Mirizzi's syndrome surgery: Difference between revisions
Jump to navigation
Jump to search
(Created page with "__NOTOC__ {{Mirizzi's syndrome}} {{CMG}} Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing. ==Ove...") |
|||
| Line 10: | Line 10: | ||
==Surgery== | ==Surgery== | ||
The treatment of choice is surgical excision of the [[gallbladder]] and reconstruction of the [[common hepatic duct]] and [[common bile duct]]. | * The treatment of choice in Mirizzi's syndrome is surgical excision of the [[gallbladder]] and reconstruction of the [[common hepatic duct]] and [[common bile duct]]. | ||
* Total [[cholecystectomy]] is usually performed in Mirizzi’s syndrome Type I. | |||
*[[Partial]]/[[Subtotal cholecystectomy]] is preferred for Type II-Type III and sometimes Type I in case of severe [[inflammation]]. <ref name="pmid22901276">{{cite journal |vauthors=Cui Y, Liu Y, Li Z, Zhao E, Zhang H, Cui N |title=Appraisal of diagnosis and surgical approach for Mirizzi syndrome |journal=ANZ J Surg |volume=82 |issue=10 |pages=708–13 |date=October 2012 |pmid=22901276 |doi=10.1111/j.1445-2197.2012.06149.x |url=}}</ref> | |||
* [[choledochol-enteric anastomosis]] may be required in some cases. <ref name="pmid29369192">{{cite journal |vauthors=Chen H, Siwo EA, Khu M, Tian Y |title=Current trends in the management of Mirizzi Syndrome: A review of literature |journal=Medicine (Baltimore) |volume=97 |issue=4 |pages=e9691 |date=January 2018 |pmid=29369192 |pmc=5794376 |doi=10.1097/MD.0000000000009691 |url=}}</ref> | |||
* [[Cholecystectomy]] and [[Roux-en-Y]] [[hepaticojejunostomy]] ([[RYHJ]]) is thought to be the best treatment for Type IV. <ref name="pmid25462668">{{cite journal |vauthors=Lledó JB, Barber SM, Ibañez JC, Torregrosa AG, Lopez-Andujar R |title=Update on the diagnosis and treatment of mirizzi syndrome in laparoscopic era: our experience in 7 years |journal=Surg Laparosc Endosc Percutan Tech |volume=24 |issue=6 |pages=495–501 |date=December 2014 |pmid=25462668 |doi=10.1097/SLE.0000000000000079 |url=}}</ref> <ref name="pmid23741207">{{cite journal |vauthors=Rayapudi K, Gholami P, Olyaee M |title=Mirizzi syndrome with endoscopic ultrasound image |journal=Case Rep Gastroenterol |volume=7 |issue=2 |pages=202–7 |date=May 2013 |pmid=23741207 |pmc=3670630 |doi=10.1159/000351170 |url=}}</ref> | |||
* [[Laparotomy]] should be done for Type V Mirrizzi’s syndrome. <ref name="pmid23741207">{{cite journal |vauthors=Rayapudi K, Gholami P, Olyaee M |title=Mirizzi syndrome with endoscopic ultrasound image |journal=Case Rep Gastroenterol |volume=7 |issue=2 |pages=202–7 |date=May 2013 |pmid=23741207 |pmc=3670630 |doi=10.1159/000351170 |url=}}</ref> | |||
* [[Laparoscopic]] techniques are usually reserved for Type I Mirizzi’s syndrome. It is avoided in other types due to increased risk of biliary injury from severe inflammation and anatomical distortion. <ref name="pmid23741207">{{cite journal |vauthors=Rayapudi K, Gholami P, Olyaee M |title=Mirizzi syndrome with endoscopic ultrasound image |journal=Case Rep Gastroenterol |volume=7 |issue=2 |pages=202–7 |date=May 2013 |pmid=23741207 |pmc=3670630 |doi=10.1159/000351170 |url=}}</ref> | |||
* [[Endoscopy]] and [[robot-assisted surgery]] with or without [[electrohydraulic]] [[lithotripsy]] or [[laser lithotripsy]] are some of the other procedures that are being used. <ref name="pmid23741207">{{cite journal |vauthors=Rayapudi K, Gholami P, Olyaee M |title=Mirizzi syndrome with endoscopic ultrasound image |journal=Case Rep Gastroenterol |volume=7 |issue=2 |pages=202–7 |date=May 2013 |pmid=23741207 |pmc=3670630 |doi=10.1159/000351170 |url=}}</ref> | |||
==References== | ==References== | ||
Revision as of 04:28, 29 July 2020
|
Mirizzi's syndrome Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Mirizzi's syndrome surgery On the Web |
|
American Roentgen Ray Society Images of Mirizzi's syndrome surgery |
|
Risk calculators and risk factors for Mirizzi's syndrome surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.
Overview
Surgery
- The treatment of choice in Mirizzi's syndrome is surgical excision of the gallbladder and reconstruction of the common hepatic duct and common bile duct.
- Total cholecystectomy is usually performed in Mirizzi’s syndrome Type I.
- Partial/Subtotal cholecystectomy is preferred for Type II-Type III and sometimes Type I in case of severe inflammation. [1]
- choledochol-enteric anastomosis may be required in some cases. [2]
- Cholecystectomy and Roux-en-Y hepaticojejunostomy (RYHJ) is thought to be the best treatment for Type IV. [3] [4]
- Laparotomy should be done for Type V Mirrizzi’s syndrome. [4]
- Laparoscopic techniques are usually reserved for Type I Mirizzi’s syndrome. It is avoided in other types due to increased risk of biliary injury from severe inflammation and anatomical distortion. [4]
- Endoscopy and robot-assisted surgery with or without electrohydraulic lithotripsy or laser lithotripsy are some of the other procedures that are being used. [4]
References
- ↑ Cui Y, Liu Y, Li Z, Zhao E, Zhang H, Cui N (October 2012). "Appraisal of diagnosis and surgical approach for Mirizzi syndrome". ANZ J Surg. 82 (10): 708–13. doi:10.1111/j.1445-2197.2012.06149.x. PMID 22901276.
- ↑ Chen H, Siwo EA, Khu M, Tian Y (January 2018). "Current trends in the management of Mirizzi Syndrome: A review of literature". Medicine (Baltimore). 97 (4): e9691. doi:10.1097/MD.0000000000009691. PMC 5794376. PMID 29369192.
- ↑ Lledó JB, Barber SM, Ibañez JC, Torregrosa AG, Lopez-Andujar R (December 2014). "Update on the diagnosis and treatment of mirizzi syndrome in laparoscopic era: our experience in 7 years". Surg Laparosc Endosc Percutan Tech. 24 (6): 495–501. doi:10.1097/SLE.0000000000000079. PMID 25462668.
- ↑ 4.0 4.1 4.2 4.3 Rayapudi K, Gholami P, Olyaee M (May 2013). "Mirizzi syndrome with endoscopic ultrasound image". Case Rep Gastroenterol. 7 (2): 202–7. doi:10.1159/000351170. PMC 3670630. PMID 23741207.