|
If you are seeing this message, you may be experiencing temporary network problems. Please wait a few minutes and refresh the page. If the problem persists, you may wish to report it to your local Network Manager.
It is also possible that your web browser is not configured or not able to display style sheets. In this case, although the visual presentation will be degraded, the site should continue to be functional. We recommend using the latest version of Microsoft or Mozilla web browser to help minimise these problems.
Wiley InterScience | ||||
  ANZ Journal of SurgeryVolume 76 Issue 4, Pages 251 - 257 Published Online: 27 Apr 2006 Journal compilation © 2010 Royal Australasian College of Surgeons
Abstract | References | Full Text: HTML, PDF (Size: 144K) | Related Articles | Citation Tracking  REVIEW ARTICLE MIRIZZI SYNDROME: HISTORY, PRESENT AND FUTURE DEVELOPMENT Copyright 2006 Royal Australasian College of Surgeons KEYWORDS bile duct injury • cholecystectomy • gall bladder neoplasm • laparoscopy • Mirizzi syndrome ABSTRACTBackground: Mirizzi syndrome was reported in 0.3–3% of patients undergoing cholecystectomy. The distortion of anatomy and the presence of cholecystocholedochal fistula increase the risk of bile duct injury during cholecystectomy. Methods: A Medline search was undertaken to identify articles that were published from 1974 to 2004. Additional papers were identified by a manual search of the references from the key articles. Results: A preoperative diagnosis was made in 8–62.5% of cases. Open surgical treatment gave good short-term and long-term results. There was a lack of good data in laparoscopic treatment. Conversion to open surgery rates was high, and bile duct injury rate varied from 0 to 22.2%. Conclusion: A high index of clinical suspicion is required to make a preoperative or intraoperative diagnosis, which leads to good surgical planning to treat the condition. Open surgery is the gold standard. Mirizzi syndrome should still be considered as a contraindication for laparoscopic surgery. Accepted for publication 24 May 2005. | 
|
