Advanced surgical tactics for mirizzi syndrome

Authors

  • K. E. Rakhmanov Samarkand State Medical Institute, Republic of Uzbekistan, Samarkand
  • S. S. Davlatov Samarkand State Medical Institute, Republic of Uzbekistan, Samarkand
  • A. M. Nasimov Samarkand State Medical Institute, Republic of Uzbekistan, Samarkand

DOI:

https://doi.org/10.11603/2414-4533.2020.3.11458

Keywords:

cholelithiasis, Mirizzi syndrome, algorithm of action, postoperative complication, prevention

Abstract

The aim of the work: to improve the results of treatment of Mirizzi syndrome by developing rational surgical tactics depending on its type.

Materials and Methods. The results of the examination and treatment of 62 patients with Mirizzi syndrome, who were in the Clinic No.1 of the Samarkand Medical Institute in the period from 2010 to 2019, were analyzed.

Results and Discussion. Among 62 operated patients for cholelithiasis complicated by Mirizzi syndrome, various complications were observed in 14.5 % of patients. In the control group of 36 operated patients, complications in the immediate postoperative period were noted in 19.4 %. In the main group of patients operated on for cholelithiasis complicated by Mirizzi syndrome, complications were observed in 7.7 % of patients in the immediate postoperative period.

The developed program, based on a score in patients with Mirizzi syndrome, can reduce the number of postoperative complications by 3 times, avoid damage to the bile ducts, and increase the number of satisfactory results.

References

Abdulloev, D.A. (2007). Khirurgicheskoye lechenitee bolnykh s oslozhnenymi formami zhelchekamyanoy bolezni [Surgical treatment of patients with complicated forms of gallstone disease]. Vestnik khirurgii im. I.I. Grekova – Herald of Surgery named after I. I. Grekov, 166 (2) [in Russian].

Grinev, R.N. (2006). Diagnostika i khirgicheskaya korrektsiya sindroma Mirizzi [Diagnostics and surgical correction of Mirizzi syndrome]. Vestnik Kharkovskogo natsionalnogo universiteta imeni V.N. Karazina. Seriya “Meditsina” – Bulletin of V.N. Karazin Kharkiv National University. Series “Medicine”, 7 (614) [in Russian].

Zaporozhchenko, B.S. (2018). Metody diahnostyky ta vybir metodu khirurhichnoho likuvannia syndrmu Mirizzi [Methods of diagnosis and choice of surgical treatment of Mirizzi syndrome]. Visnyk Vinnytskoho natsionalnoho medychnoho universytetu – Bulletin of Vinnytsia National Medical University, 22 (3), 538-542 [in Ukrainian].

Kokhanenko, N.Yu., & Glebova, A.V. (2013). Diagnostika i lecheniye sindroma Mirizzi [Diagnosis and treatment of Mirizzi syndrome]. Fundamentalnye issledovaniya – Fumdamental Researches, 3, 12 [in Russian].

Okhotnikov, O.I. (2013). Antegradnye endobiliarnye vmeshatelstva v lechenii oslozhnennoy zhelchekamennoy bolezni [Antegrade endobiliary interventions in the treatment of complicated cholelithiasis]. Annaly khirurgicheskoy gepatologii – Annals of Surgical Hepatology, 18, 1, 29-37 [in Russian].

Orlovskiy, Yu.n. (2010). Diagnostika i lecheniye povrezhdeniy zhelchnykh protokov i oslozhneniy ikh pervichnoy korrektsii [Diagnosis and treatment of damage to the bile ducts and complications of their primary correction]. Novosti khirurgii – News of Surgery, 18 (5) [in Russian].

Pustynnikova, E.V., Golikov, A.V., & Klimkin, A.S. (2016.) Analiz rezultatov lecheniya bolnykh s yatrogennemi povrezhdeniyami i strukturami vnepechenochnykh zhelchnykh khodov [Ana­lysis of the results of treatment of patients with iatrogenic injuries and structures of extrahepatic bile ducts]. Molodezh, nauka, meditsina – Youth, Science, Medicine, 407-415 [in Russian].

Downloads

Published

2020-10-22

How to Cite

Rakhmanov, K. E., Davlatov, S. S., & Nasimov, A. M. (2020). Advanced surgical tactics for mirizzi syndrome. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 24–28. https://doi.org/10.11603/2414-4533.2020.3.11458

Issue

No. 3 (2020)

Section

ORIGINAL INVESTIGATIONS

License

Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  
  2. Лицензия Creative Commons
  3. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)