Mirizzi syndrome - diagnostic features and surgical treatment options

Abstract

Mirizzi syndrome (MS) represents a rare clinical entity, being a challenge in biliary tract surgery. However, recent advances in technology have provided surgeons with new options for timely diagnosis and surgical treatment. Mirizzi syndrome currently has an incidence of 1%, representing 0.7-1.4% of all cholecystectomies performed. The study group included 73 patients treated in the clinic during the years 2000-2022, with attestation of the prevalence of type II MS. A combination of two or more diagnostic techniques increased the rate of preoperative diagnosis. The treatment was exclu- sively surgical adopted for the type of MS. Optimizing the methods of diagnosis and surgical treatment allows to increase the rate of objectification of the diagnosis and the choice of the surgical technique depending on the type of MS favoring the postoperative evolution.