World Journal of Laparoscopic Surgery

Register      Login

VOLUME 5 , ISSUE 2 ( May-August, 2012 ) > List of Articles


Role of Robotic Surgery in the Treatment of Mirizzi Syndrome

George Chilaka Obonna

Citation Information : Obonna GC. Role of Robotic Surgery in the Treatment of Mirizzi Syndrome. World J Lap Surg 2012; 5 (2):80-84.

DOI: 10.5005/jp-journals-10007-1155

Published Online: 01-12-2014

Copyright Statement:  Copyright © 2012; The Author(s).



To study the role of robotic surgery in the treatment of MS having in mind the various types of the syndrome.


Literature review from HighWire press, PubMed, Medline, goggle, SpringerLink, Wikipedia relevant documents, templates, forms, E-books and Cochrane database was conducted. Analysis of other publications and journals from robotic surgical institute was done, including live robotic surgery and robotic clinical videos.


When a preoperative diagnosis is made through endoscopic stent insertion via endoscopic retrograde cholangiopancreatography (ERCP) with computed tomographic (CT) scan or intraoperative exploration and assessment with ultrasonography establishes Mirizzi types 1 or 2, the current robotic surgical system offers an effective treatment of the syndrome. With the ultra high magnification of the surgical field and the endowristed 7 degrees of refined movement together with an enhanced clinical capability and integration of electrosurgical device, detailed and careful cholecystectomy and even primary closure of common hepatic duct fistula can be perfected.


Combined endoscopic and robotic surgery is effective and safe in the treatment of MS types 1 and 2. Definitely robotics has a role to play in the treatment of MS. During cholecystectomy, partial resection is possible in order to extract the stones, visualize the bile duct and define the type and location of the fistula. T-tube could be placed distal to the fistula in the absence of a preoperative stent. However, complete removal of the gallbladder is now advocated because of the increased risk of malignancy in stone disease.

How to cite this article

Obonna GC, Mishra RK. Role of Robotic Surgery in the Treatment of Mirizzi Syndrome. World J Lap Surg 2012;5(2):80-84.

PDF Share
  1. Syndrome del conducto. J Int de Chir 1948;8:731-33.
  2. Benign obstruction of the common hepatic duct: Diagnosis and operative management. Arq Gastroenterol 2005;42:13-18.
  3. Laparoscopic treatment for Mirrizi syndrome. Surg Endosc 2003;17:1573-78.
  4. Mirrizi syndrom: A diagnostic and operative challenge. Surgeon 2003;1:273-78.
  5. Mirrizi syndrom and cholecystobilliary fistula: A unifying classification. Br J Surg 2005;76(11):1139-43.
  6. A new classification of Mirrizi syndrome from a diagnostic and therapeutic viewpoint. Hepatogastroenterology 1997;44:63-67.
  7. The Mirrizi syndrome. Suggested classification and therapy. Surg Gastroent 1982;1:219-25.
  8. Fundus first laparoscopic cholecystectomy. Surg Endosc 1995;203-06.
  9. Hand-assisted laparoscopic surgery for complex gallstone disease. World J Gastroenterol 2005;11:3311-14.
  10. New strategies to prevent laparoscopic bile duct injurysurgeons can learn from pilots. Surgery 2002;132:826-35.
  11. Fundus–first laparoscopic cholecystectomy. Surg Endosc 1995;9:202-06.
  12. Advances in therapeutic endoscopic treatment of common bile duct stones. World J Surg 1998;22:1133-44.
  13. Risk factors for symptomatic stone recurrence after transpapillary laser lithotripsy for difficult bile stone using a laser with a stone recognition system. Eur J Gastroenterol Hepatol 2006;18:469-73.
  14. Acute Mirrizi syndrome. J Soc Laparoend Surg 2009;13(1):104-09.
  15. Mirrizi syndrome and gallbladder cancer. J Hepatobiliary Pancreat Surg 2006;13:323-26.
  16. Gallbladder carcinoma unassociated with cholelithiasis. Niger J Surg Sci 2007;7(2):113-15.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.