Ⅱ型Mirizzi综合征外科治疗术式选择

Operative procedure management for type Ⅱ mirizzi syndrome

目的 探讨Ⅱ型Mirizzi综合征(MSⅡ型)外科治疗中不同术式的选择。方法 回顾性分析近8年来所收治的MSⅡ型12例的临床资料。结果 均获痊愈,如期出院,无并发症和手术死亡。随访2～7年,健康状况良好。结论 ①Mirizzi综合征以分两型更适用于临床;②应根据MSⅡ型的不同病理改变.选择肝(胆)总管瘘口直接缝合术、胆囊辦胆囊胆管瘘口修补术、胆管空肠Roux-Y吻合术或其它术式。

Objective To explore the operative procedure management for type Ⅱ Mirizzi syndrome(MSⅡ). Methods To report the therapy methods of 12 patients of type Ⅱ Mirizzi Syndrome in recent 8 years. Results Mll the patients recovered and were discharged with no complications or operative mortality, and two to seven years, follow-up have shown that they are in good condition. Conclusions ①The division of MS into two types is applicable clinically. ②According to various pathological lesions, patients with MSⅡ should be treated with direct suture of the fistulous ostium of the common hepatic(bile) duct, or by the repairing of the gall-bladder-duct fistula with the gall-bladder valve, and by Roux-en-y cholangio-jejunostomy and some other approaches.