The strategy for Mirizzi syndrome type II with laparoscopic surgery: A case report
| العنوان: | The strategy for Mirizzi syndrome type II with laparoscopic surgery: A case report |
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| المؤلفون: | Hirofumi Sato, Hiroki Koga, Shota Ikeda, Masatsugu Hiraki, Kenji Kitahara, Atsushi Miyoshi |
| المصدر: | International Journal of Surgery Case Reports |
| بيانات النشر: | Elsevier, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Laparoscopic surgery, medicine.medical_specialty, Abdominal pain, Fistula, medicine.medical_treatment, Case Report, Type II, 03 medical and health sciences, 0302 clinical medicine, Laparotomy, medicine, Endoscopic retrograde cholangiopancreatography, medicine.diagnostic_test, Bile duct, business.industry, Gallbladder, Gallstones, Mirizzi syndrome, medicine.disease, Surgery, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Gallstone, 030211 gastroenterology & hepatology, medicine.symptom, business |
| الوصف: | Highlights • Mirrizi syndrome is a inflammation to the common bile duct. • Open surgery is usually recommended for Mirrizi syndrome types II-IV. • We treated with laparoscopic surgery and describe the utility of laparoscopic surgery for Mirrizi syndrome type Ⅱ. Introduction Mirizzi syndrome is an unusual condition involving gallstones. Laparotomy is recommended for the treatment of Mirizzi syndrome type II due to the risk of biliary duct injury. We herein report tips for performing laparoscopic surgery for Mirizzi syndrome type II as a treatment option. Presentation of case A 72-year-old woman was admitted to our hospital due to abdominal pain and a fever. The diagnosis of Mirrizi syndrome type II was made. Therefore, an endoscopic retrograde biliary drainage tube was placed, and laparoscopic surgery was performed. During the operation, the gallbladder wall was excised at the Hartmann's pouch, and a gallstone was extracted. A fistula between the gallbladder and bile duct was confirmed, and the diagnosis of Mirizzi syndrome type II was made. Partial resection of the gallbladder was performed, and the neck of the gallbladder was sutured. The postoperative course was uneventful. Discussion The preoperative diagnosis is important for Mirizzi syndrome, and the combination of various modalities, including endoscopic retrograde cholangiopancreatography, can increase the diagnostic rate. It is often difficult to recognize the anatomy during surgery for Mirizzi syndrome due to severe inflammation. Therefore, it is best to dissect the gallbladder from the bottom, perform excision at the Hartmann’s pouch, remove the gallstone and suture the gallbladder wall. Replacement of the biliary tube can aid in recognizing the anatomy and bile duct. Conclusion Laparoscopic surgery for Mirizzi syndrome is a viable treatment option following an accurate preoperative diagnosis and the recognition of the anatomy during the operation. |
| اللغة: | English |
| تدمد: | 2210-2612 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d3435542c55d6adff379511c8ab44a79 http://europepmc.org/articles/PMC7710499 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....d3435542c55d6adff379511c8ab44a79 |
| قاعدة البيانات: | OpenAIRE |
Full Text via ClinicalKey | تدمد: | 22102612 |
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