Identificador persistente para citar o vincular este elemento: https://accedacris.ulpgc.es/handle/10553/135391
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dc.contributor.authorSenra, Fátimaen_US
dc.contributor.authorNavaratne, Lalinen_US
dc.contributor.authorAcosta Mérida, María Asunciónen_US
dc.contributor.authorMartínez-Isla, Albertoen_US
dc.date.accessioned2025-01-13T20:07:39Z-
dc.date.available2025-01-13T20:07:39Z-
dc.date.issued2020en_US
dc.identifier.issn0930-2794en_US
dc.identifier.urihttps://accedacris.ulpgc.es/handle/10553/135391-
dc.description.abstractBackground: Mirizzi syndrome is an uncommon complication of longstanding gallstone disease. Pre-operative diagnosis is challenging, and to date, there is no consensus on the standard management for this condition. Until recently open cholecystectomy was the standard of care for type II Mirizzi syndrome (McSherry classification). The objective of this study was to assess the incidence and management of type II Mirizzi syndrome in patients with proven or suspected choledocholithiasis undergoing laparoscopic common bile duct (CBD) exploration and present our experience in the laparoscopic management of this rare condition over the last 21 years. Methods: Prospective data collection of eleven cases of type II Mirizzi syndrome amongst a series of 425 laparoscopic bile duct explorations was performed between 1998 and 2019. Demographic, clinical, diagnostic, intra-operative, and post-operative data were recorded. Results: The incidence of type II Mirizzi syndrome was 2.6% in 425 laparoscopic CBD explorations. All operations were completed laparoscopically with closure of the defect over a decompressed CBD (T-tube n = 3, antegrade stent n = 5, transcystic drain n = 2), and in one case a non-drained duct was closed with Endoloop. Stone clearance rate was 100% (11 cases). In two patients the transinfundibular approach was used in conjunction with holmium laser lithotripsy to enable choledochoscopy and successful stone clearance. Three patients were complicated in the post-operative period with bile leak (n = 2) and lower respiratory tract infection (n = 1). An incidental gallbladder carcinoma was found in one patient. Conclusion: Laparoscopic management of type II Mirizzi syndrome is feasible and safe when performed by experienced laparoscopic foregut surgeons. Laparoscopy and choledochoscopy can be combined with novel approaches and techniques to increase the likelihood of treatment success.en_US
dc.languageengen_US
dc.relation.ispartofSurgical Endoscopyen_US
dc.sourceSurgical Endoscopy [ISSN 0930-2794], v. 34, p. 2303-2312 (Marzo 2020)en_US
dc.subject32 Ciencias médicasen_US
dc.subject3213 Cirugíaen_US
dc.subject.otherCholecystocholedochal fistulaen_US
dc.subject.otherLABELen_US
dc.subject.otherLaparoscopyen_US
dc.subject.otherMirizzi syndromeen_US
dc.subject.otherTransinfundibular approachen_US
dc.subject.otherType II Mirizzien_US
dc.titleLaparoscopic management of type II Mirizzi syndromeen_US
dc.typeinfo:eu-repo/semantics/articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1007/s00464-019-07316-6en_US
dc.identifier.pmid32140861-
dc.identifier.scopus2-s2.0-85081539855-
dc.contributor.orcid#NODATA#-
dc.contributor.orcid#NODATA#-
dc.contributor.orcid#NODATA#-
dc.contributor.orcid#NODATA#-
dc.description.lastpage2312en_US
dc.description.firstpage2303en_US
dc.relation.volume34en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.description.numberofpages10en_US
dc.utils.revisionen_US
dc.date.coverdateMarzo 2020en_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-MEDen_US
dc.description.sjr1,457
dc.description.jcr4,584
dc.description.sjrqQ1
dc.description.jcrqQ1
dc.description.scieSCIE
item.grantfulltextopen-
item.fulltextCon texto completo-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.orcid0000-0003-4813-6217-
crisitem.author.fullNameAcosta Mérida, María Asunción-
Colección:Artículos
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