Title: Mirizzi’s Syndrome management: open and laparoscopic technique
Authors: Rajendra Singh, Ranvijay Bharti, Rajshekhar
DOI: https://dx.doi.org/10.18535/jmscr/v7i4.146
Abstract
Mirizzi syndrome is a complication of longstanding cholelithiasis. In this there is obstruction of the extra hepatic bile duct by stone/s in the Hartman's pouch or cystic duct (Mirrizi type I) which may erode into the bile duct forming cholecystobiliary fistula (Mirrizi type II). Altered biliary tract anatomy and the associated pathology make cholecystectomy, open or laparoscopic, awareness of this entity and its preoperative diagnosis is of paramount importance to avoid injury to the bile duct during surgery. Improper surgical procedures may lead to long-term stricture formation. The present article reviews the avail-able literature on various aspect of this syndrome including its pathogenesis, diagnosis and recommended management and guidelines.
Keywords: Mirizzi syndrome, Obstructive jaundice, cholecystobiliary fistula.
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