Laparoscopic Treatment of Type III Mirizzi Syndrome by T-Tube Drainage

Mirizzi syndrome (MS) is an impacted stone in the cystic duct or Hartmann's pouch that mechanically obstructs the common bile duct. We would like to report laparoscopic treatment of type III MS. A 75-year-old man was admitted with the complaint of abdominal pain and jaundice. The patient was ac...

Descripción completa

Detalles Bibliográficos
Autores principales: Yetışır, Fahri, Şarer, Akgün Ebru, Acar, H. Zafer, Polat, Yılmaz, Osmanoglu, Gokhan, Aygar, Muhittin, Ciftciler, A. Erdinc, Parlak, Omer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4884596/
https://www.ncbi.nlm.nih.gov/pubmed/27293947
http://dx.doi.org/10.1155/2016/1030358
Descripción
Sumario:Mirizzi syndrome (MS) is an impacted stone in the cystic duct or Hartmann's pouch that mechanically obstructs the common bile duct. We would like to report laparoscopic treatment of type III MS. A 75-year-old man was admitted with the complaint of abdominal pain and jaundice. The patient was accepted as MS type III according to radiological imaging and intraoperative view. Laparoscopic subtotal cholecystectomy, extraction of impacted stone by opening anterior surface of dilated cystic duct and choledochus, and repair of this opening by using the remaining part of gallbladder over the T-tube drainage were performed in a patient with type III MS. Application of reinforcement suture over stump was done in light of the checking with oliclinomel N4 injection trough the T-tube. At the 18-month follow-up, he was symptom-free with normal liver function tests.

Ejemplares similares