each facility.…”

Biliary reconstruction with localized creation: One case report of repairing bile duct injury and defect with autografts

“…Ligamentum teres hepatis (LTH), also known as the round ligament of the liver, as well as the gallbladder flap, have been proposed as suitable autologous tissues for bile duct reconstruction due to their proximity to the biliary system and their potential for regeneration. Previous studies have shown promising results, indicating their viability for repairing bile duct injuries and defects [ [1] , [2] , [3] ].…”

Novel treatment for type III Mirizzi syndrome

“…Mirizzi syndrome (MS) is a rare but well‐described complication of cholelithiasis where an impacted stone in the cystic duct or gallbladder neck causes extrinsic compression of the common hepatic duct (CHD) resulting in obstructive jaundice . We present the case of a woman with type III MS repaired with a novel method of choledochoplasty.…”