Yetişir Fahri, Şarer Akgün Ebru, Acar Hasan Zafer, Parlak Omer, Basaran Basar, Yazıcıoğlu Omer
Atatürk Research and Training Hospital, General Surgery Department, Ankara, Turkey.
Atatürk Research and Training Hospital, Anesthesiology and Reanimation Department, Ankara, Turkey.
Case Reports Hepatol. 2016;2016:6434507. doi: 10.1155/2016/6434507. Epub 2016 Jan 24.
The Mirizzi syndrome (MS) is an impacted stone in the cystic duct or Hartmann's pouch that mechanically obstructs the common bile duct (CBD). We would like to report laparoscopic subtotal cholecystectomy (SC) and resection of cholecystocolic fistula by the help of Tri-Staple™ in a case with type V MS and cholecystocolic fistula, for first time in the literature. A 24-year-old man was admitted to emergency department with the complaint of abdominal pain, intermittent fever, jaundice, and diarrhea. Two months ago with the same complaint, ERCP was performed. Laparoscopic resection of cholecystocolic fistula and subtotal cholecystectomy were performed by the help of Tri-Staple. At the eight-month follow-up, he was symptom-free with normal liver function tests. In a patient with type V MS and cholecystocolic fistula, laparoscopic resection of cholecystocolic fistula and SC can be performed by using Tri-Staple safely.
Mirizzi综合征（MS）是指胆囊管或Hartmann袋内的嵌顿结石机械性阻塞胆总管（CBD）。我们首次在文献中报道了在一名患有V型MS和胆囊结肠瘘的病例中，借助Tri-Staple™进行腹腔镜次全胆囊切除术（SC）及胆囊结肠瘘切除术。一名24岁男性因腹痛、间歇性发热、黄疸和腹泻主诉入住急诊科。两个月前因同样主诉行内镜逆行胰胆管造影（ERCP）。借助Tri-Staple进行腹腔镜胆囊结肠瘘切除术及次全胆囊切除术。在8个月的随访中，他无症状，肝功能检查正常。对于患有V型MS和胆囊结肠瘘的患者，使用Tri-Staple可安全地进行腹腔镜胆囊结肠瘘切除术及SC。
