GI Surgery - Medical Tutorials

To propose a new classification of the Mirizzi syndrome based on the extent of cholecystocholedochal fistula

The most common clinical manifestation is obstructive jaundice

In type I lesions, cholecystectomy plus choledochostomy is effective

In type II lesions, suture of the fistula with absorbable material or choledochoplasty with the remnant of gallbladder can be performed

In type III lesions suture is not indicated and choledocoplasty is recommended

In the type IV lesions, bilioenteric anastomosis is preferred

Operative mortality rate increases according to the severity of the lesion as does postoperative morbidity