BACKGROUND: @entity99 , known as " @entity13083 " ( @entity13083 ), is an uncommon complication of longstanding cholelithiasis. Since laparoscopic cholecystectomy (LC) replaced the open approach, @entity13083 has regained the interest of biliary surgeons. METHODS: The Swiss Association for Laparoscopic and Thoracoscopic Surgery (SALTS) prospectively collected the data on 13,023 @entity1 undergoing LC between 1995 and 1999. This database was investigated with special regard to @entity1 with @entity13083 . RESULTS: There were 39 @entity1 (14 @entity1 and 25 @entity1 ; mean age, 61 years) with @entity13083 (incidence, 0.3%). Thirty-four @entity1 had type 1 @entity13083 and five had type 2. A @entity1086 was found in four @entity1 (incidence, 11%). In the type 1 group, 23 @entity1 underwent cholecystectomy only, 10 @entity1 had a bile duct exploration and T-tube insertion, and one @entity1 had a Roux-en-Y reconstruction. In three @entity1 with type 2, a hepaticojejunostomy was performed; two others underwent simple closure and drainage (via T-tube) of the biliary fistula. The conversion rate was 74% (24 of 34 @entity1 ) in the type 1 group and 100% (five of five @entity1 ) for type 2. The overall complication rate was 18%. There were no deaths. CONCLUSIONS: Although @entity13083 is rarely encountered during LC, it must be recognized intraoperatively. Conversion to an open approach is often needed, and prior to any surgical intervention, @entity1086 must be excluded.

Incidence and management of XXXX during laparoscopic cholecystectomy.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'men'] @entity99 :: ('MESH:D056486', 'Disease') :: ['Benign extrinsic obstruction of the hepatic duct'] @entity1086 :: ('MESH:D005706', 'Disease') :: ['gallbladder cancer', 'gallbladder carcinoma'] @entity13083 :: ('MESH:D057792', 'Disease') :: ['Mirizzi syndrome', 'MS']
@entity13083 :: (MESH:D057792,Disease) :: ['Mirizzi syndrome']
