Laparoscopic Resection of Cholecystocolic Fistula and Subtotal Cholecystectomy by Tri-Staple in a Type V Mirizzi Syndrome

Yetışır, Fahri; Şarer, Akgün Ebru; Acar, Hasan; Parlak, Ömer; Basaran, Basar; Yazıcıoğlu, Omer

doi:10.1155/2016/6434507

Cited by 11 publications

(11 citation statements)

References 10 publications

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“…In such cases, intraoperative cholangiography is mandatory. Recently, a case report by Yetişir et al [ 48 ] described a case of Mirizzi Syndrome Type V in which LSC was performed, along with resection of a cholecystocolic fistula and application of Tri-Staples.…”

Section: Discussionmentioning

confidence: 99%

Current trends in the management of Mirizzi Syndrome

et al. 2018

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Mirizzi Syndrome is a rare and challenging clinical entity to manage. However, recent advances in technology have provided surgeons with new options for more effective diagnosis and treatment of this condition. This paper reviews these new diagnostic modalities and treatment approaches for the management of Mirizzi Syndrome.An online search language was performed using PubMed and Web of Science for literature published in English between 2012 and 2017 using the search terms “Mirizzi Syndrome” and “Mirizzi.” In total, 16 case series and 11 case reports were identified and analyzed.The most frequently used diagnostic modalities were ultrasound, computed tomography (CT); magnetic resonance cholangiopancreaticography (MRCP); endoscopic retrograde cholangiopancreaticography (ERCP). A combination of ≥2 diagnostic modalities was frequently used to detect Mirizzi Syndrome. Literature shows that the specific type of Mirizzi Syndrome determined the type of treatment chosen. Open surgery was the preferred option, although there are documented cases of the use of minimally-invasive techniques, even in advanced cases. Laparoscopic, endoscopic or robot-assisted surgery, used individually or in combination with lithotripsy, were all associated with a favorable outcome.As yet, there are no internationally-accepted guidelines for the management of Mirizzi Syndrome. Laparotomy is the preferred surgical technique of choice, although an increasing number of surgeons are beginning to opt for minimally-invasive techniques. The number of papers in the existing literature describing diagnostic and treatment procedures is relatively small at present, thus making it difficult to reasonably propose an evidence-based standard of care for Mirizzi Syndrome.

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Section: Discussionmentioning

confidence: 99%

Current trends in the management of Mirizzi Syndrome

et al. 2018

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“…Existem relatos na literatura de incidências menores de 66% de dor abdominal e icterícia em pacientes que foram posteriormente diagnosticados com Síndrome de Mirizzi (8)(9) . A frequência desta síndrome é baixa, variando de 0,18% -5,3% na literatura, o que dificulta ainda mais o seu diagnóstico (4,(8)(9)(10)(12)(13)(14)(15) . Assim, a apresentação de sinais e sintomas inespecíficos e com baixa frequência impede que o diagnóstico exclusivamente clínico pré-operatório seja confiável (9) .…”

Section: Discussionunclassified

Hemorragia digestiva alta como manifestação atípica de síndrome de Mirizzi

Mortati¹,

Kaku²,

Cavalher³

et al. 2018

Arq Med Hosp Fac Cienc Med Santa Casa São Paulo

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Introdução: Hemorragia digestiva alta (HDA) é um diagnostico comum no Pronto Socorro com diferentes etiologias. HDA é uma complicação rara de colelitíase, assim com síndrome de mirizzi. Apresentamos um caso de HDA por erosão de arteria gastroduodenal associada à Sindrome de Mirizzi. Relato de Caso: Paciente masculino 41 anos, imunossuprimido, admitido no pronto socorro com quadro clínico de hematêmese e instabilidade hemodinâmica. Após reposição volêmica e melhora hemodinâmica, foi submetido à endoscopia digestiva alta (EDA), onde foi evidenciado sangramento vultoso e em jato. Paciente apresentou piora hemodinâmica súbita, sendo a EDA suspensa e realizada laparotomia exploradora. No intraoperatório foi diagnosticada Síndrome de Mirizzi tipo Va, com fístula completa com duodeno, fístula incompleta com ducto hepatico comum e erosão da artéria Gastroduodenal com sangramento ativo. Foi realizada gastrectomia parcial e sutura da via biliar com drenagem à Kehr. Paciente evoluiu com choque séptico e foi a óbito dois dias depois. Conclusão: Sangramento digestivo alto secundário à Sindrome de Mirizzi é uma manifestação clinica bastante rara.Descritores: Síndrome de Mirizzi, Colelitíase, Colecistite

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“…When it coexists with any type of Mirizzi syndrome (MS), this is referred to as Type V MS. 1 When it is symptomatic, surgical treatment with cholecystectomy, fistula takedown, and possible colonic resection is indicated. 2 , 3 The role of treatment in asymptomatic patients is unclear. Endoscopic management has not been described.…”

Section: Introductionmentioning

confidence: 99%

A purely endoscopic management approach for Type V Mirizzi syndrome

et al. 2021

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A cholecystocolonic fistula (CCF) is a communication between the gallbladder (GB) and the colon. When it coexists with any type of Mirizzi syndrome (MS), this is referred to as Type V MS. 1 When it is symptomatic, surgical treatment with cholecystectomy, fistula takedown, and possible colonic resection is indicated. 2,3 The role of treatment in asymptomatic patients is unclear. Endoscopic management has not been described.

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Laparoscopic Resection of Cholecystocolic Fistula and Subtotal Cholecystectomy by Tri-Staple in a Type V Mirizzi Syndrome

Cited by 11 publications

References 10 publications

Current trends in the management of Mirizzi Syndrome

Current trends in the management of Mirizzi Syndrome

Hemorragia digestiva alta como manifestação atípica de síndrome de Mirizzi

A purely endoscopic management approach for Type V Mirizzi syndrome

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