What surgical approach is often utilized to manage Mirizzi's syndrome?

What surgical approach is often utilized to manage Mirizzi's syndrome?

• A. Cholecystectomy
• B. Operative cholecystostomy
• C. Biliary diversion
• D. Endoscopic ampullary balloon dilation

Answer: (B)

Mirizzi's syndrome is a condition characterized by the obstruction of the common bile duct due to compression from an impacted gallstone in the cystic duct or within the gallbladder neck. The surgical approach for managing this condition typically involves addressing both the gallbladder pathology and the biliary obstruction. Operative cholecystostomy is often the recommended approach in cases of Mirizzi's syndrome, especially when there is a high risk of injury to the common bile duct or when the patient is not an ideal surgical candidate for a more extensive procedure, such as an elective cholecystectomy. This procedure involves the surgical creation of a drainage path from the gallbladder to the exterior of the abdomen. It allows for removal of the gallstone and relief of the obstruction without further complicating the condition, particularly in acute inflammatory settings or in patients with significant comorbidities. In contrast, cholecystectomy, while the definitive treatment for gallbladder disease, may pose higher risks in the context of Mirizzi's syndrome due to the potential for common bile duct injury during dissection. Biliary diversion is not a standard approach for this condition and is typically reserved for advanced cases of biliary obstruction. Endoscopic ampullary balloon

Mirizzi's syndrome is a condition characterized by the obstruction of the common bile duct due to compression from an impacted gallstone in the cystic duct or within the gallbladder neck. The surgical approach for managing this condition typically involves addressing both the gallbladder pathology and the biliary obstruction.

Operative cholecystostomy is often the recommended approach in cases of Mirizzi's syndrome, especially when there is a high risk of injury to the common bile duct or when the patient is not an ideal surgical candidate for a more extensive procedure, such as an elective cholecystectomy. This procedure involves the surgical creation of a drainage path from the gallbladder to the exterior of the abdomen. It allows for removal of the gallstone and relief of the obstruction without further complicating the condition, particularly in acute inflammatory settings or in patients with significant comorbidities.

In contrast, cholecystectomy, while the definitive treatment for gallbladder disease, may pose higher risks in the context of Mirizzi's syndrome due to the potential for common bile duct injury during dissection. Biliary diversion is not a standard approach for this condition and is typically reserved for advanced cases of biliary obstruction. Endoscopic ampullary balloon