ABSTRACT This paper presents the results of treatment of 41 patients with Mirizzi syndrome. In all cases we used a series of endoscopic transpapillary interventions as a first step: cholangiography, papillosphincterotomy, lithoextraction, and nasobiliary drainage. In 4 cases, we performed laparoscopic cholecystectomy after sanitating the biliary tract. Six elderly patients with severe comorbidity underwent the biliary stenting. Fifteen patients (36.6%) underwent open surgeries such as cholecyst.
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