Treatment of Mirizzi Syndrome

Mirizzi Syndrome: Diagnosis, Treatment and a Plea for a Simplified Classification

“…Whether type I Mirizzi syndrome, with extrinsic compression of the common bile duct, may be treated successfully by laparoscopic means in experienced hands, the syndrome with a cholecystobiliary, biliobiliary, or cholecystenteric fistula is inappropriate for laparoscopic treatment, because the dissection is more difficult and compelling to make a direct common duct repair, bilioenteric anastomosis, or more complex procedures and remain a clear indication for open approach [6, 7]. The recommendation to the surgical community at large is that laparoscopic surgery must be reserved to selected patients with Mirizzi syndrome, especially type I, but it is technically demanding, with a high degree of expertise, because the risk of bile duct injury is increased [8].…”