腹腔镜在Mirizzi综合征的应用

The role of laparoscopy in mirizzi syndrome

目的探讨腹腔镜手术在Mirizzi综合征中诊治的价值。方法回顾性分析我院1992，2007年腹腔镜胆囊切除术（LC）诊治47例Mirizzi综合征的临床资料。结果成功完成腹腔镜胆囊手术（LC）36例，其中Ⅰ型28例，Ⅱ型8例，中转手术11例，其中肝胆管损伤3例（Ⅱ型2例，Ⅲ型1例）。结论腹腔镜对Mirizzi综合征（Ⅰ型，大部分Ⅱ型）行胆囊切除是安全可行的，Ⅲ、Ⅳ型应及时中转开腹完成手术。

Objective To discuss the value of laparoscopy in the diagnosis and treatment for Mirizzi＇s yndrome. Methods Retrospectively analysis the clinical data of 47 cases which underwent laparoseopie eholeeystectomy（ LC ） in our hospital from 1992 to 2007. Results Accomplished LC 36 patients,type Ⅰ （Nagakawa classification） 28 cases,type Ⅱ 8 cases. Uncompleted LC 11 eases,The in jury to the common hepatic or bile duets 3 eases[type Ⅱ 2 eases,type Ⅲ 1 eases） .Conclusion Laparoseopie ehoIeeysteetnmy is a safe to accomplish type Ⅰ and mostly type Ⅲ ,which with Mirizzi＇s syndrome.Type Ⅲ and Ⅳ patients must be changed to opration eholeeystectomy betimes.