Features of the diagnosis and treatment of patients with mirizzi syndrome

Authors

  • T. I. Tamm Kharkiv Medical Academy of Postgraduate Education
  • I. N. Mamontov Kharkiv Medical Academy of Postgraduate Education
  • I. Zulfigarov Kharkiv Medical Academy of Postgraduate Education
  • A. Hamam Kharkiv Medical Academy of Postgraduate Education
  • A. J. Barduk Kharkiv Medical Academy of Postgraduate Education
  • A. P. Zaharchuk Kharkiv Medical Academy of Postgraduate Education

DOI:

https://doi.org/10.11603/2414-4533.2020.1.10730

Keywords:

Mirizzi syndrome, laparoscopic cholecystectomy, physiological passage of bile

Abstract

The aim of the work: to improve the results of treatment of patients with cholelithiasis complicated by Mirizzi syndrome by improving the quality of its preoperative diagnosis and improving surgical treatment by restoring the physiological passage of bile into the duodenum.

Materials and Methods. A retrospective analysis was performed in 898 patients with acute cholecystitis, Mirizzi syndrome was diagnosed in 117 patients, the first type – 74, the second type – 43 patients. The examination complex included analysis data, clinical and laboratory methods, radiation methods (ultrasound diagnostics, computed tomography), instrumental methods (fibrogastroduodenoscopy, endoscopic retrograde cholangiopancreatography). The results of the study were compared with the results of surgical treatment.

Results and Discussion. An analysis of 898 case histories of patients with acute cholecystitis showed that Mirizzi syndrome was detected in 117 (13 %) patients, of whom the first type was in 74 (8.3 %) and the second in 43 (4.7 %).

Among 74 patients with the first type LCE was performed in 43 (58%) cases, and in patients with the second type of Mirizzi syndrome, laparoscopic cholecystocholedocholithotomy was performed in 3 (6.9 %) patients. Among 117 patients with both types of Mirizzi syndrome, 46 (39.3%) underwent laparoscopic interventions.

In all 117 (100 %) patients, the physiological passage of bile into the duodenum was restored due to the use of the original technique of surgical interventions, the priority of which is protected by the Patents of Ukraine.

Improving diagnostic techniques for identifying Mirizzi syndrome and determining its type, as well as using new methods for performing surgical interventions, allowed to avoid conversions and iatrogenic damage to the bile ducts.

References

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Published

2020-01-15

How to Cite

Tamm, T. I., Mamontov, I. N., Zulfigarov, I., Hamam, A., Barduk, A. J., & Zaharchuk, A. P. (2020). Features of the diagnosis and treatment of patients with mirizzi syndrome. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 14–19. https://doi.org/10.11603/2414-4533.2020.1.10730

Issue

No. 1 (2020)

Section

ORIGINAL INVESTIGATIONS

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