Clin Endosc > Epub ahead of print
Minimally Invasive Approach Using Digital Single-Operator Peroral Cholangioscopy-Guided Electrohydraulic Lithotripsy and Endoscopic Nasogallbladder Drainage for the Management of HighGrade Mirizzi Syndrome
Hyung Ku Chon1,2 , Chan Park3 , Tae Hyeon Kim1,2
1Division of Biliopancreas, Department Internal Medicine, Wonkwang University College of Medicine and Hospital, Iksan, Korea
2Institute of Wonkwang Medical Science, Wonkwang University College of Medicine and Hospital, Iksan, Korea
3Department of Surgery, Wonkwang University College of Medicine and Hospital, Iksan, Korea
Correspondence :  Tae Hyeon Kim ,Tel: +82-63-859-2564, Fax: +82-63-855-2025, Email: kth@wku.ac.kr
Received: December 1, 2020  Revised: January 6, 2021   Accepted: January 6, 2021
Abstract
Mirizzi syndrome is a rare complication of gallbladder disease that can be difficult to treat. In particular, endoscopic treatment often fails because of the inability to access or to capture the impacted cystic duct stone. We report a case of Mirizzi syndrome grade III that was successfully managed by digital single-operator peroral cholangioscopy-guided electrohydraulic lithotripsy with endoscopic nasogallbladder drainage and interval laparoscopic cholecystectomy. Based on our experience, digital single-operator peroral cholangioscopy-guided electrohydraulic lithotripsy with endoscopic nasogallbladder drainage is a feasible minimally invasive approach for the management of high-grade Mirizzi syndrome.
Key Words: Cholangioscopy; Electrohydraulic lithotripsy; Endoscopic nasogallbladder drainage; Laparoscopic cholecystectomy; Mirizzi syndrome
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