Single-incision versus four-incision laparoscopic transfistulous bile duct exploration for Mirizzi syndrome type II

Chuang, Shu‐Hung; Kuo, Kung‐Kai; Chuang, Shih-Chang; Wang, Shen‐Nien; Chang, Wen Tsan; Su, Wei‐Chih; Huang, Jianwei; Wu, Po-Hsuan; Chan, Hon-Man; Kuok, Chi-Hang

doi:10.1007/s00464-022-09369-6

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…Compared with the difficulty in LCBDE for SI patients, SILCBDE seems to have some advantages. We developed this novel technique in July 2012, and it soon became our standard of care for choledocholithiasis, including difficult situations such as Mirizzi syndrome Csendes type II-IV[ 22 , 23 , 60 ]. In addition to a 5-mm 50-cm-long 30-degree laparoscope and a 5-mm flexible fiber choledochosope set, only conventional straight laparoscopic instruments were needed.…”

Section: Laparoscopic Common Bile Duct Exploration In Situs Inversus ...mentioning

confidence: 99%

Laparoscopic common bile duct exploration to treat choledocholithiasis in situs inversus patients: A technical review

Chiu¹,

Chuang²,

Chuang³

et al. 2023

World J Clin Cases

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Situs inversus (SI) is a rare congenital condition characterized by a mirror-image transposition of the major visceral organs. Since the 1990s, more than one hundred SI patients have been reported to have successfully undergone laparoscopic cholecystectomy. In these cases, the major problem is to overcome is the left-right condition for right-handed surgeons. Laparoscopic common bile duct exploration (LCBDE), an alternative to treat patients with bile duct stones, has shown equivalent efficacy and is less likely to cause pancreatitis than endoscopic retrograde cholangiopancreatography. Recent updated meta-analyses revealed that a shorter postoperative hospital stay, fewer procedural interventions, cost-effectiveness, a higher stone clearance rate, and fewer perioperative complications are additional advantages of LCBDE. However, the technique is technically demanding, even for skilled laparoscopic surgeons. Conducting LCBDE in patients with difficult situations, such as SI, is more complex than usual. We herein review published SI patients with choledocholithiasis treated by LCBDE, including our own experience, and this paper focuses on the technical aspects.

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Section: Laparoscopic Common Bile Duct Exploration In Situs Inversus ...mentioning

confidence: 99%

Laparoscopic common bile duct exploration to treat choledocholithiasis in situs inversus patients: A technical review

Chiu¹,

Chuang²,

Chuang³

et al. 2023

World J Clin Cases

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“…The indication for single-incision laparoscopic cholecystectomy has expanded to include more complicated gallbladder diseases, and Chang et al [100] reported two successful cases of single-incision laparoscopic cholecystectomy for patients with Mirizzi syndrome types I and II without significant morbidity. In 2022, Chuang et al [101] studied the outcomes between single-incision laparoscopic transfistulous bile duct exploration and four-incision laparoscopic transfistulous bile duct exploration, and found that the outcomes were similar for patients with Mirizzi syndrome types II, III, and IV. In our opinion, SILS increases the risk of incisional port site hernia, and hence, has to be carefully recommended to patients outside units with substantial expertise in this technique.…”

Section: Single-incision Laparoscopic Surgery (Sils)mentioning

confidence: 99%

Mirizzi Syndrome—The Past, Present, and Future

Koo,

Tham,

Toh

et al. 2023

Medicina

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Mirizzi syndrome is a complication of gallstone disease caused by an impacted gallstone in the infundibulum of the gallbladder or within the cystic duct, causing chronic inflammation and extrinsic compression of the common hepatic duct or common bile duct. Eventually, mucosal ulceration occurs and progresses to cholecystobiliary fistulation. Numerous systems exist to classify Mirizzi syndrome, with the Csendes classification widely adopted. It describes five types of Mirizzi syndrome according to the presence of a cholecystobiliary fistula and its corresponding severity, and whether a cholecystoenteric fistula is present. The clinical presentation of Mirizzi syndrome is non-specific, and patients typically have a longstanding history of gallstones. It commonly presents with obstructive jaundice, and can mimic gallbladder, biliary, or pancreatic malignancy. Achieving a preoperative diagnosis guides surgical planning and improves treatment outcomes. However, a significant proportion of cases of Mirizzi syndrome are diagnosed intraoperatively, and the presence of dense adhesions and distorted anatomy at Calot’s triangle increases the risk of bile duct injury. Cholecystectomy remains the mainstay of treatment for Mirizzi syndrome, and laparoscopic cholecystectomy is increasingly becoming a viable option, especially for less severe stages of cholecystobiliary fistula. Subtotal cholecystectomy is feasible if total cholecystectomy cannot be performed safely. Additional procedures may be required, such as common bile duct exploration, choledochoplasty, and bilioenteric anastomosis. Conclusions: There is currently no consensus for the management of Mirizzi syndrome, as the management options depend on the extent of surgical pathology and availability of surgical expertise. Multidisciplinary collaboration is important to achieve diagnostic accuracy and guide treatment planning to ensure good clinical outcomes.

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A case of Cronkhite–Canada syndrome with repeated linked color imaging observation of the subepithelial capillary network in the colon

Matsumoto

Koyama

Morita

et al. 2022

Clin J Gastroenterol

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Single-incision versus four-incision laparoscopic transfistulous bile duct exploration for Mirizzi syndrome type II

Cited by 3 publications

References 20 publications

Laparoscopic common bile duct exploration to treat choledocholithiasis in situs inversus patients: A technical review

Laparoscopic common bile duct exploration to treat choledocholithiasis in situs inversus patients: A technical review

Mirizzi Syndrome—The Past, Present, and Future

A case of Cronkhite–Canada syndrome with repeated linked color imaging observation of the subepithelial capillary network in the colon

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