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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/19320
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dc.contributor.authorCucu, Ivan-
dc.contributor.authorHotineanu, Adrian-
dc.contributor.authorFerdohleb, Alexandru-
dc.contributor.authorCazac, Anatol-
dc.contributor.authorCazacu, Dumitru-
dc.date.accessioned2021-12-08T11:20:04Z-
dc.date.available2021-12-08T11:20:04Z-
dc.date.issued2021-
dc.identifier.citationCUCU, Ivan, HOTINEANU, Adrian, FERDOHLEB, Alexandru, et al. Particulars of diagnosis and surgical treatment of patients with Mirzzi syndrome: [poster]. In: Conferinţa ştiinţifică anuală "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță", 20-22 octombrie 2021: culegere de postere. 2021, p. 108.en_US
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/19320-
dc.descriptionLaboratory of reconstructive surgery of the digestive tract, Department of Surgery No. 2, USMF „Nicolae Testemiţanu”en_US
dc.description.abstractIntroduction Mirizzi syndrome (MS) is a late and rare complication in the evolution of gallstones, morphologically translated by compression of the hepato-choledochus with stricture formation at this level or cholecystobiliary fistula. Purpose Evaluation of the particularities of diagnosis and surgical treatment of patients with Mirizzi Syndrome. Material and methods The study group included 71 patients with MS treated in the clinic during the years 2000-2021. The age range between 24 and 91 years, the distribution by gender being: 57 (80.3%) women and 14 (19.7%) men. Instrumental diagnosis used: USG performed in all cases, ERCP-68 (95.7%) cases, MRCP-17 (23.9%) cases, CT with contrast-12 (16.9%) cases. Results The treatment was exclusively surgical, adapted to the type of MS. Type I-16 (22.5%) cases with attestation of a gallbladder-choledochal confluence, without fistula formation, cholecystectomy was performed. Type II-27 (38%) cases, the choledoc (CBP) parietal defect was less than 1/3 of its diameter, the interventions ended with the plasty of the CBP defect on the Kehr drainage. Type III-18 (25.3%) cases, CBP defect was 2/3 of the diameter, CBP plasty was performed with vascularized flap from the gallbladder, CBP drainage type Robson. Type IV-10 (19.23%) cases, the parietal defect was over 67% of the CBP diameter, choledocholithotomy was performed with hepaticojejunoanastomosis on the Roux loop. Conclusions Prevalence of type II SM. The anatomical variety of SM requires the application of sophisticated imaging methods, which allows increasing the rate of preoperative diagnosis. Surgical treatment includes a multitude of surgical techniques and will depend on the type of SM.en_US
dc.language.isoenen_US
dc.publisherUniversitatea de Stat de Medicină şi Farmacie "Nicolae Testemiţanu" din Republica Moldovaen_US
dc.relation.ispartofConferinţa ştiinţifică anuală "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță", 20-22 octombrie 2021en_US
dc.subjectMirizzi syndromeen_US
dc.subjectdiagnosisen_US
dc.subjecttreatmenten_US
dc.titleParticulars of diagnosis and surgical treatment of patients with Mirzzi syndromeen_US
dc.typeOtheren_US
Appears in Collections:Conferinţa ştiinţifică anuală "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță", 20-22 octombrie 2021: Culegere de postere

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