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Laparoscopic transfistulous bile duct exploration for Mirizzi syndrome type II: a simplified standardized technique

Overview of attention for article published in Surgical Endoscopy, April 2016
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Title
Laparoscopic transfistulous bile duct exploration for Mirizzi syndrome type II: a simplified standardized technique
Published in
Surgical Endoscopy, April 2016
DOI 10.1007/s00464-016-4911-0
Pubmed ID
Authors

Shu-Hung Chuang, Meng-Ching Yeh, Chien-Jen Chang

Abstract

Laparoscopic treatment is a viable option for Mirizzi syndrome (MS) type I, but it is not recommended for MS type II (McSherry classification). We introduce laparoscopic transfistulous bile duct exploration (LTBDE) as a simplified standardized technique for MS type II. Eleven consecutive LTBDEs performed by a surgeon for MS type II were analyzed retrospectively, including three successful single-incision LTBDEs (SILTBDEs). Transfistulous stone removal followed by primary closure of gallbladder remnant and partial cholecystectomy was performed. An additional choledochotomy was required in one patient. Preoperative endoscopic retrograde cholangiopancreatography and operative findings confirmed the diagnosis of MS in five and five patients, respectively. Preoperative ultrasound implied the remaining diagnosis. The operative time was 270.5 ± 65.5 min. The stone clearance rate was 100 %. The postoperative length of hospital stay was 5.1 ± 2.2 days. There was no open conversion. Overall complications comprised two postoperative transient hyperamylasemia (18.2 %) and one superficial wound infection (9.1 %). Compared with the other group of 92 patients who underwent laparoscopic bile duct exploration, the MS type II group had a significantly younger age, a higher jaundice rate, a lower single-incision laparoscopic approach rate, a lower choledochotomy rate, longer operative time, a lower postoperative pethidine dose, and a longer total length of hospital stay. The average follow-up period was 12.1 months. LTBDE is safe and efficacious for MS type II including Csendes type IV. A high suspicion of MS is critical. SILTBDE is feasible in selected cases. Long-term follow-up is mandatory.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 9 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 9 100%

Demographic breakdown

Readers by professional status Count As %
Professor 2 22%
Unspecified 2 22%
Student > Bachelor 1 11%
Lecturer > Senior Lecturer 1 11%
Student > Postgraduate 1 11%
Other 2 22%
Readers by discipline Count As %
Medicine and Dentistry 6 67%
Unspecified 2 22%
Neuroscience 1 11%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 May 2016.
All research outputs
#10,840,453
of 12,229,156 outputs
Outputs from Surgical Endoscopy
#3,337
of 3,571 outputs
Outputs of similar age
#228,928
of 274,460 outputs
Outputs of similar age from Surgical Endoscopy
#190
of 204 outputs
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