Rene M Gordillo, MD, FACS, Amber R Andrade, MD, Wilson H Vasquez, MD. Ecuadorean Institute of Social Security
Objective: To report a case of Mirizzi syndrome type III, which was resolved laparoscopically.
Materials and Methods: Mirizzi Syndrome, a benign extrinsic compression of the common hepatic duct by a stone impacted in the cystic duct or the neck of the gallbladder, is a rare pathology. The surgical management of Mirizzi Syndrome type III and IV has been based on a bilioenteric derivation. In recent years most of the surgical procedures have been replicated laparoscopically and although in this syndrome its use is still considered controversial, we propose its treatment by laparoscopy without performing a biliodigestive bypass.
Results: The patient object of this report evolved favorably, without complications and the tasks of the surgery were fulfilled.
Discussion: The laparoscopic resolution of SM type III to date has only been reported sporadically, however in the cases performed it has been shown to be effective.
Conclusion: An analysis carried out by a committee of experts is important in order to establish current treatment guidelines for this pathology.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93845
Program Number: V318
Presentation Session: Video Loop Day 3
Presentation Type: VideoLoop