PDF(Pubmed)
Abstract：
UNASSIGNED: The incidence of Mirizzi Syndrome ranges from 0.05 to 5.7 % of patients who undergo cholecystectomy. The purpose of this study is to examine the preoperative workup and postoperative outcomes for patients diagnosed with Mirizzi Syndrome.
UNASSIGNED: Retrospective chart review was conducted between January 2018 and January 2022 at a single institution. All adult patients who underwent cholecystectomy were included.
UNASSIGNED: 1628 patients underwent cholecystectomy of which 47 were diagnosed with Mirizzi Syndrome. The majority of patients had type 1 Mirizzi Syndrome. Preoperative studies were often nondiagnostic and 81 % of cases were diagnosed intraoperatively. 66 % of cases were performed laparoscopically, an open approach was required for type V Mirizzi Syndrome. The complication rate was 25 %; most commonly a bile leak requiring ERCP.
UNASSIGNED: Mirizzi syndrome is more common than previously expected and related to patient\'s ability to seek timely medical care. Most cases can be completed laparoscopically however there is a high rate of complications.
UNASSIGNED: This study presents an additional cohort of patients found to have Mirizzi syndrome and supports the hypothesis that it is difficult to diagnose preoperatively. Cases should be attempted laparoscopically but there remains a high complication rate.
UNASSIGNED: Retrospective chart review was conducted between January 2018 and January 2022 at a single institution. All adult patients who underwent cholecystectomy were included.
UNASSIGNED: 1628 patients underwent cholecystectomy of which 47 were diagnosed with Mirizzi Syndrome. The majority of patients had type 1 Mirizzi Syndrome. Preoperative studies were often nondiagnostic and 81 % of cases were diagnosed intraoperatively. 66 % of cases were performed laparoscopically, an open approach was required for type V Mirizzi Syndrome. The complication rate was 25 %; most commonly a bile leak requiring ERCP.
UNASSIGNED: Mirizzi syndrome is more common than previously expected and related to patient\'s ability to seek timely medical care. Most cases can be completed laparoscopically however there is a high rate of complications.
UNASSIGNED: This study presents an additional cohort of patients found to have Mirizzi syndrome and supports the hypothesis that it is difficult to diagnose preoperatively. Cases should be attempted laparoscopically but there remains a high complication rate.
摘要：
■在接受胆囊切除术的患者中，Mirizzi综合征的发生率为0.05％至5.7％。这项研究的目的是检查诊断为Mirizzi综合征的患者的术前检查和术后结果。
■回顾性图表审查于2018年1月至2022年1月在一家机构进行。包括所有接受胆囊切除术的成年患者。
■1628例患者接受了胆囊切除术，其中47例被诊断为Mirizzi综合征。大多数患者患有1型Mirizzi综合征。术前研究通常是非诊断性的，81％的病例在术中诊断。66％的病例是通过腹腔镜进行的，V型Mirizzi综合征需要开放的方法。并发症发生率为25％；最常见的是胆漏，需要ERCP。
■Mirizzi综合征比以前预期的更常见，并且与患者寻求及时医疗护理的能力有关。大多数病例可以通过腹腔镜完成，但并发症发生率很高。
■这项研究提出了另一组发现患有Mirizzi综合征的患者，并支持术前难以诊断的假设。病例应尝试腹腔镜检查，但并发症发生率仍然很高。
■回顾性图表审查于2018年1月至2022年1月在一家机构进行。包括所有接受胆囊切除术的成年患者。
■1628例患者接受了胆囊切除术，其中47例被诊断为Mirizzi综合征。大多数患者患有1型Mirizzi综合征。术前研究通常是非诊断性的，81％的病例在术中诊断。66％的病例是通过腹腔镜进行的，V型Mirizzi综合征需要开放的方法。并发症发生率为25％；最常见的是胆漏，需要ERCP。
■Mirizzi综合征比以前预期的更常见，并且与患者寻求及时医疗护理的能力有关。大多数病例可以通过腹腔镜完成，但并发症发生率很高。
■这项研究提出了另一组发现患有Mirizzi综合征的患者，并支持术前难以诊断的假设。病例应尝试腹腔镜检查，但并发症发生率仍然很高。
