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首页> 外文期刊>Surgical Endoscopy >Combined endoscopic and surgical management of Mirizzi syndrome.
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Combined endoscopic and surgical management of Mirizzi syndrome.

机译:Mirizzi综合征的内镜和手术联合治疗。

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摘要

Mirizzi syndrome is a form of obstructive jaundice caused by a stone impacted in the gallbladder neck or the cystic duct that impinges on the common hepatic duct with or without a cholecystocholedochal fistula. This syndrome is a rare complication of cholelithiasis that accounts for 0.1% of all patients with gallstone disease. Preoperative recognition is necessary to prevent injury to the common duct during surgery. We present a patient with a preoperative diagnosis of type I Mirizzi syndrome that was confirmed and drained by endoscopic retrograde cholangiography (ERC), followed by subtotal cholecystectomy. A review of the literature covering its clinical presentation, diagnosis, and surgical treatment is also presented.
机译:Mirizzi综合征是阻塞性胆汁性黄疸的一种形式,其原因是胆囊颈或胆囊管内有结石撞击在有或没有胆囊胆管瘘的情况下撞击在肝总管上。该综合征是胆石症的罕见并发症,占所有胆结石病患者的0.1%。术前识别是必要的,以防止在手术过程中损伤总管。我们介绍了一名术前诊断为I型Mirizzi综合征的患者,该患者经内镜逆行胆管造影术(ERC)确诊并引流,然后进行了大肠胆囊切除术。还介绍了有关其临床表现,诊断和手术治疗的文献综述。

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