9. Surgical Treatment Of Miriszy Syndrome In Patients With Excess Body Mass

Authors

  • M.Zh. Aimagambetov Semey Medical University, The Republic of Kazakhstan1. Medical University of Shimane, Department of Surgery, Department of General Medicine, Faculty of Medicine, Oda Training Center, Japan2
  • M.A. Auyenov Semey Medical University, The Republic of Kazakhstan1. Medical University of Shimane, Department of Surgery, Department of General Medicine, Faculty of Medicine, Oda Training Center, Japan2
  • T.A. Bulegenov Semey Medical University, The Republic of Kazakhstan1. Medical University of Shimane, Department of Surgery, Department of General Medicine, Faculty of Medicine, Oda Training Center, Japan2
  • S.T. Abdrakhmanov Semey Medical University, The Republic of Kazakhstan1. Medical University of Shimane, Department of Surgery, Department of General Medicine, Faculty of Medicine, Oda Training Center, Japan2
  • Yoshihiro Noso Semey Medical University, The Republic of Kazakhstan1. Medical University of Shimane, Department of Surgery, Department of General Medicine, Faculty of Medicine, Oda Training Center, Japan2
  • N.B. Omarov Semey Medical University, The Republic of Kazakhstan1. Medical University of Shimane, Department of Surgery, Department of General Medicine, Faculty of Medicine, Oda Training Center, Japan2
  • N.B. E.M. Asylbekov Semey Medical University, The Republic of Kazakhstan1. Medical University of Shimane, Department of Surgery, Department of General Medicine, Faculty of Medicine, Oda Training Center, Japan2

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Abstract

The results of treatment of 25 patients with cholelithiasis, complicated by Mirizzi syndrome type III and IV, were studied. There were 6 men (24%) and 19 women (76%), 1: 3. The age of the patients ranged from 41 to 78 years. The average age of patients was 63.4±3.4 years. Of these, 14 (56%) patients were overweight: obesity degree I - 7, obesity degree II - 5, the degree of obesity III - 2. All patients were hospitalized as an emergency. All patients were divided into 2 groups depending on the method of elimination of hepatico-holedochus wall defects. The first group - 15 (60%) patients who underwent cholecystectomy, drainage of the common bile duct through the fistula defect by Kerr, hepaticojejunostomy with inter-intestinal anasto-mosis by Brown (with Shalimov’s plug) and Roux (additional drainage by Felker) to the resulting loop. The second group - 10 (40%) patients who underwent cholecystohepaticco-choledochoplasty with P-shaped interrupted sutures on the drainage by Vishnevskiy and hepaticojejunostomy (modelling of Roux technique) using the method of the University Hospital of Semey Medical University. Patients with alimentary obesity - Grades II-III are operated on with the use of “Universal delator Aimagambetov for patients with overweight”. Analysis showed us the reduction of postoperative complications in the second group of patients, which allows us to recommend this method as one of the options of choice for the correction in the treatment of Mirizzi syndrome III and IV types.

Keywords

cholelithiasis, Mirizzi syndrome, hepatico-choledochoujunostomy

References

  1. Davlatov S.S., Khidirov Z.E., Nasimov A.M. Differ-entiated approach to the treatment of patients with Mirizzi syndrome // Academy,
  2. Egorova E.A., Makarova D.V., Bazhin A.V., Kalimulina D.S., Nikonorenko A.M., Loshkaryov D.E. Possibilities of radiological methods in the diagnosis of complicated forms of cholecystitis (literature review and clinical ob-servations) // Radiology-practice. 2016. №5. C.26-41
  3. Kokhanenko N. Yu. And others. The choice of surgical tactics in patients with Mirizzi syndrome using MRI diagnostics // Bulletin of St. Petersburg University. Series
  4. N. Postrelov, A. Shishkin, A. Lodygin Clinical and anatomical evaluation of Mirizzi syndrome // Experi-mental and clinical gastroenterology. 2015. №9. Pp. 52-58
  5. Mirizzi syndrome - flow variability with a double bile flow block / Nazyrov, Devyatov, Salimov // Annals of surgical hepathology .— 2016.— № 3. - P. 120-124
  6. Siplivy V. A., Evtushenko D. V, Petrenko GD, Andre-schev S. A., Evtushenko A. V. Diagnosis and surgi-cal treatment of Mirizzi syndrome. Klinichnairurgiya. - 2016. - №8. - p. 8-11
  7. Tamm T.I., Mamontov I.N., Kramarenko K.A. et al. Features of diagnosis and treatment of Mirizzi syn-drome. HARKIVSKA HIRUCY SHKOLA. - 2016. - № 3 (78). - P.44-47
  8. Shishkin A. А., Postrelov N. А., Plotnikov Yu.V. Clini-cal issues of the extreme course of the Mirizzi syn-drome // Experimental and Clinical Gastroenterology,
  9. Amin A. et al. Combined Endoscopic and Laparo-scopic Management of the Postcholecystectomy Mirizzi Syndrome from a Remnant Cycle Duct Stone: Case Report in Surgery,
  10. Chuang S.H., Yeh M.C., Chang C.J. Laparoscopic transfistulous bile duct exploration for Mirizzi syn-drome type II: a simplified standardized technique. SurgEndosc 2016; 30: 5635–46
  11. Le Roux F., Sabbagh C., Robert B., et al. Multidis-ciplinary management of Mirizzi syndrome with cho-lecystobiliary fistula: the value of minimally invasive endoscopic surgery. HepatobiliaryPancreat Dis Int 2015; 14: 543–7
  12. Lee K. et al. A minimally invasive strategy for Mirizzi syndrome: the combined endoscopic and robotic ap-proach // Surgical endoscopy,
  13. Nazyrov F.G., Devyatov A.V., Salimov U.R. Mirizzi Syndrome - a Variable Course with Double Block of Bile Flow. Annaly khirurgicheskoy gepatologii = An-nals of HPB surgery. 2016; 21 (3): 119-123
  14. Shamsiyev A., Davlatov S. A differentiated approach to the treatment of patients with 15. cholangitis // International Journal of Medical and Health Research,
  15. Unadkat P. et al. Mirizzi Syndrome: A Case Report // IJSS,
  16. Vorobey A.V., Orlovsky Y.N., Vizhinis E.I., Shuleyko A.C. Surgical Treatment of Biliobiliary and Biliodiges-tive Fistulas. Annaly khirurgicheskoy gepatologii = Annalsof HPB surgery. 2016; 21 (3): 92-100
  17. Yetisir F., Sarer A.E., Acar H.Z., et al. Laparoscopic resection of cholecystocol fistula and subtotal cho-lecystectomy by V-type Mirizzi Syndrome. Case Re-ports Hepatol 2016

Published

2019-04-01

Issue

No. 1 (2019)

Section

Статьи