title: Robot-assisted laparoscopic approach of management for Mirizzi syndrome.
abstract: Mirizzi syndrome is an uncommon cause of common hepatic duct obstruction resulting from gallstone impaction in the cystic duct or gallbladder neck. Mirizzi syndrome is traditionally considered as a contraindication to laparoscopic surgery mainly due to risk of bile duct injury during dissection. We present the surgical experience of 5 patients with Mirizzi syndrome who were diagnosed preoperatively and managed using minimally access surgical technique, either total laparoscopic or robotic-assisted laparoscopic approach. All patients had successful operations and recovered without complications. We concluded that with a correct preoperative diagnosis, careful operative strategy, increasing expertise with laparoscopic technique, and introduction of robotic surgical system, minimally invasive approach of management of Mirizzi syndrome becomes safe and feasible.
authors: Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong SAR, China. karmanes_t@yahoo.com.hk
authors: Karen L M
authors: KL
authors: Tung
authors: Chung N
authors: CN
authors: Tang
authors: Eric C H
authors: EC
authors: Lai
authors: George P C
authors: GP
authors: Yang
authors: Oliver C Y
authors: OC
authors: Chan
authors: Michael K W
authors: MK
authors: Li
mesh_terms: D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D057792:Mirizzi Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D011182:Postoperative Care / Q000379:methods; D012371:Robotics / Q000379:methods*; D014057:Tomography, X-Ray Computed