| Popis: |
Objective: improving the results of patients with mirizzisyndrome (MS) by optimizing surgical tactics depending on its type. Material and methods: 72 patients with a diagnosis of MS aged 28 to 82 years were operated in the surgical department of the 1st clinic of the State Medical University between 2009 and 2021. Results: calculous cholecystitis is complicated by mechanical jaundice, MRPXG was added to the diagnostic methods, which was performed in 22 patients. The diagnostic sensitivity of this research was higher and equaled to 54.5%. Conclusions: if SM is suspected, the best results are obtained by removing the gallbladder (GB) “from the bottom” using the Pribram method, which allows assessing the situation “from the inside” of the gallbladder neck. According to the type of SM, either complete removaling of the gallbladder (type I), or removaling the bladder with suturing of the duct wall with separate sutures (more often, with type II SM), or plasty of the defect in the wall of the duct and the wall of the neck of the gallbladder,or suturing of the neck of the gallbladder over the fistulous tract (with II and III types). |
