Retrospective Cohort Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Feb 27, 2022; 14(2): 107-119
Published online Feb 27, 2022. doi: 10.4240/wjgs.v14.i2.107
Surgical strategies for Mirizzi syndrome: A ten-year single center experience
Wei Lai, Jie Yang, Nan Xu, Jun-Hua Chen, Chen Yang, Hui-Hua Yao
Wei Lai, Jie Yang, Nan Xu, Jun-Hua Chen, Chen Yang, Hui-Hua Yao, Department of Hepatobiliary-Pancreatic-Splenic Surgery, Chengdu First People’s Hospital (Chengdu Integrated TCM & Western Medicine Hospital), Chengdu 610044, Sichuan Province, China
Author contributions: Lai W designed the research protocol, wrote the paper analyzed the data, reviewed and revised the paper; Lai W, Yang J, Xu N, Chen JH, Yang C and Yao HH conducted the research and analyses; all authors have read and approved the final version to be submitted.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of Chengdu First People’s Hospital(Chengdu Integrated TCM & Western Medicine Hospital).
Informed consent statement: Due to the retrospective design of the study, informed consent was waived by the ethics committee for this study.
Conflict-of-interest statement: The authors have no conflicts of interest to report.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei Lai, MD, Associate Professor, Attending Doctor, Department of Hepatobiliary-Pancreatic-Splenic Surgery, Chengdu First People’s Hospital (Chengdu Integrated TCM & Western Medicine Hospital), No. 18 Wanxiang North Road, High Tech District, Chengdu 610044, Sichuan Province, China. laiwei119@163.com
Received: September 3, 2021
Peer-review started: September 3, 2021
First decision: October 2, 2021
Revised: October 13, 2021
Accepted: January 14, 2022
Article in press: January 14, 2022
Published online: February 27, 2022
Core Tip

Core Tip: Accurate preoperative diagnosis is a prerequisite for rational selection of surgical strategies for Mirizzi syndrome (MS). Preoperative images combined with findings during intraoperative exploration to determine the classification of MS is the basis for confirming the surgical approach. The present study revealed that magnetic resonance imaging is an effective and reliable preoperative diagnostic method for MS. Laparoscopic surgery can be used in most patients with MS type I and II following detailed evaluation, while type III and IV patients require laparotomy or conversion surgery. Our results verified that disease classification can reflect the difficulty of MS surgery.