Sheĭko S B, Maĭstrenko N A, Stukalov V V, Priadko A S, Basos S F, Kazakevich G G
Vestn Khir Im I I Grek. 2009;168(4):25-9.
The results of treating 29 patients with Mirizzi syndrome are analyzed: 17 patients underwent traditional surgery, 11 patients--laparoscopic procedures, and endoscopic sphincterotomy with nasobiliary drainage was performed in a type I patient. Laparoscopic operations were performed in patients with types I and II syndrome, patients with types III and IV had only open surgery. In 2 cases operations were complicated by iatrogenic injury to the hepaticocholedochus, in 4 cases--by residual bile duct stones. Pronounced inflammatory alterations and scarring of the hepaticocholedochus, III and IV types of the syndrome were considered as indications for prolonged temporary stenting with plastic stents in 12 patients. Long-term results were studied with follow-up from 1.5 to 9 years. No patients out of 29 suffered cholangitis or biliary strictures.
对29例Mirizzi综合征患者的治疗结果进行了分析：17例患者接受了传统手术，11例患者接受了腹腔镜手术，1例I型患者进行了内镜括约肌切开术并置鼻胆管引流。I型和II型综合征患者接受了腹腔镜手术，III型和IV型患者仅接受了开放手术。2例手术并发医源性肝外胆管损伤，4例并发残留胆管结石。肝外胆管有明显炎症改变和瘢痕形成，III型和IV型综合征被视为12例患者使用塑料支架进行长期临时支架置入的指征。对患者进行了1.5至9年的随访以研究长期结果。29例患者中无1例发生胆管炎或胆管狭窄。
