Role of Robotic Surgery in the Treatment of Mirizzi Syndrome

Content Provider	Semantic Scholar
Author	Obonna, George Chilaka Mishra, Rinku
Abstract	Mirizzi syndrome (MS) is a rare complication of cholelithiasis. It presents as a spectrum of disease that varies from extrinsic compression of the common hepatic duct to the presence of a cholecystobiliary fistula. This dangerous alteration to anatomy if not recognized preoperatively has the potential to lead to significant morbidity and billiary injury particularly in the laparoscopic era. Aim: To study the role of robotic surgery in the treatment of MS having in mind the various types of the syndrome. Methods:Literature review from HighWire press, PubMed, Medline, goggle, SpringerLink, Wikipedia relevant documents, templates, forms, Ebooks and Cochrane database was conducted. Analysis of other publications and journals from robotic surgical institute was done, including live robotic surgery and robotic clinical videos. Results: When a preoperative diagnosis is made through endoscopic stent insertion via endoscopic retrograde cholangiopancreatography (ERCP) with computed tomographic (CT) scan or intraoperative exploration and assessment with ultrasonography establishes Mirizzi types 1 or 2, the current robotic surgical system offers an effective treatment of the syndrome. With the ultra high magnification of the surgical field and the endowristed 7 degrees of refined movement together with an enhanced clinical capability and integration of electrosurgical device, detailed and careful cholecystectomy and even primary closure of common hepatic duct fistula can be perfected. Conclusion: Combined endoscopic and robotic surgery is effective and safe in the treatment of MS types 1 and 2. Definitely robotics has a role to play in the treatment of MS. During cholecystectomy, partial resection is possible in order to extract the stones,visualize the bile duct and define the type and location of the fistula. T-tube could be placed distal to the fistula in the absence of a preoperative stent. However, complete removal of the gallbladder is now advocated because of the increased risk of malignancy in stone disease.
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Language	English
Access Restriction	Open
Subject Keyword	Anatomic structures Bile duct structure Brain Injuries CT scan Calculi Cholecystectomy procedure Cholelithiasis Clinical Use Template Cochrane Library Common Hepatic Duct Compression E-book Endoscopic Retrograde Cholangiopancreatography Extrahepatic Bile Duct Mucinous Adenocarcinoma Goggles Journal MEDLINE Medical ultrasound Mirizzi Syndrome Morbidity - disease rate Neoplasms PubMed Robot Robotics Sphincterotomy, Endoscopic Stent, device Tracheoesophageal Fistula Wikipedia X-Ray Computed Tomography pathologic fistula t-tube
Content Type	Text
Resource Type	Article