【摘要】 目的探讨腹腔镜治疗Mirizzi综合征的手术方法和效果。方法回顾分析腹腔镜胆囊切除术(LC)治疗Mirizzi综合征46例的临床资料。结果34例仔细解剖胆囊管上钛夹后切除胆囊,4例切断胆囊壶腹,残端用纤维蛋白胶+明胶海绵封闭,5例行胆囊部分切除术,残端用可吸收缝合线缝合关闭,3例中转开腹胆总管探查T管引流。术后5例出现胆瘘,引流1～3周胆瘘停止,拔除腹腔引流管痊愈。结论在腹腔镜下手术或及时中转开腹手术,Mirizzi综合征均能达到良好的治疗效果。更多还原

【Abstract】 【Objective】 To discuss laparoscopic treatment of Mirizzi syndrome and its effects.【Methods】 Analyse 46 cases Mirizzi syndrome treated by LC retrospectively.【Results】 34 cases of choecystectomies after finding cystic duct carefully and taking up it by titanium clip,4 cases cut in the neck of gallbladder and solved the remainder by gelatin sponge and fibrin glue,partial cholecystectomies in 5 cases and closed the remainder by soluble suture,turning to open operation with common bile duct exploration and " T" tube drainage in 3 cases.Among them,pastoperative bile leakage occurred in 5 cases and cured by drainage of abdominal cavity after 1~3 weeks.【Conclusion】 We can gain satisfied clinic effects by laparoscopic treatment or turning to open operation in time in the treatment of Mirizzi syndrome.更多还原