Saavedra Gerardo Chávez, Segovia Dante Ríos, Centeno Raúl Hernandez, Pérez Nicolas Joaquín Fernández
Medicine and Nutrition Department, University of Guanajuato, Av. Puente del Millenio 1001, Fracc. San Carlos, León, Guanajuato CP: 37670, Mexico.
Leon General Hospital, Blvd. Milenio 1002, Fracciones de los Aguirre, 37672 León, Guanajuato, Mexico.
Int J Surg Case Rep. 2022 Aug;97:107425. doi: 10.1016/j.ijscr.2022.107425. Epub 2022 Jul 21.
Mirizzi syndrome Type II & III treatment is a true surgical challenge. The purpose was to determine whether the laparoscopic subtotal reconstituting cholecystectomy can be a safe and effective approach in our institution to treat Mirizzi Syndrome type II and III.
We report a case series of 5 patients with Mirizzi syndrome type II and III who underwent laparoscopic subtotal reconstituting cholecystectomy.
We found only one patient had presurgical diagnosis, average surgical time of 218 min, average surgical bleeding of 230 ml and the mean hospital stay of 3.4 days; one patient presented low volume and auto limited biliary leak; no cases presented biliary injury, major complications, or reintervention.
Laparoscopic subtotal reconstituting cholecystectomy is a security and effective technique to treat type II and III Mirizzi syndrome in our context.
Mirizzi综合征II型和III型的治疗是一项真正的外科挑战。目的是确定在我们机构中，腹腔镜次全胆囊重建切除术是否可以作为治疗Mirizzi综合征II型和III型的一种安全有效的方法。
我们报告了一组5例接受腹腔镜次全胆囊重建切除术的Mirizzi综合征II型和III型患者的病例系列。
我们发现只有1例患者有术前诊断，平均手术时间为218分钟，平均手术出血量为230毫升，平均住院时间为3.4天；1例患者出现少量且自行局限的胆漏；无病例出现胆管损伤、严重并发症或再次干预。
在我们的情况下，腹腔镜次全胆囊重建切除术是治疗II型和III型Mirizzi综合征的一种安全有效的技术。
