临床肝胆病杂志2012，Vol.28Issue(2)：114-117,4.
腹腔镜下Mirizzi综合征的治疗体会
Surgical consideration of diagnosis and therapeutic laparoscopy for Mirizzi syndrome
俞海龙 1乔昕 1乔士兴1
作者信息
- 1. 吉林大学第二医院普通外科疾病诊疗中心,长春130041
- 折叠
摘要
Abstract
Objective To evaluate the diagnosis of Mirizzi syndrome( MS) and the surgical consideration of laparoscopy for MS. Methodswe retrospectively analyzed the data on 26 cases of MS undergoing LC between from December 2004 to March 2010 in our unit. Results The diagnosis before operation was made in 7 cases of the 26 cases, and the'others, were diagnosed intraoperatively. Among 18 cases of type Ⅰ , 16 were, treated with LC and 2 were converted to epen abdominal operation;, Among 5 cases of type Ⅱ , 2 were treated with laparoscopic management by subtotal cholecystectomy and choledochoplasty with remnant of the gallbladder, and a bile duct exploration and T tube insertion ,' 3 were converted to open abdominal operation; All of 3 cases of type Ⅲ were converted to open abdominal operation. 2 were treated with Roux - en - Y hepaticojejunostomy. Conclusion Ultrasonography is thought to be the first screening choice, and associates with ERCP and MRCP, the preoperative diagnosis rate can be much more improved. Most of MS cases of type Ⅰ and type Ⅱ can be treated safely by the way of the association for laparoscope and choledochoscope. The cases of typeⅢ and type Ⅳ should be treated with an open approach, whereas LC is hard to complete.关键词
Mirizzi综合征/胆囊切除术,腹腔镜Key words
Mirizzi syndrome/ cholecystectomy/ laparoscope分类
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俞海龙,乔昕,乔士兴..腹腔镜下Mirizzi综合征的治疗体会[J].临床肝胆病杂志,2012,28(2):114-117,4.
