Single-operator cholangioscopy and electrohydraulic lithotripsy for the treatment of Mirizzi syndrome.

ABSTRACT:

Introduction

Mirizzi syndrome is an infrequent complication of long-standing cholelithiasis. Extrinsic compression of the common hepatic duct is usually caused by an impacted stone in Hartmann's pouch or cystic duct resulting in the development of cholecystobiliary fistula. This syndrome is classified based on the presence and severity of cholecystobiliary fistula. Mirizzi syndrome is challenging to diagnose preoperatively and may require complex biliary surgical procedures for resolution.

Results

We present three patients with Mirizzi syndrome with different clinical presentations. All were successfully treated by cholangioscopy with electrohydraulic lithotripsy. Endoscopic treatment is a safe alternative with a high success rate. Single-operator cholangioscopy combined wit

SUBMITTER: Salgado-Garza G 

PROVIDER: S-EPMC7841223 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature