Surgical strategies for Mirizzi syndrome: A ten-year single center experience

Table 3 Effects of Csendes classification on surgical methods, operative time, bleeding volume, hospitalization time and cost (n = 66), (mean ± SD), (range, median)

		Type I	Type II	Type III	Type IV	Statistics
n (%)		42 (63.64%)	14 (21.21%)	10 (15.15%)	0
Total bilirubin (μmol/L)	≤ 28	29	2	0	-	χ2 = 51.42; P = 0.000
	28-56	13	11	3	-
	> 56	0	1	7	-
Surgical methods	LC	29	62	0	-	χ2 = 29.91; P = 0.000
	LC convert to OC	2	32	0	-
	LC convert to OC + BDER + T-tube	71,2	43	83	-
	OC	0	12	0	-
	OC + BDER + T-tube	41,2	0	23	-
Hospitalization time (d)		12.8 ± 4.8; 6-25, 12.5	15.1 ± 6.2; 8-26, 13.5	15.9 ± 6.1; 8-31, 15	-	F = 1.981; P = 0.146
Treatment cost (CNY Yuan)		23037 ± 5522; 13596-40815, 21963	24916 ± 7146; 15108-36557, 23593	30387 ± 6865; 17161-40568, 28624	-	F = 5.909; P = 0.004
Operative time (minutes)		154.4 ± 91.1; 50-395, 122.5	230.4 ± 133.7; 80-480, 175	219.0 ± 122.2; 95-520, 177.5	-	F = 3.486; P = 0.037
Bleeding volume (mL)		96.6 ± 81.5; 20-340, 60	191.4 ± 123.3; 30-390, 180	163.5 ± 114.3; 25-400, 140	-	F = 5.919; P = 0.004

¹Bile duct exploration and repair due to intraoperative iatrogenic bile duct injury (BDI).

²Simple suture due to small fistula or slight BDI.

³Repaired with remaining gallbladder wall patch following subtotal cholecystectomy.

LC: Laparoscopic cholecystectomy; OC: Open cholecystectomy; BDER: Bile duct exploration and repair.