Satish Kumar, Tripurari Pandey
BACKGROUND Currently various management approaches are described in the literature for Mirrizi’s syndrome. But there are no clear guidelines for the safe management approach for this rare syndrome. Aim of the study- How to deal with intraoperative finding of Mirrizi’s syndrome and its management while doing laparoscopic cholecystectomy. MATERIALS AND METHODS Three hundred laparoscopic cholecystectomy were done between May 2015 to Jan 2018, out of which, nine cases of Mirrizi’s syndrome were encountered during operation and they were managed, and the cases were documented. RESULTS The four cases were finally diagnosed as Mirizzi type IV; dissection was tiring and difficult due to unyielding and obliterated Calot’s triangle due to extensive inflammation. CONCLUSION A preoperative diagnosis may lead to take a better step in order to prevent any bile duct injury.
