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Journal article

Mirizzi syndrome: history, present and future development

Lai E, Lau W ...see all

ANZ J Surg, vol. 76, issue 4 (2006) pp. 251-257

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Abstract

BACKGROUND: Mirizzi syndrome was reported in 0.3-3% of patients undergoing cholecystectomy. The distortion of anatomy and the presence of cholecystocholedochal fistula increase the risk of bile duct injury during cholecystectomy. METHODS: A Medline search was undertaken to identify articles that were published from 1974 to 2004. Additional papers were identified by a manual search of the references from the key articles. RESULTS: A preoperative diagnosis was made in 8-62.5% of cases. Open surgical treatment gave good short-term and long-term results. There was a lack of good data in laparoscopic treatment. Conversion to open surgery rates was high, and bile duct injury rate varied from 0 to 22.2%. CONCLUSION: A high index of clinical suspicion is required to make a preoperative or intraoperative diagnosis, which leads to good surgical planning to treat the condition. Open surgery is the gold standard. Mirizzi syndrome should still be considered as a contraindication for laparoscopic surgery.

Author-supplied keywords

  • Cholecystectomy
  • Common Bile Duct Diseases/classification/diagnosis
  • Comorbidity
  • Endoscopy, Gastrointestinal
  • Gallbladder Neoplasms/diagnosis/epidemiology
  • Humans
  • Intestinal Fistula/epidemiology/surgery
  • Laparoscopy
  • Syndrome

Authors

  • E C Lai

  • W Y Lau

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