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  • Title: Robot-assisted laparoscopic approach of management for Mirizzi syndrome.
    Author: Tung KL, Tang CN, Lai EC, Yang GP, Chan OC, Li MK.
    Journal: Surg Laparosc Endosc Percutan Tech; 2013 Feb; 23(1):e17-21. PubMed ID: 23386165.
    Abstract:
    Mirizzi syndrome is an uncommon cause of common hepatic duct obstruction resulting from gallstone impaction in the cystic duct or gallbladder neck. Mirizzi syndrome is traditionally considered as a contraindication to laparoscopic surgery mainly due to risk of bile duct injury during dissection. We present the surgical experience of 5 patients with Mirizzi syndrome who were diagnosed preoperatively and managed using minimally access surgical technique, either total laparoscopic or robotic-assisted laparoscopic approach. All patients had successful operations and recovered without complications. We concluded that with a correct preoperative diagnosis, careful operative strategy, increasing expertise with laparoscopic technique, and introduction of robotic surgical system, minimally invasive approach of management of Mirizzi syndrome becomes safe and feasible.
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