Oportunity of laparoscopic treatment of syndrome Mirizzi
The paper presents the results of treatment of 27 patients with the syndrome Mirizzi. Mirizzi syndrome type 1 was 12 (44,4%) patients, type 2 - 15 (55,6%). In all cases of Mirizzi syndrome, after ultrasonography detection of bile hypertension ERCP was done. Variants of surgical procedures in Mirizzi syndrome type II include subtotal cholecystectomy with plastic hepaticocholedochus, cholecystitis fistulas lithotomy and cholecystectomy with gepaticoeunostomy. The advantages of the first two types of surgery is preservation of the physiological passage of bile into the duodenum. The usage of endoscopic and surgical interventions in the treatment of patients with Mirizzi syndrome type 1 and 2 Mirizzi syndrome helped preserve the physiological passage of bile in 96,3%.