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2005, Number 1

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Rev Mex Cir Endoscop 2005; 6 (1)

Role of minimally invasive surgery in colon cancer: A review

Robles PPJ, Lancaster JB, García LJ

Language: Spanish
References: 15
Page: 55-58
PDF size: 75.04 Kb.


ABSTRACT

Objective: We report a case of Mirizzi syndrome Mc Sherry type I to draw attention to the importance of this rare condition that was treated successfully by Laparoscopic abdominal approach.
Methods (case): 18 Y/O white female who presented with acute Cholecystitis, ultrasound preoperative diagnosis was made consistent with a large stone impacted in the gallbladder neck leading to extrinsic compression of the common bile duct, our patient had normal preoperative serum biochemistry, Laparoscopic meticulous careful dissection of the biliary anatomy was performed, however periductal inflammation was present and fistula was ruled out. Laparoscopic Cholecystectomy was the procedure of choice in this particular case.
Results: Ultrasound preoperative diagnosis was accurate and Laparoscopic Cholecystectomy did not increase morbidity or mortality. Conclusion: Laparoscopic treatment of Mirizzi type I is technically feasible and safe when performed by high skilled trained surgeon, in the case with a patient Mirizzi type II open surgery is preferred because of the extreme anatomic distortion.


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