Tocchi A, Costa G, Mazzoni G, Lepre L, Liotta G, Sita A, Agostini N
Cattedra di IV Patologia Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1995 Apr;16(4):177-80.
Mirizzi's syndrome is characterized by compression and/or stenosis of the common bile duct as a consequence of a stone impaction in the cystic duct or in the gallbladder neck. Clinical outcome, diagnostic pathway and operative management in 27 patients are presented. Ultrasound is referred as the first screening method, while E.R.C.P. and/or percutaneous transhepatic cholangiography allow to confirm the diagnosis. Surgical approach is considered to be of choice and technical expedients are suggested to prevent intraoperative damage and to repair defects of the common bile duct.
Mirizzi综合征的特征是由于胆囊管或胆囊颈部结石嵌顿导致胆总管受压和/或狭窄。本文介绍了27例患者的临床结果、诊断途径和手术治疗。超声被作为首选的筛查方法，而内镜逆行胰胆管造影术（E.R.C.P.）和/或经皮肝穿刺胆管造影术可用于确诊。手术方法被认为是首选，建议采取技术手段以防止术中损伤并修复胆总管缺损。
