Jornal de Hepatologia e Distúrbios Gastrointestinais
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Mirizzi Syndrome Type III-IV; Laparoscopic Resolution without Bilioen- teric Shunt

Rene M Gordillo, Carrillo Richard, Daniela A. Gordillo, Carrillo Sebastian

Mirizzi Syndrome, a benign extrinsic compression of the common hepatic duct by a stone impacted in the cystic duct or the neck of the gallbladder, is a rare pathology. The surgical management of Mirizzi Syndrome type III and IV has been based on a bilioenteric derivation. In recent years most of the surgical procedures have been replicated laparoscopically and although in this syndrome its use is still considered controversial, we propose its treatment by laparoscopy without performing a biliodigestive bypass.