腹腔镜治疗Mirizzi综合征31例临床分析OACSTPCD

Objective:To investigate the practicality and security of laparoscopic surgery in the treatment of Mirizzi syndrome(MS).Methods:A retrospective analysis was conducted on the clinical data of 31 patients with MS who underwent surgery from Jan.2020 to Jul.2023.The clinical data of 31 patients included gender,age,course of disease,clinical symptoms,and auxiliary examina-tions.Results:According to the Csendes classification,there were 22 cases of typeⅠ,6 cases of typeⅡ,2 cases of typeⅢ,and 1 case of type Ⅳ.Among them,26 cases of laparoscopic surgery included 21 cases of laparoscopic cholecystectomy for type I and 5 cases of laparoscopic cholecystectomy+fistula repair+biliary exploration+T-tube drainage for type Ⅱ.5 cases were converted to open surgery,including 1 case of type Ⅰ who underwent cholecystectomy+exploration of the biliary tract+T-tube drainage due to bile duct injury,1 case of type Ⅱ and 2 cases of type Ⅲ who underwent cholecystectomy+fistula repair+exploration of the biliary tract+T-tube drainage,and 1 case of type Ⅳ who underwent cholecystectomy+cholangiojejunostomy.All patients underwent surgery successfully,with the average surgical time of(1.2±0.4)h,mean intraoperative bleeding volume of(60±21)mL,and average postoperative hospital stay of(4.5±1.8)d.There was 1 case of intraoperative bile duct injury.During hospitalization,2 cases of postoperative bile leakage were found.1 case of bile duct stenosis was reported 8 months after surgery.The rest recovered well.Conclusions:Laparoscopic technology can treat type Ⅰ and most of type Ⅱ MS patients,with type Ⅲ and Ⅳ patients preferring open surgery.