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227 1 |
Ultima descărcare din IBN: 2023-03-28 00:12 |
Căutarea după subiecte similare conform CZU |
616.366-003.7-06-07-089 (2) |
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1732) |
SM ISO690:2012 CUCU, Ivan, FERDOHLEB, Alexandru, CAZAC, Anatol, CAZACU, Dumitru. Optimizing the algorithm of diagnosis and surgical treatment in Mirzzi syndrome. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 332. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.366-003.7-06-07-089 | ||||||
Pag. 332-332 | ||||||
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Background. Currently, syndrome Mirizzi (SM) has an incidence of 1%, representing 0.7-1.4% of all cholecystectomies performed, morphologically representing the compression by gallstones of the extrahepatic bile ducts and the formation of fistula at this level. Objective of the study. Optimization of diagnostic features and surgical treatment in syndrome Mirizzi. Material and Methods. The study group included 73 patients treated in the clinic during the years 2000-2022. The diagnostic algorithm included USG73 (100%) as screening, MRCP-18 (24.6%) and ERCP-69 (94.5%) in case of jaundice, for the purpose of differential diagnosis CT with contrast-12 (16.4%). Results. Surgical treatment was directly proportional to the type of MS. Type I-17 (23.2%) bladder-choledochal confluence, cholecystectomy was performed. Type II-28 (38.3%), CBP parietal defect was less than 1/3 of its diameter, was performed Kehr drainage. Type III-18 (24.6%), CBP defect constituted 2/3 of the diameter of which in 12 (16.4%) cases, plasty was performed with vascularized flap from the gallbladder, type Robson drainage, in other 6 (8.2%) cases of hepaticojejunoanastomosis were performed on the Roux loop. Type IV-10 (13.6%), the parietal defect was over 67% of the CBP diameter, only hepaticojejunoanastomosis was performed on the Roux loop. Conclusion. The optimization of the methods of diagnosis and surgical treatment allows increasing the rate of objectification of the diagnosis and the choice of the surgical technique depending on the type of MS favoring the postoperative evolution |
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Cuvinte-cheie Mirizzi syndrome, Diagnosis, treatment, surgery, Sindrom Mirizzi, diagnostic, Tratament, chirurgical |
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