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Divided Laparoscopic Cholecystectomy for Unusual Gall Stones Complication of Mirizzi’s Syndrome
Faculty
Medicine
Year:
2015
Type of Publication:
ZU Hosted
Pages:
719- 732
Authors:
Mansour Mohamed Morsy umar
Staff Zu Site
Abstract In Staff Site
Journal:
International Peer Reviewed Open Access Refereed Journal The Korean Society of Endoscopic and Laparoscopic Surgeons
Volume:
6
Keywords :
Divided Laparoscopic Cholecystectomy , Unusual Gall Stones
Abstract:
Background: Chronic complications of symptomatic gallstone disease such as Mirizzi’s syndrome are rare. The importance and implications of these conditions are related to their associated surgical complications which are potentially serious such as bile duct injury and to the modern management when encountered during laparoscopic cholecystectomy. Objectives: This research offers a technique to avoid surgical complications in Mirizzi’s syndrome cases during laparoscopic cholecystectomy. Patients and Methods: Between November 2012 and February 2015, 17 patients (12 females and 5 males) with mean age of 51 years (between 29 and 57 years) suffering from Mirizzi’s syndrome underwent the divided cholecystectomy. In this technique the gall bladder was divided into two parts above the gall bladder infundibulum. The distal part was dissected for short distance and used to push liver up. The proximal part of gall bladder was cleared from all its contents and reevaluated from inside. Management was achieved according to the stage of disease. Results: The mean operative time was 70 minutes (between 60 and 90 minutes). No biliary tract obstruction or leakage or stenosis was recorded in this patient group during the period of follow up (18 months). Conclusions: Divided laparoscopic cholecystectomy is a safe and effective technique to face the unusual gallstones complications (Mirizzi’s syndrome). Keywords: Divided, Laparoscopic Cholecystectomy, Mirizzi’s Syndrome
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Mansour Mohamed Morsy umar, "Challenges of Surgical Management of Left Colonic Emergencies: A Multicentre Study", cairo university, faculty of medicine, surgery departmentr, 2018
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Mansour Mohamed Morsy umar, "SIMULTANEOUS REPAIR OF BILATERAL INGUINAL HERNIA BY LICHTENSTEIN REPAIR VERSUS STOPPA OPERATION", Morse Florse, 2018
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Mansour Mohamed Morsy umar, "Modified transabdominal external needle for mesh size estimation in laparoscopic hernia repair", Surgical Associates Ltd. Published by Elsevier Ltd, 2014
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Department Related Publications
Fady Mehaney Habib Salamh, "Mesh or not in the repair of complicated umbilical hernia in cirrhotic patients with decompensated liver cell failure", Wolters Kluwer - Medknow, 2018
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Mohamed Ibrahim Ahmed Mansour, "Outcomes of side-to-end versus end-to-end colorectal anastomosis in non-emergent sigmoid and rectal cancers: randomized controlled clinical trial", pISSN 2287-9714 eISSN 2287-9722 www.coloproctol.org, 2022
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Mohamed Ibrahim Ahmed Mansour, "Post-Cholecystectomy Gallbladder Remnant and Cystic Duct Stump Stone: Surgical Pitfalls, Causes of Occurrence and Completion Cholecystectomy (Open versus Laparoscopic) as a Safe Surgical Option of Treatment: Short and Long Term Outcome. Randomized Controlled Clinical Trial", Department of surgery, Zagazig University hospitals, 2021
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Mohamed Mahmoud Mokhtar, "laparoscopy versus laparotomy in evaluation of penetrating abdominal injuries.", internatinal journal of advanced research, 2018
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Mohamed Mahmoud Mokhtar, "Comparison Of Onlay Versus Sublay Mesh Repair For Management of Paraumbilical Hernia", Zagazig University Medical Journal, 2020
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