title: Minimally invasive approach in Mirizzi's syndrome.
abstract: During a 4-year period (November 1990-September 1994), 1152 patients underwent laparoscopic cholecystectomy (LC). In five (0.4%) patients a cholecysto-choledochal fistula (Mirizzi's syndrome type II) was diagnosed and a minimally invasive treatment (endoscopy-laparoscopy-interventional radiology) was attempted. The first two cases were converted to open surgery probably because of severe anatomical distortion and inadequate confidence in performing a laparoscopic choledochal repair. The last three patients were successfully treated by minimally invasive procedures. These data indicate that a minimally invasive treatment can be safely attempted through a multi-disciplinary approach in Mirizzi's syndrome.
authors.affiliation: II Clinica Chirurgica, Universitä degli Studi La Sapienza, Rome, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Silecchia
authors.forename: A
authors.initials: A
authors.lastname: Materia
authors.forename: M
authors.initials: M
authors.lastname: Bezzi
authors.forename: F
authors.initials: F
authors.lastname: Fiocca
authors.forename: P
authors.initials: P
authors.lastname: Rosato
authors.forename: A
authors.initials: A
authors.lastname: De Leo
authors.forename: G
authors.initials: G
authors.lastname: Pizzuto
authors.forename: T
authors.initials: T
authors.lastname: Picconi
authors.forename: N
authors.initials: N
authors.lastname: Basso
mesh_terms: D000368:Aged; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D042882:Gallstones / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D013577:Syndrome; D016896:Treatment Outcome