Table 3.
Number of patients with postcholecystectomy Mirizzi syndrome | Mean time of presentation from initial operation | Type of initial operation and indication | Indication for initial operation | Surgical management of postcholecystectomy Mirizzi syndrome | Outcome at follow-up | |
---|---|---|---|---|---|---|
Palanivelu et al. [9] | 15 (all 15 patients underwent surgical management) |
8 months | Laparoscopic subtotal cholecystectomy in 13 patients Conventional laparoscopic cholecystectomy in 2 patients |
Acute cholecystitis in 13 patients Indication not mentioned in 2 patients undergoing conventional cholecystectomy |
Laparoscopic retrieval of remnant cystic duct stone in all patients (i) Primary closure of common bile duct in 11 patients (ii) Closure of common bile duct around T-tube in 4 patients |
CBD stone in 1 patient post-op managed with ERCP and stent Biliary pancreatitis in 1 patient All patients were symptom-free at 3-month follow-up |
| ||||||
Phillips et al. [3] | 12 (6 out of 12 patients underwent surgical management) |
34.2 months | Laparoscopic cholecystectomy in 9 patients Open cholecystectomy in 3 patients |
Acute cholecystitis in 5 patients Chronic cholecystitis in 7 patients |
(i) Open retrieval of cystic duct remnant calculi and open common bile duct exploration in 6 patients (ii) 1 patient refused surgical intervention after failed ERCP |
Follow-up available in 9 patients Resolution of symptoms in 7 patients out of these 9 patients at mean follow-up of 11.8 months |
| ||||||
Walsh et al. [4] | 7 (5 out of 7 patients underwent surgical management) |
8.5 years | Laparoscopic cholecystectomy in 4 patients Open cholecystectomy in 3 patients |
Acute cholecystitis in 2 patients Chronic cholecystitis in 5 patients |
(i) Open retrieval of cystic duct remnant stone in 4 patients (ii) Laparoscopic retrieval of cystic duct remnant stone in 1 patient |
All patients were symptom-free at mean follow-up of 31 months |
| ||||||
Tantia et al. [10] | 7 (7 out of 7 patients underwent surgical management) |
12.8 years | Open cholecystectomy in 6 patients Laparoscopic cholecystectomy in 1 patient |
Not known | Laparoscopic completion cholecystectomy in 7 patients with laparoscopic common bile duct exploration in 2 patients (primary CBD closure in 1 patient and choledochoduodenostomy in 1 patient) | All patients were symptom-free at 3-month follow-up |
| ||||||
Chowbey et al. [11] | 3 (3 out of 3 patients underwent surgical management) |
7.6 months | Laparoscopic subtotal cholecystectomy in 3 patients | Not known | Laparoscopic completion cholecystectomy in 3 patients | All patients were symptom-free at mean follow-up of 2.3 years |
| ||||||
Endo et al. [12] | 1 | 8 years | Open cholecystectomy | Not known | Open retrieval of cystic duct remnant stone and closure of CBD defect with T-tube placement | Symptom-free with resolution of common bile duct stricture at 9-month follow-up |
| ||||||
Gurel et al. [13] | 1 | 32 years | Open cholecystectomy | Acute cholecystitis | Laparoscopic completion cholecystectomy and retrieval of gallbladder remnant stone | Symptom-free at discharge with resolution of LFTs at discharge |
| ||||||
Pernice and Andreoli [14] | 1 | 16 years | Laparoscopic cholecystectomy | Chronic cholecystitis | Laparoscopic completion cholecystectomy of gallbladder remnant | Symptom-free at 8-month follow-up |
| ||||||
Sahoo and Kumar [15] | 1 | 6 years | Laparoscopic cholecystectomy | Not known | Laparoscopic retrieval of cystic duct stump stone and intracorporeal closure of stump | Symptom-free at discharge |