Video shows a difficult cholecystectomy (Mirizzi Type 2 syndrome), performed by a second year resident (only the anterograde dissection and cystic artery isolation / cauterization was performed by the staff). The video demonstrates that most cases of Mirizzi syndrome can be performed by laparoscopy (avoiding convertion to open surgery or subtotal laparoscopic cholecystectomy, if anterograde dissection is used). Cystic duct was ligatade with handmade extracorporeal endoloops.
Good post-operatory evolution, patient discharged next day from the surgery, with no symptons and no use of antibiotics. No complications observed.
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