Mirizzi Syndrome | Complex Biliary Disease

Dr. R. K. Mishra Guide Today

Opis

Mirizzi Syndrome is a rare but clinically significant complication of chronic gallstone disease, characterized by an impacted gallstone in the gallbladder neck or cystic duct causing external compression of the common hepatic duct. If left untreated, it can progress to obstructive jaundice, cholangitis, and the formation of a cholecystocholedochal fistula, making surgery technically demanding.

In this **skin-to-skin laparoscopic surgery video**, **Dr. R. K. Mishra**, Founder & Director of **World Laparoscopy Hospital**, demonstrates the safe and effective laparoscopic management of Mirizzi Syndrome. The procedure highlights meticulous dissection, identification of distorted biliary anatomy, stone extraction, subtotal or complete cholecystectomy when appropriate, and techniques to minimize the risk of bile duct injury.

This educational video is ideal for **general surgeons, hepatobiliary surgeons, laparoscopic surgeons, surgical residents, and fellows** interested in mastering advanced biliary surgery.

### **What You'll Learn**
- Pathophysiology and classification of Mirizzi Syndrome
- Preoperative diagnosis using Ultrasound, MRCP, CT, and ERCP
- Laparoscopic approach to difficult gallbladder surgery
- Safe dissection of Calot's triangle
- Fundus-first (top-down) cholecystectomy technique
- Management of impacted cystic duct and Hartmann's pouch stones
- Prevention of common bile duct injury
- Management of cholecystocholedochal fistula
- Indications for subtotal cholecystectomy or conversion to open surgery
- Operative pearls for complex biliary cases

Successful treatment of Mirizzi Syndrome requires a thorough understanding of biliary anatomy, careful operative planning, and advanced laparoscopic skills. This video provides practical insights and surgical tips to help achieve safe outcomes in one of the most challenging gallbladder conditions.

**World Laparoscopy Hospital** is a globally recognized center for training in laparoscopic, robotic, bariatric, gynecologic, urologic, and gastrointestinal surgery, welcoming surgeons from more than 100 countries.

🌐 **Website:** https://www.laparoscopyhospital.com

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**Keywords:** Mirizzi Syndrome, Mirizzi Syndrome Surgery, Laparoscopic Mirizzi Syndrome, Difficult Cholecystectomy, Gallbladder Stone Surgery, Biliary Surgery, Hepatobiliary Surgery, Common Bile Duct, Laparoscopic Surgery, Dr R K Mishra, World Laparoscopy Hospital, Surgical Education