Update on the Diagnosis and Treatment of Mirizzi Syndrome in Laparoscopic Era

Bueno-Lledó, José; Barber, Sebastian; Ibañez, Jose C.; Torregrosa, Antonio G.; López‐Andújar, Rafael

doi:10.1097/sle.0000000000000079

Cited by 24 publications

(46 citation statements)

References 20 publications

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“…However, the incidence of type I is higher in other published series, such as those presented by Cui et al22 and Lledó et al30 (Table 3). We believe this disparity can be explained because, in our setting, type I is often not identified as Mirizzi syndrome by the surgeon.…”

Section: Discussionmentioning

confidence: 60%

“…Laparoscopy cannot be considered the procedure of choice in all cases,19 and SCBDI rates can reach up to 22% 16. In Mirizzi syndrome type 1A, the patients are reported to be successfully treated by laparoscopy, 18 although anterograde dissection is preferred in case of a major inflammatory component that prevents proper visualisation of the Calot's triangle 30. Subtotal cholecystectomy is an option to be considered in cases of severe fibrosis, due to its safety and excellent outcomes 731.…”

Section: Discussionmentioning

confidence: 99%

“…However, morbidity varies widely, from 5%27 to 31%;30 Cui et al22 estimate it to be around 9.5% (Table 3). We observed only 1 case of biliary fistula that resolved with conservative treatment, and 1 case of biliary stenosis that required surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Mirizzi syndrome: a new insight provided by a novel classification

Payá‐Llorente

Vázquez-Tarragón

Alberola-Soler

et al. 2017

Ann Hepatobiliary Pancreat Surg

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Backgrounds/Aims: Mirizzi syndrome (MS) is an uncommon complication of cholelithiasis. The aim of this study is to evaluate our 15-year experience in this challenging entity and to propose a new classification for this disease. Methods: A retrospective study including patients diagnosed with Mirizzi syndrome and undergoing surgical procedures for Mirizzi syndrome between January 2000 and October 2015 was conducted. Data collected included clinical, surgical procedure, postoperative morbidity. Patients were evaluated according to the Csendes classification and the proposed system, in which patients were divided into three types and three subtypes. Results: 28 patients were included for analysis. They accounted as the 0.5% of a total of 4853 cholecystectomies performed in the study period. There were 21 women and 7 men. Initial laparotomic approach was performed in 12 patients and in 16 patients laparoscopic procedures were attempted. The procedure was completed in only 6 patients, 5 presenting type I and 1 type II Mirizzi syndrome. Mean postoperative stay was 15±9 days. Postoperative morbidity rate was 28%. Postoperative mortality was none. Conclusions: Laparoscopic surgery for Mirizzi syndrome has been shown succesful only in early stages. A novel classification is proposed, based on the types of common bile duct injuries and in the presence cholecystoenteric fistula. (Ann Hepatobiliary Pancreat Surg 2017;21:67-75)

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

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Mirizzi syndrome: a new insight provided by a novel classification

Payá‐Llorente

Vázquez-Tarragón

Alberola-Soler

et al. 2017

Ann Hepatobiliary Pancreat Surg

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show abstract

“…The classification further grades the severity based on the degree of CBD destruction [6]. As might be expected, the more severe forms of Mirizzi syndrome are less common [7][8][9][10] The first two cases were presumed to have CBD stones. It is typically managed with laparoscopic cholecystectomy and ERCP either preoperatively or postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Mirizzi Syndrome: Four Case Reports and a Review of the Literature

Bakaar¹,

Yoo²,

Cronin³

2018

J Surg Anesth

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“…Recognition of this syndrome is important to avoid inadvertent ligation or severance of the bile duct. An attempt to expose Calot's triangle may lead to severe bile duct injury (18) In our technique, the preoperative diagnosis for Mirizzi's syndrome was not important, as the gallbladder was divided above the infundibulum in any suspected case in order to avoid dissection at Calot's triangle. After clearing all the contents of the proximal part of gallbladder, the stage of Mirizzi's syndrome would be recognized.…”

Section: Discussionmentioning

confidence: 99%

Divided Laparoscopic Cholecystectomy for Unusual Gall Stones Complication of Mirizzi’s Syndrome

Lasheen¹,

Baioumy²,

Morsy³

et al. 2015

J Minim Invasive Surg Sci

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Background: Chronic complications of symptomatic gallstone disease such as Mirizzi's syndrome are rare. The importance and implications of these conditions are related to their associated surgical complications which are potentially serious such as bile duct injury and to the modern management when encountered during laparoscopic cholecystectomy. Objectives: This research offers a technique to avoid surgical complications in Mirizzi's syndrome cases during laparoscopic cholecystectomy. Patients and Methods: Between November 2012 and February 2015, 17 patients (12 females and 5 males) with mean age of 51 years (between 29 and 57 years) suffering from Mirizzi's syndrome underwent the divided cholecystectomy. In this technique the gall bladder was divided into two parts above the gall bladder infundibulum. The distal part was dissected for short distance and used to push liver up. The proximal part of gall bladder was cleared from all its contents and reevaluated from inside. Management was achieved according to the stage of disease. Results: The mean operative time was 70 minutes (between 60 and 90 minutes). No biliary tract obstruction or leakage or stenosis was recorded in this patient group during the period of follow up (18 months). Conclusions: Divided laparoscopic cholecystectomy is a safe and effective technique to face the unusual gallstones complications (Mirizzi's syndrome).

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Update on the Diagnosis and Treatment of Mirizzi Syndrome in Laparoscopic Era

Cited by 24 publications

References 20 publications

Mirizzi syndrome: a new insight provided by a novel classification

Mirizzi syndrome: a new insight provided by a novel classification

Mirizzi Syndrome: Four Case Reports and a Review of the Literature

Divided Laparoscopic Cholecystectomy for Unusual Gall Stones Complication of Mirizzi’s Syndrome

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