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Mirizzi Syndrome Type II: Is Laparoscopic Cholecystectomy Justified?

Mirizzi syndrome type II is an uncommon cause of obstructive jaundice caused by an inflammatory response to an impacted gallstone in Hartmann's pouch or the cystic duct with a resultant cholecystocholedochal fistula. Two cases of Mirizzi syndrome type II are presented. Clinically only one patie...

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Detalles Bibliográficos
Autores principales: Desai, Darius C., Smink, Robert D.
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 1997
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016723/
https://www.ncbi.nlm.nih.gov/pubmed/9876678
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author Desai, Darius C.
Smink, Robert D.
author_facet Desai, Darius C.
Smink, Robert D.
author_sort Desai, Darius C.
collection PubMed
description Mirizzi syndrome type II is an uncommon cause of obstructive jaundice caused by an inflammatory response to an impacted gallstone in Hartmann's pouch or the cystic duct with a resultant cholecystocholedochal fistula. Two cases of Mirizzi syndrome type II are presented. Clinically only one patient had jaundice and endoscopic retrograde cholangiopancreatogram (ERCP) established a preoperative diagnosis of Mirizzi syndrome. The other patient's diagnosis of Mirizzi syndrome was made intraoperatively. It is important to properly identify the anatomy at the time of surgery to avoid compromising the common bile duct. Operative treatment of Mirizzi syndrome type II includes laparoscopic or open subtotal cholecystectomy; placement of a T-tube with either laparoscopic or open cholecystectomy; or creation of a hepaticojejunostomy with cholecystectomy. Although there is a report of laparoscopic treatment of this syndrome without long term follow-up, we believe that once there is any question of injury to the common bile duct, safety demands that the laparoscopic procedure be converted to an open one with implementation of appropriate therapy.
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spelling pubmed-30167232011-02-17 Mirizzi Syndrome Type II: Is Laparoscopic Cholecystectomy Justified? Desai, Darius C. Smink, Robert D. JSLS Scientific Papers Mirizzi syndrome type II is an uncommon cause of obstructive jaundice caused by an inflammatory response to an impacted gallstone in Hartmann's pouch or the cystic duct with a resultant cholecystocholedochal fistula. Two cases of Mirizzi syndrome type II are presented. Clinically only one patient had jaundice and endoscopic retrograde cholangiopancreatogram (ERCP) established a preoperative diagnosis of Mirizzi syndrome. The other patient's diagnosis of Mirizzi syndrome was made intraoperatively. It is important to properly identify the anatomy at the time of surgery to avoid compromising the common bile duct. Operative treatment of Mirizzi syndrome type II includes laparoscopic or open subtotal cholecystectomy; placement of a T-tube with either laparoscopic or open cholecystectomy; or creation of a hepaticojejunostomy with cholecystectomy. Although there is a report of laparoscopic treatment of this syndrome without long term follow-up, we believe that once there is any question of injury to the common bile duct, safety demands that the laparoscopic procedure be converted to an open one with implementation of appropriate therapy. Society of Laparoendoscopic Surgeons 1997 /pmc/articles/PMC3016723/ /pubmed/9876678 Text en © 1997 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Desai, Darius C.
Smink, Robert D.
Mirizzi Syndrome Type II: Is Laparoscopic Cholecystectomy Justified?
title Mirizzi Syndrome Type II: Is Laparoscopic Cholecystectomy Justified?
title_full Mirizzi Syndrome Type II: Is Laparoscopic Cholecystectomy Justified?
title_fullStr Mirizzi Syndrome Type II: Is Laparoscopic Cholecystectomy Justified?
title_full_unstemmed Mirizzi Syndrome Type II: Is Laparoscopic Cholecystectomy Justified?
title_short Mirizzi Syndrome Type II: Is Laparoscopic Cholecystectomy Justified?
title_sort mirizzi syndrome type ii: is laparoscopic cholecystectomy justified?
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016723/
https://www.ncbi.nlm.nih.gov/pubmed/9876678
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