[1]宋炳豹,胡楠木,赵 威,等.Mirizzi综合征的腔镜治疗体会[J].医学信息,2019,(19):190-192.[doi:10.3969/j.issn.1006-1959.2019.19.065]
 SONG Bing-bao,HU Nan-mu,ZHAO Wei,et al.Endoscopic Treatment of Mirizzi Syndrome[J].Medical Information,2019,(19):190-192.[doi:10.3969/j.issn.1006-1959.2019.19.065]
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Mirizzi综合征的腔镜治疗体会()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2019年19期
页码:
190-192
栏目:
经验交流
出版日期:
2019-10-01

文章信息/Info

Title:
Endoscopic Treatment of Mirizzi Syndrome
文章编号:
1006-1959(2019)19-0190-03
作者:
宋炳豹1胡楠木2赵 威1所广军1
(1.上海市普陀区中心医院,上海 200062;2.上海市光华中西医结合医院,上海 200052)
Author(s):
SONG Bing-bao1HU Nan-mu2ZHAO Wei1SUO Guang-jun1
(1.Shanghai Putuo District Central Hospital,Shanghai 200062,China;2.Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai 200052,China)
关键词:
Mirizzi综合征腹腔镜胆囊切除术
Keywords:
Mirizzi syndromeLaparoscopyCholecystectomy
分类号:
R657.4
DOI:
10.3969/j.issn.1006-1959.2019.19.065
文献标志码:
A
摘要:
目的 探讨Mirizzi综合征(MS)行腹腔镜胆囊切除术(LC)的可行性、安全性及治疗效果。方法 回顾性分析2014年1月~2018年1月在我院行LC术的26例MS患者的临床资料。所有患者均先行腹腔镜探查并尝试腔镜完成手术,通过观察记录不同类型MS患者的手术方式、使用腔镜手术成功率、术后恢复情况。结果 23例(88.46%)患者成功行腔镜微创手术,3例(11.54%)中转开腹。其中CsendsⅠ型腔镜成功率100.00%,CsendsⅡ型腔镜成功率80.00%,CsendsⅢ型腔镜成功率50.00%,CsendsⅣ型腔镜成功率为0。1例患者术后出现少许胆漏,积极保守治疗后痊愈,所有患者均无术后出血、胆道狭窄等并发症发生。结论 对于CsendsⅠ型和Ⅱ型患者,腔镜微创手术成功率较高,行LC治疗安全可行。对于CsendsⅢ、Ⅳ型患者,手术成功率较低,术前应明确此类分型患者,做好中转开腹准备。
Abstract:
Objective To investigate the feasibility, safety and therapeutic effect of laparoscopic cholecystectomy (LC) in Mirizzi syndrome (MS). Methods The clinical data of 26 patients with MS who underwent LC in our hospital from January 2014 to January 2018 were retrospectively analyzed. All patients underwent laparoscopic exploration and attempted laparoscopic surgery,the different types of MS patients, the success rate of laparoscopic surgery, and postoperative recovery were observed.Results Twenty-three patients (88.46%) underwent minimally invasive surgery and 3 patients (11.54%) underwent laparotomy. Among them, Csends I type cavity mirror success rate was 100.00%, Csends Ⅱ type cavity mirror success rate was 80.00%, Csends Ⅲ type cavity mirror success rate was 50.00%, Csends Ⅳ type cavity mirror success rate is 0. One patient has a little postoperative bile leakage, after positive conservative treatment After recovery, all patients had no complications such as postoperative bleeding and biliary stricture.Conclusion For Csends type Ⅰ and type Ⅱ patients, the success rate of endoscopic minimally invasive surgery is high, and LC treatment is safe and feasible. For patients with Csends Ⅲ and Ⅳ, the success rate of surgery is low. Patients with such classification should be identified before surgery, and they should be prepared for transfer and open surgery.

参考文献/References:

[1]Antoniou SA,Antoniou GA,Makridis C.Laparoscopic treatment of Mirizzi syndrome:a systematic review[J].Surg Endosc,2010(24):33-39. [2]Beltran MA.Mirizzisyndrome:history,current knowledge and proposal of a simplified classification[J].World Gastroenterol,2012,18(34):4639-4650. [3]Kumar A,Senthil G,Prakash A,et al.Mirizzi,ssyndrome:lessons learnt from 169 patients at a single center[J].Korean J Hepatobiliary Pancreat Surg,2016(20):17-22. [4]张震波,杨福泉,冯伟.腹腔镜手术治疗Mirizzi综合征38例报告[J].中国内镜杂志,2016,4(2):175-176. [5]俞海龙,乔昕,乔士兴.腹腔镜下Mirizzi综合征的治疗体会[J].临床肝胆病杂志,2012,28(2):114-117. [6]Turegano-Fuentes F,Mercader-Cidoncha E,Perez-Diaz D,et al.Use of the round ligament in the repair of large bile duct defectsin type II Mirizzi's syndrome[J].Cir Esp,2006,79(6):379-381. [7]龚伟智,刘昌军,朱朝庚,等.Mirizzi综合征中医源性胆道损伤的处理[J].医学临床研究,2011,28(5):868-870. [8]樊银杰,王巍,过灵香,等.腹腔镜治疗Mirizzi综合征的系统评价[J].解放军医学院学报,2016,37(1):50-55.

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更新日期/Last Update: 2019-10-01