The authors present their experience with laparoscopic subtotal cholecystectomy for the management of Mirizzi’s syndrome and their review of the literature.
MethodsOver a period of 24 months, five cases of Mirizzi’s syndrome were encountered, representing 1.5% of all the laparoscopic cholecystectomies performed in the authors’ unit. The sex ratio was 4 females to 1 male, and the mean age of the patients was 66 years. All underwent a subtotal cholecystectomy.
ResultsAll procedures were completed laparoscopically. Morbidities involved one case of biliary peritonitis and a one case of biliary leak requiring endoscopic stenting.
ConclusionMirizzi’s syndrome cannot always be anticipated on the basis of preoperative staging, and often is encountered during the procedure. The “anatomic scenario” of this condition should be suspected for patients presenting with conditions such as empyema or mucocoele when there is a likelihood of stone impaction in the infundibulum of the gallbladder. Subtotal cholecystectomy with secure intraperitoneal biliary drainage appears to be a safe option for these patients.
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Hospital Worthing Hospital, Lyndhurst Road, Worthing, West Sussex, BN11 2HR, UK
A. Rohatgi & K. K. Singh
Correspondence to K. K. Singh.
Additional informationPresented in part at the Association of Endoscopic Surgeons of Great Britain and the Ireland Spring Meeting, 24 May 2002, and at the 18th World Congress of Digestive Surgery in Hong Kong, 8–11 December 2002
About this article Cite this articleRohatgi, A., Singh, K.K. Mirizzi syndrome: laparoscopic management by subtotal cholecystectomy. Surg Endosc 20, 1477–1481 (2006). https://doi.org/10.1007/s00464-005-0623-6
Received: 08 September 2005
Accepted: 15 February 2006
Published: 24 July 2006
Issue Date: September 2006
DOI: https://doi.org/10.1007/s00464-005-0623-6
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