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MIRIZZI SYNDROME: HISTORY, PRESENT AND FUTURE DEVELOPMENT
Author(s) -
Lai Eric C. H.,
Lau Wan Yee
Publication year - 2006
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2006.03690.x
Subject(s) - medicine , contraindication , gold standard (test) , general surgery , bile duct , open surgery , surgery , cholecystectomy , fistula , laparoscopic cholecystectomy , radiology , alternative medicine , pathology
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.