Laparoscopic surgery for repairing biliary duct defect in type Ⅱ, Ⅲ Mirizzi syndrome / 中华全科医师杂志

ABSTRACT

Twenty nine patients with biliary duct defect in type Ⅱ,Ⅲ Mirizzi syndrome were treated by laparoscopic surgery at department of surgery,Luoyang Second Traditional Medicine Hospital from May 2010 to April 2017.Among them,23 cases were treated by pedicle gallbladder flap with laparoscopy and 6 cases were converted to open surgery.The postoperative T-tube sustention was lasted for 4-7 months.When the cholangiopancreatography showed no obstruction,the T-tube was closed for a week;then the tube was pulled out if there was no further obstruction.The patients were followed-up for 4-84 months,all patients were cured and no complications occurred.Laparoscopic repair of biliary duct defect in type Ⅱ,Ⅲ Mirizzi syndrome with pedicle gallbladder flap is an effective procedure for physiological function integrity of biliary duct.