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Reduced port laparoscopic subtotal cholecystectomy for Mirizzi syndrome with a bilio-biliary fistula: A case report.
Asian J Endosc Surg
July 2023
Department of Surgery, Akashi City Hospital, Akashi-city, Japan.
A 65-year-old male diagnosed with Mirizzi syndrome with a bilio-biliary fistula was referred to our department and underwent single-incision laparoscopic surgery with an assistant trocar. As typical laparoscopic cholecystectomy could not be performed due to the coexistence of a bilio-biliary fistula, we performed laparoscopic subtotal cholecystectomy as a bail-out procedure according to the recommendation of the recent Tokyo Guidelines (TG18). The neck of the remnant gallbladder could be easily sutured with the effective use of an assistant trocar, and the surgery was completed without any complications.
View Article and Find Full Text PDFUnusual complications of gallstones.
Surg Clin North Am
April 2014
Department of General Surgery, Rush University Medical Center, Rush Medical College, 1633 West Congress Parkway, Chicago, IL 60612, USA.
Extrinsic compression of the bile duct from gallstone disease is associated with bilio-biliary fistulization, requiring biliary-enteric reconstruction. Biliary-enteric fistulas are associated with intestinal obstruction at various levels. The primary goal of therapy is relief of intestinal obstruction; definitive repair is performed for selected patients.
View Article and Find Full Text PDFDuct-to-duct biliary reconstruction during complex hepatectomy: a useful technique in selected cases.
World J Surg
January 2012
Department of Digestive and Hepatobiliary Surgery and Liver Transplantation, Hôpital Henri Mondor, Créteil, France.
Background: Roux-en-Y anastomosis is the standard of care for biliary reconstruction. Yet, a direct bilio-biliary anastomosis preserves the normal sphincter mechanism and endoscopic access to the biliary tree for diagnostic and therapeutic purposes. Duct-to-duct biliary reconstruction is widely used in liver transplantation.
View Article and Find Full Text PDF[Therapeutical options in lithiasic biliary fistula].
Chirurgia (Bucur)
August 2003
Clinica de Chirurgie a Spitalului Universitar C.F. Witing, Universitatea Independentă Titu Maiorescu Clinica de Chirurgie Caritas, UMF Carol Davila Bucureşti.
Chronic lythiasic cholecystitis is a disease distinguished by the pathologic changes because of the chronic inflammation of the biliary extrahepatic tree. Sometimes these morphological changes are associated with internal biliary fistulas arising spontaneously in patients with advanced calculus cholecystitis. The vast majority of fistulas result from the adherence of the inflamed gallbladder or common bile duct to an adjacent viscus and erosion of the gallstones into the adherent organ.
View Article and Find Full Text PDFMirizzi's syndrome: experience from a multi-institutional review.
Am Surg
January 2001
Department of Surgery, Louisiana State University School of Medicine, Shreveport, USA.
P.L. Mirizzi described in 1948 a partial or spastic obstruction of the common hepatic duct secondary to an impacted gallstone in the cystic duct or infundibulum of the gallbladder.
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