[Tactical and technical aspects of current treatment of patients with Mirizzi syndrome (communication 2)].

The results of treating 29 patients with Mirizzi syndrome are analyzed: 17 patients underwent traditional surgery, 11 patients--laparoscopic procedures, and endoscopic sphincterotomy with nasobiliary drainage was performed in a type I patient. Laparoscopic operations were performed in patients with types I and II syndrome, patients with types III and IV had only open surgery. In 2 cases operations were complicated by iatrogenic injury to the hepaticocholedochus, in 4 cases--by residual bile duct stones. Pronounced inflammatory alterations and scarring of the hepaticocholedochus, III and IV types of the syndrome were considered as indications for prolonged temporary stenting with plastic stents in 12 patients. Long-term results were studied with follow-up from 1.5 to 9 years. No patients out of 29 suffered cholangitis or biliary strictures.