ERCP, laparoscopy and choledochoscopy for Mirizzi syndrome

Objective To investigate the treatment of Mirizzi syndrome (MS) by ERCP、laparoscopy and choledochoscopy. Methods In this study 12 cases were confirmed intraoperatively as with MS from July 2005 to June 2009. Patients were treated by ERCP,laparoscopy and choledochoscopy according to the Csendes Classification. Result There were 7 MS patients complicating common bile duct stones among all 12 MS cases.There were 8 cases of Type Ⅰ Csendes MS,3 cases of Type Ⅱ and 1case of Type Ⅲ.11cases were treated by the ERCP、laparoscopy and choledochoscope.4 cases was treated by primary closure of common bile duct in laparoscopy,all the patients were cured.The case of type Ⅲ with T tube placed for stone caused bile duct injury had no stricture of the common bile duct as demonstrated by postoperative follow-up cholangiography. Conclusions ERCP,laparoscopy and choledochoscopy are effective for the treatment of Mirizzi syndrome. Key words: Common bile duct diseases; Cholangiopancreatography, endoscopic retrograde; Cholecystectomy,laparoscopic; Mirizzi syndrome