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

Sato, Hirofumi; Hiraki, Masatsugu; Miyoshi, Anderson; Ikeda, Shota; Koga, Hiroki; Kono, Kenji

doi:10.1016/j.ijscr.2020.11.106

Cited by 3 publications

(4 citation statements)

References 14 publications

(5 reference statements)

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“…We consider that LC including RPS for Mirizzi syndrome can be performed safely when a tailored therapeutic strategy appropriate to the state of the disease is planned properly. Sato et al reported that laparoscopic partial resection of the gallbladder can be safely performed as planned based on precise preoperative diagnosis using various modalities, including ERCP 4 …”

Section: Discussionmentioning

confidence: 99%

“…Sato et al reported that laparoscopic partial resection of the gallbladder can be safely performed as planned based on precise preoperative diagnosis using various modalities, including ERCP. 4 As described, a suitable surgical procedure should be selected depending on its subtype to avoid intraoperative biliary injury and/or postoperative bile leakage. The contemplated guideline, i.e.…”

Section: Discussionmentioning

confidence: 99%

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Reduced port laparoscopic subtotal cholecystectomy for Mirizzi syndrome with a bilio‐biliary fistula: A case report

Koizumi

Matsumoto

Kamada

et al. 2023

Asian J Endoscop Surgery

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A 65‐year‐old male diagnosed with Mirizzi syndrome with a bilio‐biliary fistula was referred to our department and underwent single‐incision laparoscopic surgery with an assistant trocar. As typical laparoscopic cholecystectomy could not be performed due to the coexistence of a bilio‐biliary fistula, we performed laparoscopic subtotal cholecystectomy as a bail‐out procedure according to the recommendation of the recent Tokyo Guidelines (TG18). The neck of the remnant gallbladder could be easily sutured with the effective use of an assistant trocar, and the surgery was completed without any complications. The patient was discharged 5 days after surgery without any complications. While little has been reported on the efficacy of reduced port surgery for Mirizzi syndrome, our surgical approach, i.e. reduced port surgery with an assistant trocar, enabled secure and easy suturing as a bail‐out procedure and seemed to be an efficient method that is both less‐invasive and safe.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Reduced port laparoscopic subtotal cholecystectomy for Mirizzi syndrome with a bilio‐biliary fistula: A case report

Koizumi

Matsumoto

Kamada

et al. 2023

Asian J Endoscop Surgery

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“…It means that in these cases, LSRC is effective to treat MSII y III. LSRC, as laparoscopic subtotal “fenestrating” cholecystectomy, had recently been proposed as safe (without biliary injury) and effective (single surgery to solve MS) techniques for difficult operative conditions [3] , [4] , [12] , [13] . There are no studies comparing both techniques in MS Type II & III, but evidence show both procedures prevents conversion and has fewer serious complications [14] , [15] , [16] , [17] .…”

Section: Discussionmentioning

confidence: 99%

“…According to Csendes, MS type II and III are categorized as a fistula of one third and two thirds of the common hepatic duct circumference, respectively [1] . The difficulty to confirm the diagnosis before surgery, the technical challenge due to the severe inflammatory reaction, the difficult identification of normal structures, the need for advance laparoscopic technics to perform a successful surgery and the absence of evidence on the best surgical technique determines a high rate of conversion, reoperation, and risk bile duct injury [2] , [3] , [4] . This case series shows the outcomes of mexican patients who underwent laparoscopic subtotal reconstitutive cholecystectomy (LSRC) for type II and III MS with the aim of determining whether the procedure can be a safe and effective approach in our institution.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic subtotal reconstituting cholecystectomy in type II & III Mirizzi syndrome: Case series of 5 patients

Saavedra

Segovia²,

Centeno³

et al. 2022

International Journal of Surgery Case Reports

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Quality of life of treated patients with Mirizi syndrome

Павук

2021

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Objective. To compare the quality of life of patients with spontaneous internal biliary fistula (SIBF) and without them, before and after surgery. Materials and methods. 82 (38.7%) patients were diagnosed with Mirizzi syndrome (MS) type I, and 130 (61.3%) patients with type II (II-V) type MS. During the study, the classification of A. Csendes - M. Beltran was used. By sex, patients were distributed as follows: there were 68 men (32.0%), women - 144 (68.0%). The age of patients ranged from 37 to 80 years (average - 66.4 years). The GSRS (Gastrointestinal Symptom Rating Scale) questionnaire was used to assess quality of life. When comparing groups, the use of Student's T test comparative mean values and quadratic deviations. The reliability of the obtained p values were checked by the method of Bonferoni and False Discovery Rate (FDR). Results. Multiple comparisons with Bonferon and FDR correction revealed statistically significant differences in the results between QOL of patients with MS I and II both before and after surgery. When compared on the scale of total measurement, it was found that the quality of life of patients without SIBF improved by 11% after cholecystectomy in MS I type. When comparing the results of QOL assessment before and after surgery in patients with type II MS, it was found that QOL after surgery in patients improved by 10% from baseline. Conclusions. The quality of life of patients with MS I type is higher compared to patients with SIBF both before and after surgery (p=0.0001), which is due to impaired bile duct and gastrointestinal tract in SIBF. Elimination of SIBF improves the level of QOL of patients by 10%, which is characterized by a decrease in all items of the GSRS scale.

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

Abstract: Highlights Mirrizi syndrome is a inflammation to the common bile duct. Open surgery is usually recommended for Mirrizi syndrome types II-IV. We treated with laparoscopic surgery and describe the utility of laparoscopic surgery for Mirrizi syndrome type Ⅱ.

Cited by 3 publications

References 14 publications

Reduced port laparoscopic subtotal cholecystectomy for Mirizzi syndrome with a bilio‐biliary fistula: A case report

Reduced port laparoscopic subtotal cholecystectomy for Mirizzi syndrome with a bilio‐biliary fistula: A case report

Laparoscopic subtotal reconstituting cholecystectomy in type II & III Mirizzi syndrome: Case series of 5 patients

Quality of life of treated patients with Mirizi syndrome

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