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Journal of Gastronenterology and Digestive Diseases
|
Volume 3
J u n e 2 5 - 2 6 , 2 0 1 8 | D u b l i n , I r e l a n d
GASTROENTEROLOGY
International Conference on
DIVIDED LAPAROSCOPIC CHOLECYSTECTOMY FOR
UNUSUAL GALL STONES COMPLICATION OF MIRIZZI’S
SYNDROME
Ahmed E. Lasheen,
1
Mostafa Baioumy,
1
Mansour Morsy,
1
Wael Mahmoud,
1
Wael Mansy,
1
Ashraf Is-
mail,
1
and Yasser Hussein
1
General and laparoscopic Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt
Background:
Chronic complications of symptomatic gallstone disease such as Mirizzi’s syndrome are rare. The importance and
implications of these conditions are related to their associated surgical complications which are potentially serious such as bile
duct injury and to the modern management when encountered during laparoscopic cholecystectomy.
Objectives:
This research offers a technique to avoid surgical complications in Mirizzi’s syndrome cases during laparoscopic
cholecystectomy.
Patients and Methods:
Between November 2012 and February 2015, 17 patients (12 females and 5 males) with mean age of 51
years (between 29 and 57 years) suffering from Mirizzi’s syndrome underwent the divided cholecystectomy. In this technique the
gall bladder was divided into two parts above the gall bladder infundibulum. The distal part was dissected for short distance and
used to push liver up. The proximal part of gall bladder was cleared from all its contents and reevaluated from inside. Management
was achieved according to the stage of disease.
Results:
The mean operative time was 70minutes (between 60 and 90minutes). No biliary tract obstruction or leakage or stenosis
was recorded in this patient group during the period of follow up (18 months).
Conclusions:
Divided laparoscopic cholecystectomy is a safe and effective technique to face the unusual gallstones complications
(Mirizzi’s syndrome).
lasheenahmed@yahoo.comJ Gastroenterol Dig Dis 2018, Volume 3