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Mirizzi综合征。

Mirizzi syndrome.

作者信息

Ibrarullah Md, Mishra Tapas, Das A P

机构信息

Dept of Surgery & Surgical Gastroenterology, Hi-tech Medical College & Hospital, Bhubaneswar, 751 010 Orissa India.

出版信息

Indian J Surg. 2008 Dec;70(6):281-7. doi: 10.1007/s12262-008-0084-y. Epub 2008 Dec 23.

DOI:10.1007/s12262-008-0084-y
PMID:23133085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3452351/
Abstract

Mirizzi syndrome is a complication of long standing cholelithiasis. In this, obstruction of the extrahepatic bile duct by stone/s in the Hartman's pouch or cystic duct (Mirrizi type I) may erode in to the bile duct forming cholecystobiliary fistula (Mirrizi type II). Altered biliary tract anatomy and the associated pathology make cholecystectomy, open or laparoscopic, a formidable undertaking. Awareness of this entity and its preoperative diagnosis is of paramount importance to avoid injury to the bile duct at surgery. Improper surgical procedures may lead to long-term stricture formation. The present article reviews the available literature on various aspect of this syndrome including its pathogenesis, diagnosis and recommended management guidelines.

摘要

Mirizzi综合征是长期胆石症的一种并发症。在此病症中，Hartmann袋或胆囊管内的结石导致肝外胆管梗阻（Mirrizi I型），可能会侵蚀胆管形成胆囊胆管瘘（Mirrizi II型）。胆道解剖结构的改变及相关病理情况使得开腹或腹腔镜胆囊切除术成为一项艰巨的任务。认识到这一实体及其术前诊断对于避免手术中胆管损伤至关重要。不当的手术操作可能导致长期狭窄形成。本文综述了关于该综合征各个方面的现有文献，包括其发病机制、诊断及推荐的管理指南。

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