JDDW2018 Close
Keyword Search
Adding space between the words will produce results as inserting the word "AND".
Invited Lecture International Session
(Symposium) International Session
(Workshop) Symposium Panel Discussion Workshop International Poster Session
International Session (Symposium) 3 (2) (JSGS・JSGE・JSH)
Fri. November 2nd   10:30 - 12:00   Room 9: Portopia Hotel Main Building Kairaku 3
IS-S3(2)-3_S
 LAPAROSCOPIC CHOLECYSTECTOMY COMBINED WITH ERCP FOR TREATMENT OF COMPLICATED ACUTE CHOLECYSTITIS: ESPECIALLY IN PATIENTS WITH MIRRIZZI SYNDROME
Yi-Yin Jan
Department of General Surgery, Chang Gung Memorial Hospital at LinKou, Chang Gung University College of Medicine
Since 1987, Laparoscopic cholecystectomy (LC) has been the standard treatment for gall bladder lesions. Complicated acute cholecystitis including associated with bile duct stones, acute cholangitis, biliary pancreatitis and Mirrizzi Syndrome in patients were challenging to laparoscopic treatment. Endoscopic retrograde cholangiopancreatography (ERCP) with subsequent endoscopic sphincterotomy and stone removal, or biliary drainage were very effective for biliary stones removal and biliary tract infection.

Mirrizzi syndrome (MS) is characterized by gall stones impacting in the infundibulum, Hartmann’s pouch, or cystic duct and causing jaundice. There are often diagnosed as acute cholecystitis, cholangitis and pancreatitis. Preoperative diagnosis of MS is often difficult but pre-operative diagnosed is very important to confirm the diagnosis and to avoid intra-operative complications. ERCP is the procedure of choice to confirm the diagnosis and to determine whether and fistula is present. Endoscopic papillotomy and stent insertion during ERCP allows partial relief of the obstructed hepatic duct, thus serving both diagnosis and therapeutic purposes.

From Jan 2005 to Dec. 2016, 85 consecutive patients who were preoperative suspected MS at the Department of General Surgery, CGMH, Taiwan were retrospectively reviewed. 29 patients were treated with open cholecystectomy as group A and 56 patients were treated with Laparoscopic Cholecystectomy as group B. The Clinical manifestations, pre-operative diagnosis, surgical treatment and post-operative outcome between this two groups will be compared.
Page Top