Advanced surgical tactics for mirizzi syndrome
DOI:
https://doi.org/10.11603/2414-4533.2020.3.11458Keywords:
cholelithiasis, Mirizzi syndrome, algorithm of action, postoperative complication, preventionAbstract
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].
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