Abstract：
OBJECTIVE:Mirizzi syndrome (MS) is an uncommon presentation of cholelithiasis. This study aims to find the incidence and analyze the outcome of management of this condition at Riyadh Medical Complex (RMC) with particular reference to diagnostic methods and outcome of surgical treatment. METHODS:Retrospective study on 17 consecutive patients of MS diagnosed and managed at RMC over ten year period. The records were reviewed for demography, clinical presentation, diagnostic methods, operative procedures, postoperative complication and follow up. RESULTS:The incidence of MS syndrome was 0.7% of 2415 cholecystectomies. There was preponderance of Type I variety (58.8%). Ultrasonography was able to diagnose 82% cases. ERCP suggested the diagnosis in all cases and helped further in classifying and management of these patients. All Type I cases were managed with partial cholecystectomy, two underwent laparoscopic surgery. Three Type II patients were managed by partial cholecystectomy alone. Three patients with Type III variety had choledochoplasty whereas one remaining patient with Type IV variety underwent hepatico-jejunostomy. All patients had complete recovery with 17.6% procedure-related morbidity and no hospital mortality. All patients are doing well over a mean follow up 6.5 years. CONCLUSION:Preoperative diagnosis of Mirizzi syndrome by ultrasound and ERCP is essential to prevent serious complications during surgery. Partial cholecystectomy is an adequate procedure for Types I & II MS. Choledochoplasty provides an effective surgical repair in Type III cases. Although laparoscopic cholecystectomy in MS may be hazardous, it may still be tried in preoperatively diagnosed type I cases, provided the surgeon is experienced and keeps a low threshold for conversion open surgery.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Al-Akeely MH,Alam MK,Bismar HA,Khalid K,Al-Teimi I,Al-Dossary NFdoi
10.1007/s00268-005-0100-3keywords:
subject
Has Abstractpub_date
2005-12-01 00:00:00pages
1687-92issue
12eissn
0364-2313issn
1432-2323journal_volume
29pub_type
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journal_title：World journal of surgery
pub_type： 杂志文章
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journal_title：World journal of surgery
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journal_title：World journal of surgery
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journal_title：World journal of surgery
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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journal_title：World journal of surgery
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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journal_title：World journal of surgery
pub_type： 杂志文章,多中心研究,随机对照试验
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2005-12-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2014-10-01 00:00:00
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更新日期：2020-08-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-011-1212-6
更新日期：2011-10-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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更新日期：2015-11-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2001-01-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,多中心研究
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更新日期：2010-05-01 00:00:00
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pub_type： 杂志文章
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journal_title：World journal of surgery
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更新日期：2009-06-01 00:00:00
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更新日期：2013-05-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2016-12-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2002-12-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2001-07-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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更新日期：2002-02-01 00:00:00
