Radiosurgical treatment of Mirizzi Syndrome in High Anesthesiological Risk Patients
Results of of Mirizzi syndrome management in 10 patients are analyzed. Severe accompanying diseases were found in 9 of them. Acute type of Mirizzi syndrome was discovered in 2 patients, chronic type - in 8. As a main diagnostic tool considered antegrade contrast investigation of biliary system, realized by percutaneous transhepatic cholangiography and percutaneous transhepatic or transabdominal cholecystography. Combined antegrade cholangio- and cholecystography during insertion of percutaneous drainages allowed to confirm Mirizzi syndrome in 4 patients which was proposed on US investigation and confirm diagnosis in another 4 patioents. Mechanical or pneumatic lithotripsy during interventional radiology manipulation through 24-26 Fr in diameter approaches modified through microcholecysto-and (or) microcholangiostomy was fulfilled in 9 cases Lithotripsy and lithoextraction were successfully carried out through transvesical approach in acute type of Mirizzi syndrome patients. In case of chronic type common bile duct stones were