OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH MIRIZZI SYNDROME
Keywords:
Mirizzi syndrome, classification, diagnosis, computed tomography, retrograde cholangiopancreatography, cholecystectomy, drainage of the common hepatic ductAbstract
Mirizzi's syndrome is a rather rare disease of the bile ducts and, according to the literature, is diagnosed in 0.5-5% of patients with various forms of cholelithiasis. Material and research methods. The results of examination and treatment of 62 patients with Mirizzi syndrome who were in the 1st clinic of the department of Surgery No. 1 of the Samarkand Branch of the Republican Scientific Center for Emergency Medical Aid in the period from 2012 to 2020 were analyzed. The age of the patients ranged from 45 to 82 years. 69.3% of patients were elderly and senile. Among 62 patients, females prevailed - 46 (74.2%), and there were 16 men (25.8%). Research results. Analysis of our own results showed that the total percentage of complications in the immediate postoperative period was 14.5%. The most dangerous complications include injury to the IVS, which was in 3.2% of cases. In both cases, the GC damage was caused by insufficient identification of the Calo triangle and GC was mistaken for the cystic duct. In the main group of patients, such mistakes were not made. Findings. The developed program, based on scoring in patients with Mirizzi syndrome, allows to reduce the number of postoperative complications by 3 times, avoid damage to the bile ducts, and increase the number of satisfactory results.
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