Appraisal of diagnosis and surgical approach for <scp>M</scp>irizzi syndrome

Y, Cui; Liu, Yong; Li, Zhong‐Lian; Zhao, Erpeng; Zhang, Hongtao; Cui, Naiqiang

doi:10.1111/j.1445-2197.2012.06149.x

Cited by 48 publications

(89 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, it is important to have the MS in the differential diagnosis of obstructive jaundice. 11 In the literature, the idea that the majority of patients present pain in the epigastric or right upper quadrant (60% to 100%), jaundice (50% to 100%), and elevated liver enzymes 10 is reinforced. In our series the most common finding was mucocutaneous jaundice (82.8%), most frequent than abdominal pain (Table 1).…”

Section: Discussionmentioning

confidence: 98%

“…12 The mean presentation age of MS is high compared with the rest of analyzed series. [9][10][11][12][13] It is noteworthy that in recent years we are experiencing an increase of numbers of cholecystectomy in older patients with gallstones, because of increased life expectancy. This situation, combined with the characteristics of patients who come to our reference unit, may justify our series.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Update on the Diagnosis and Treatment of Mirizzi Syndrome in Laparoscopic Era

Bueno-Lledó

Barber

Ibañez

et al. 2014

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

Preoperative diagnosis of MS is difficult, but it is essential in the proper management of the disease. Investigations as magnetic cholangiography resonance and endoscopic retrograde cholangiopancreatogram contribute to the success of preoperative identification. LC should be reserved to MS type I and type II highly selected cases. This pathology should be treated by experienced surgeons to decrease the risk of iatrogenia.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Update on the Diagnosis and Treatment of Mirizzi Syndrome in Laparoscopic Era

Bueno-Lledó

Barber

Ibañez

et al. 2014

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

show abstract

“…The main challenge in management of MS is in attaining an accurate pre-operative diagnosis. Multiple studies have studied the rates of pre-operative diagnosis of MS based on the classification proposed by Csendes et al [2] with highly variable rates of accurate pre-operative imaging diagnosis ranging from 8 to 82% [3, 9-11]. …”

Section: Discussionmentioning

confidence: 99%

“…The sensitivity of ERCP, on the other hand, was lower at 65.9%. However, it remains a valuable adjunct because it allows delineation of the level and extent of biliary obstruction, as well as closer evaluation of ductal abnormalities, including fistulae [9]. Furthermore, ERCP allows the application of sphincterotomies or biliary stent insertion.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Review of the Diagnostic and Management Challenges of Mirizzi Syndrome at the Singapore General Hospital

et al. 2017

View full text Add to dashboard Cite

Background: Mirizzi syndrome (MS) occurs when gallstone impaction in Hartmann’s pouch results in extrinsic obstruction of the common bile duct, and fistulation may occur. Methods: We retrospectively reviewed electronic records of patients surgically treated for MS from November 2001 to June 2012. Patient presentations, diagnostic methods, treatments and complications were recorded. Results: Sixty-four patients were grouped according to a classification proposed by Beltran et al. [World J Surg 2008; 32: 2237–2243]. Forty-three (66.2%), 18 (27.7%) and 3 (4.6%) patients were classified as types I, II, and III respectively. Magnetic-resonance-cholangiopancreaticography was the most sensitive imaging modality, suggesting MS in 24 (88.9%), followed by CT scan (40%) and ultrasonography (11.4%). Forty-four underwent Endoscopic-retrograde-cholangiopancreaticography and 29 (65.9%) suggested the presence of MS. MS was accurately diagnosed pre-operatively in 48 (73.8%) patients. In type I, 40 (93.0%) patients underwent cholecystectomy, while 3 required hepaticojejunostomy. In type II, 12 (66.7%) underwent cholecystectomy and 5 (27.8%) required hepatico-enteric anastomosis. In type III, 1 underwent cholecystectomy and 2 (66.7%) required hepatico-enteric anastomosis. Laparoscopic cholecystectomy was attempted in 20 (30.8%) patients and 13 (65.0%) required conversion. Twenty-nine (44.6%) underwent intra-operative-cholangioscopy, 30 (46.2%) underwent intra-operative-cholangiogram and 41 (63.1%) underwent intra-operative T-tube placement. Six (9.2%) experienced intra-operative complications, 12 (18.5%) experienced post-operative complications and 10 (15.4%) experienced late complications. Conclusion: MS is a challenging condition and multimodal diagnostic approach has the greatest yield in achieving accurate pre-operative diagnosis. If suspicion is high, a trial of laparoscopic dissection with low threshold for open conversion is recommended.

show abstract

“…The management was according to the stage of Mirizzi's syndrome: leaving a part of gallbladder infundibulum adherent to the bile duct after excision of its mucosa, or closing the fistula opening by using two flaps of the wall of gallbladder on both sides of the fistula after destruction or excision of mucosa, with inserting a Ttube through the bile duct. In previous studies, open operations for Mirizzi's syndrome was accepted as standard because the reported incidence rate of conversion to open cholecystectomy was remarkably high, with a range of 37% to 78% (19). In our study, all cases were completed by laparoscopic cholecystectomy without any injury to the bile ducts.…”

Section: Discussionmentioning

confidence: 81%

Divided Laparoscopic Cholecystectomy for Unusual Gall Stones Complication of Mirizzi’s Syndrome

Lasheen¹,

Baioumy²,

Morsy³

et al. 2015

J Minim Invasive Surg Sci

View full text Add to dashboard Cite

Background: Chronic complications of symptomatic gallstone disease such as Mirizzi's syndrome are rare. The importance and implications of these conditions are related to their associated surgical complications which are potentially serious such as bile duct injury and to the modern management when encountered during laparoscopic cholecystectomy. Objectives: This research offers a technique to avoid surgical complications in Mirizzi's syndrome cases during laparoscopic cholecystectomy. Patients and Methods: Between November 2012 and February 2015, 17 patients (12 females and 5 males) with mean age of 51 years (between 29 and 57 years) suffering from Mirizzi's syndrome underwent the divided cholecystectomy. In this technique the gall bladder was divided into two parts above the gall bladder infundibulum. The distal part was dissected for short distance and used to push liver up. The proximal part of gall bladder was cleared from all its contents and reevaluated from inside. Management was achieved according to the stage of disease. Results: The mean operative time was 70 minutes (between 60 and 90 minutes). No biliary tract obstruction or leakage or stenosis was recorded in this patient group during the period of follow up (18 months). Conclusions: Divided laparoscopic cholecystectomy is a safe and effective technique to face the unusual gallstones complications (Mirizzi's syndrome).

show abstract

Appraisal of diagnosis and surgical approach for Mirizzi syndrome

Cited by 48 publications

References 17 publications

Update on the Diagnosis and Treatment of Mirizzi Syndrome in Laparoscopic Era

Update on the Diagnosis and Treatment of Mirizzi Syndrome in Laparoscopic Era

A Retrospective Review of the Diagnostic and Management Challenges of Mirizzi Syndrome at the Singapore General Hospital

Divided Laparoscopic Cholecystectomy for Unusual Gall Stones Complication of Mirizzi’s Syndrome

Contact Info

Product

Resources

About