Cholangioscopy-Assisted Laser Lithotripsy for Treatment of Postcholecystectomy Mirizzi Syndrome: Case Series

Introduction. Mirizzi syndrome (MS) represents a rare clinical entity caused by impaction of one or multiple stones in the infundibulum gall bladder cystic duct resulting partial complete obstruction common hepatic bile (CBD). Though described more than century ago, MS is still most challenging diseases spectrum biliary pathology. In recent years, endoscopic treatment has become an increasingly popular modality. Patients and methods. Three consecutive patients subjected to cholangioscopy-assisted laser lithotripsy (CA-LL) for postocholecystectomy (pMS) were retrospectively evaluated. Case reports. Successful clearance was achieved all two sessions. One complication form mild cholangitis observed. Clinical success 100%. Discussion. According current research, CA-LL achieves high rate ductal acceptable with pMS. A 250 µm fiber seems be optimal choice CA-LL. Our results suggest that procedure duration closely associated stone size possibly operator experience. our opinion, upon obtainment successful drainage, prophylactic stenting does not improve outcome. Conclusions. demonstrate safe effective