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한 기관에서 경험한 Mirizzi Syndrome

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dc.contributor.author박준성-
dc.contributor.author윤동섭-
dc.contributor.author임진홍-
dc.contributor.author한명현-
dc.date.accessioned2017-10-26T07:56:53Z-
dc.date.available2017-10-26T07:56:53Z-
dc.date.issued2016-
dc.identifier.issn2234-778X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/152727-
dc.description.abstractPURPOSE: Mirizzi syndrome is caused by extrinsic compression of the common hepatic duct by stones impacted in the cystic duct or the gallbladder neck. The standard treatment for Mirizzi syndrome has been open cholecystectomy. The aim of this study was to review our experience of Mirizzi syndrome and consider its surgical treatment. METHODS: Data were collected retrospectively through chart review of 9,360 patients who underwent cholecystectomy between April 1983 and August 2016. RESULTS: Mirizzi syndrome was identified in 21 of 9,360 patients (0.22%). The mean age at diagnosis was 56 years. The most common symptom was abdominal pain (85.7%). A total of 16 patients (76.2%) were diagnosed with McSherry type I and 5 patients (23.8%) with McSherry type II. Laparoscopic cholecystectomy (LC) was initiated in 13 patients and open cholecystectomy (OC) in 8 patients. Conversion from LC to OC was reported for 3 patients (conversion rate 18.8%). In 4 patients with McSherry type II, an additional procedure (T tube insertion or hepaticojejunostomy) was required. CONCLUSION: Preoperative diagnosis of Mirizzi syndrome is very important in order to plan surgical strategy. LC is possible in selected patients with Mirizzi syndrome. However, OC is suitable in patients with McSherry type II. In the near future, laparoscopic procedures may be adaptable in patients with McSherry type II.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisher대한내시경복강경외과학회-
dc.relation.isPartOfJournal of Minimally Invasive Surgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.title한 기관에서 경험한 Mirizzi Syndrome-
dc.title.alternativeMirizzi Syndrome: A Single Center Experience-
dc.typeArticle-
dc.publisher.locationKorea-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Surgery-
dc.contributor.googleauthor한명현-
dc.contributor.googleauthor임진홍-
dc.contributor.googleauthor박준성-
dc.contributor.googleauthor윤동섭-
dc.identifier.doi10.7602/jmis.2016.19.4.156-
dc.contributor.localIdA02548-
dc.contributor.localIdA03411-
dc.contributor.localIdA05063-
dc.contributor.localIdA01672-
dc.relation.journalcodeJ01601-
dc.relation.journalsince2012~-
dc.relation.journalbefore~2011 Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons (대한내시경복강경외과학회지)-
dc.contributor.alternativeNamePark, Joon Seong-
dc.contributor.alternativeNameYoon, Dong Sup-
dc.contributor.alternativeNameLim, Jin Hong-
dc.contributor.alternativeNameHan, Myung Hyun-
dc.contributor.affiliatedAuthorYoon, Dong Sup-
dc.contributor.affiliatedAuthorLim, Jin Hong-
dc.contributor.affiliatedAuthorHan, Myung Hyun-
dc.contributor.affiliatedAuthorPark, Joon Seong-
dc.citation.volume19-
dc.citation.number4-
dc.citation.startPage156-
dc.citation.endPage161-
dc.identifier.bibliographicCitationJournal of Minimally Invasive Surgery, Vol.19(4) : 156-161, 2016-
dc.date.modified2017-10-24-
dc.identifier.rimsid39735-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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