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Minimally Invasive Approach Using Digital Single-Operator Peroral Cholangioscopy-Guided Electrohydraulic Lithotripsy and Endoscopic Nasogallbladder Drainage for the Management of High- Grade Mirizzi Syndrome

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초록

Mirizzi syndrome is a rare complication of gallbladder disease that can be difficult to treat. In particular, endoscopic treatmentoften fails because of the inability to access or to capture the impacted cystic duct stone. We report a case of Mirizzi syndromegrade III that was successfully managed by digital single-operator peroral cholangioscopy-guided electrohydraulic lithotripsy withendoscopic nasogallbladder drainage and interval laparoscopic cholecystectomy. Based on our experience, digital single-operatorperoral cholangioscopy-guided electrohydraulic lithotripsy with endoscopic nasogallbladder drainage is a feasible minimally invasiveapproach for the management of high-grade Mirizzi syndrome.

Abstract

Mirizzi syndrome is a rare complication of gallbladder disease that can be difficult to treat. In particular, endoscopic treatmentoften fails because of the inability to access or to capture the impacted cystic duct stone. We report a case of Mirizzi syndromegrade III that was successfully managed by digital single-operator peroral cholangioscopy-guided electrohydraulic lithotripsy withendoscopic nasogallbladder drainage and interval laparoscopic cholecystectomy. Based on our experience, digital single-operatorperoral cholangioscopy-guided electrohydraulic lithotripsy with endoscopic nasogallbladder drainage is a feasible minimally invasiveapproach for the management of high-grade Mirizzi syndrome.

참고문헌 (18)

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