Introduction. One of the serious complications of calculous cholecystitis is Mirizzi syndrome (MS). Its incidence ranges from 0.2–5.0%.
Aim. To improve the results of preoperative diagnosis and treatment results of patients with the Mirizzi syndrome.
Materials and methods. The study is based on the analysis of medical records and clinical observation of 65 patients with the MS. We used the classification McSherry (1982), which proposed to divide Mirizzi syndrome into two types: I type — stricture caused by compression of the bile duct stone impact to cystic duct or gallbladder neck; type II — cholecystocholedocheal fistula formation which results from a calculus long stay in the neck of the gallbladder or bladder duct.
Results. All 65 (100%) patients visited hospital at various stages of calculous cholecystitis. At ultrasound MS is not diagnosed in 54 (83.9%) patients. 49 patients were performed MRI cholangiography mode. ERCP was performed in 5 (7.7%) patients with extended bile duct and symptoms of obstructive jaundice. The MS first type was diagnosed in 2 patients in the presence of a narrowing of the general hepatic duct or common bile duct at the level of the gallbladder or cystic duct. The second type of MS occurred in 3 patients. Diagnosis is based on: identifying pathological fistula between the bladder or expanded and bile duct, often with the presence a fistula concrement in it, or the presence of choledocholithiasis extended and straight ducts.
Conclusion. Operation of choice, MS and type, was laparoscopic cholecystectomy, if provided voles prefer “open” cholecystectomy with plastic common bile duct drainage in Kerala. In some cases, for the treatment of SM was shown chepatic jejunoanastomosis performance.