Mirizzi综合征的腹腔镜外科治疗

Surgical treatment of the Mirizzi syndrome with laparoscopic cholecystectomy

目的探讨Mirizzi综合征(Mirizzi syndrome,MS)腹腔镜下处理方法和效果。方法回顾性分析2005年8月至2009年6月湖北省浠水县人民医院15例Mirizzi综合征病人行腹腔镜手术的临床资料。结果 15例均顺利完成腹腔镜手术,其中Mirizzi综合征II型3例行胆总管切开T管引流术,手术后均无严重并发症发生。结论Mirizzi综合征I型行腹腔镜胆囊切除、II型行腹腔镜下胆囊大部切除+胆总管T管引流+保留部分胆囊壁缝合瘘口的手术是安全可行的。

Objective To summarize the experience of diagnosis and treatment of laparoscopic cholecystectomy LC in treatment of Mirizzi syndrome.Methods The clinical data from 8 cases with surgically proved Mirizzi' s syndrome between August 2005 and June 2009 at the People' s Hospital of Xishui County of Hubei Province were analyzed retrospectively.Results Fifteen cases underwent LC successfully.There were no severe complications occurred after operation.Conclusion Type I Mirizzi syndrome treated with laparoscopic cholecystectomy and type Q with choledochotomy and T tube drainage,suturing fistula and retaining partial gallbladder wall are safe and feasible.