Surgical Tactics for Mirizzy’s Syndrome
Surgery performed when there are urgent indications is still the main treatment method for patients with Mirizzi’s syndrome (MS). However, surgical correction often leads to the development of a post-operative stricture of the hepaticocholedoch, which requires complex reconstructive operative interv...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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International Medical Research and Development Corporation
2014-06-01
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| Series: | International Journal of Biomedicine |
| Subjects: | |
| Online Access: | http://ijbm.org/articles/Article4_2_CR5.pdf |
| _version_ | 1811311454749458432 |
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| author | Farkhad A. Khadjibaev Fotikh B. Alidjanovv Bazarbay K. Altiev Sultan O.Tilimisov Khikmat E. Anvarov |
| author_facet | Farkhad A. Khadjibaev Fotikh B. Alidjanovv Bazarbay K. Altiev Sultan O.Tilimisov Khikmat E. Anvarov |
| author_sort | Farkhad A. Khadjibaev |
| collection | DOAJ |
| description | Surgery performed when there are urgent indications is still the main treatment method for patients with Mirizzi’s syndrome (MS). However, surgical correction often leads to the development of a post-operative stricture of the hepaticocholedoch, which requires complex reconstructive operative interventions at a later time. 93 patients (aged from 27 to 74 years) with MS were treated during 8 years. According to the presence of obstructive jaundice (OJ), the treatment process of the patients was divided into two stages. The first stage started with performing endoscopic diagnostic and operative interventions as retrograde pancreatico-cholangiography (RPCG) with endoscopic papillosphincterotomy (EPCT) and, in cases of inefficiency, the use of percutaneous–transhepatic cholangiostomy (PTChS) was applied. In 39 patients, due to the presence of severe concomitant pathology and high operative risk, the first treatment stage was the final one. Altogether, we operated on 54 patients in the second stage. The results obtained showed that the diagnostic process in patients with gallstones complicated by fistula must be complex, and the leading role should belong to endoscopic means of investigation with high indications of specificity, sensitivity, and general exactness. Operative interventions in patients with MS must be performed in two stages: in the first stage, decompression of the biliary system is performed; in the second stage, adequate bile passage into bowels is recovered. |
| first_indexed | 2024-04-13T10:18:06Z |
| format | Article |
| id | doaj.art-fc9eb27d60964c988b5cfd5257e87381 |
| institution | Directory Open Access Journal |
| issn | 2158-0510 2158-0529 |
| language | English |
| last_indexed | 2024-04-13T10:18:06Z |
| publishDate | 2014-06-01 |
| publisher | International Medical Research and Development Corporation |
| record_format | Article |
| series | International Journal of Biomedicine |
| spelling | doaj.art-fc9eb27d60964c988b5cfd5257e873812022-12-22T02:50:39ZengInternational Medical Research and Development CorporationInternational Journal of Biomedicine2158-05102158-05292014-06-01428588Surgical Tactics for Mirizzy’s SyndromeFarkhad A. Khadjibaev0Fotikh B. Alidjanovv1Bazarbay K. Altiev2Sultan O.Tilimisov3Khikmat E. Anvarov4Tashkent Medical Academy;Tashkent, UzbekistanTashkent Institute of Postgraduate Medical Education; Tashkent, UzbekistanRepublican Research Centre of Emergency Medicine;Tashkent, Uzbekistan Republican Research Centre of Emergency Medicine;Tashkent, Uzbekistan Republican Research Centre of Emergency Medicine;Tashkent, Uzbekistan Surgery performed when there are urgent indications is still the main treatment method for patients with Mirizzi’s syndrome (MS). However, surgical correction often leads to the development of a post-operative stricture of the hepaticocholedoch, which requires complex reconstructive operative interventions at a later time. 93 patients (aged from 27 to 74 years) with MS were treated during 8 years. According to the presence of obstructive jaundice (OJ), the treatment process of the patients was divided into two stages. The first stage started with performing endoscopic diagnostic and operative interventions as retrograde pancreatico-cholangiography (RPCG) with endoscopic papillosphincterotomy (EPCT) and, in cases of inefficiency, the use of percutaneous–transhepatic cholangiostomy (PTChS) was applied. In 39 patients, due to the presence of severe concomitant pathology and high operative risk, the first treatment stage was the final one. Altogether, we operated on 54 patients in the second stage. The results obtained showed that the diagnostic process in patients with gallstones complicated by fistula must be complex, and the leading role should belong to endoscopic means of investigation with high indications of specificity, sensitivity, and general exactness. Operative interventions in patients with MS must be performed in two stages: in the first stage, decompression of the biliary system is performed; in the second stage, adequate bile passage into bowels is recovered.http://ijbm.org/articles/Article4_2_CR5.pdfMirizzi’s syndrome;gallstone disease;obstructive jaundicetwo-staged surgical treatmentretrograde pancreatico-cholangiography |
| spellingShingle | Farkhad A. Khadjibaev Fotikh B. Alidjanovv Bazarbay K. Altiev Sultan O.Tilimisov Khikmat E. Anvarov Surgical Tactics for Mirizzy’s Syndrome International Journal of Biomedicine Mirizzi’s syndrome; gallstone disease; obstructive jaundice two-staged surgical treatment retrograde pancreatico-cholangiography |
| title | Surgical Tactics for Mirizzy’s Syndrome |
| title_full | Surgical Tactics for Mirizzy’s Syndrome |
| title_fullStr | Surgical Tactics for Mirizzy’s Syndrome |
| title_full_unstemmed | Surgical Tactics for Mirizzy’s Syndrome |
| title_short | Surgical Tactics for Mirizzy’s Syndrome |
| title_sort | surgical tactics for mirizzy s syndrome |
| topic | Mirizzi’s syndrome; gallstone disease; obstructive jaundice two-staged surgical treatment retrograde pancreatico-cholangiography |
| url | http://ijbm.org/articles/Article4_2_CR5.pdf |
| work_keys_str_mv | AT farkhadakhadjibaev surgicaltacticsformirizzyssyndrome AT fotikhbalidjanovv surgicaltacticsformirizzyssyndrome AT bazarbaykaltiev surgicaltacticsformirizzyssyndrome AT sultanotilimisov surgicaltacticsformirizzyssyndrome AT khikmateanvarov surgicaltacticsformirizzyssyndrome |