Mirizzi综合征的腹腔镜处理体会

Experiences in treatment of Mirizzi syndrome with laparoscopic operation

目的探讨Mirizzi综合征(Mirizzisyndrome,MS)的腹腔镜下处理方法和效果。方法回顾性分析本院1999年10月～2006年6月MS25例治疗的临床资料。结果25例中,Nagakawa分型Ⅰ型和Ⅳ型共21例,18例在腹腔镜下完成手术,Ⅱ型4例均开腹完成手术,术后均恢复满意。结论多数Ⅰ、Ⅳ型可在腹腔镜下完成手术且疗效满意,Ⅱ型在基层医院中仍需开腹完成手术。

Objective To discuss the laparoscopic treatment of Mirizzi syndrome and its effects. Methods To analyze Z5 cases oi Mirizzi syndrome treated by LC retrospectively from October 1999 and July 2006. Results LC was performed successfully in 21 cases of type Ⅰ and type Ⅳ of Nagakawa and all type Ⅲ needed to be treated by OC. All patients were cured. Conclusions With carefully operating,type Ⅰ and type Ⅳ of Mirizzi syndrome most can be managed smoothly by LC in different ways. But typeⅡ need to be treated by OC in basic hospitals yet.