腹腔镜技术诊治Mirizzi综合征(附28例报告)

目的:探讨Mirizzi综合征的腹腔镜手术技巧.方法:回顾分析为28例Mirizzi综合征患者施行腹腔镜手术的临床资料.结果:28例中,Ⅰ型21例,均成功地实施了腹腔镜胆囊切除术;Ⅱ型5例,均于腹腔镜下行一期缝合术修复瘘口;Ⅲ型2例,均因Calot三角致密粘连而中转开腹,用部分胆囊壁缝合覆盖于瘘口,放置T管支撑引流.术...

Laparoscopic surgery for Mirizzi syndrome:with a report of 28 cases

Objective:To explore the laparoscopic skills for Mirizzi syndrome(MS).Methods:The clinical data of 28 patients with MS who underwent laparoscopic operation were analyzed retrospectively.Results:Twenty-one cases with MS type Ⅰ underwent laparoscopic cholecystectomy successfully.5 cases with MS typeⅡ underwent laparoscopic cholecystectomy and primary suture of fistula orifice.2 cases with MS type Ⅲ were converted to open surgery for serious adherence in Calot triangle.The fistula orifice was covered with part wall of gallbladder and T tube for drainage was placed in bile duct.Postoperative bile leakage occurred in one case and was cured after drainage and antibiotic therapy.No other complication was observed.Conclusions:Laparoscopic exploration,intraoperative angiography of bile tract,rich operation experience,careful surgical procedures and appropriate operative method are essential in laparoscopic diagnosis and treatment of MS.