CLASSIFICATION, DIAGNOSIS AND MODERN APPROACHES TO THE SURGICAL CORRECTION OF MIRIZZY SYNDROME

Abstract

Summary. Until now, there is no consensus on the classification, diagnosis, and definition of treatment tactics for Mirizzy syndrome (MS). Materials and Methods. Examination and treatment of 152 patients with MS were analyzed. We used the classification of MS that we developed. It systematizes the concepts of Mirizzy syndrome, takes into account the staged formation of a biliary mobility and is of practical importance in the choice of surgical tactics, surgical access and scope of operation. Results and discussion. The standardization of surgical tactics on the basis of the developed classification allows to significantly reduce postoperative complications and mortality. Criteria have also been identified that allow with high reliability to identify the presence of MS at the preoperative stage according to ultrasound and endoscopic retrograde cholangiopancreatography (ERCP). Conclusions. The presented classification is structurally simple and practical in the selection of tactical and technical solutions in the treatment of MS. Clearly defines the clinical, pathomorphological and therapeutic-tactical aspects of this problem. Takes into account the staged formation of biliary mobility. The standardization of surgical tactics based on the developed classification allowed us to significantly reduce postoperative complications and mortality.