SSAT - LESS IS MORE: MINIMALLY INVASIVE APPROACH TO MIRIZZI'S SYNDROME REQUIRING BILIARY RECONSTRUCTION

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LESS IS MORE: MINIMALLY INVASIVE APPROACH TO MIRIZZI'S SYNDROME REQUIRING BILIARY RECONSTRUCTION
Ramiro Cadena Semanate^*, Sherif Saleh, Alejandro Feria, Ala Abdel-Jalil, Kevin El-Hayek
Surgery, MetroHealth Medical Center, Cleveland, OH

We present a minimally invasive alternative to manage Mirizzi Sd requiring biliary reconstruction. The patient is a 43 yo F who presented with acute gallstone cholecystitis and a 2.1 cm stone impacted in the cystic duct eroding into the CBD. She underwent robotic cholecystectomy and hepaticoduodenostomy with full recovery. The robotic platform offers a safe and effective MIS alternative for the management of biliary pathology requiring complex reconstruction. Hepaticoduodenstomy is a reasonable, technically less demianding alternative to hepaticojejunostomy, with similar outcomes. Mirizzi sd continues to be a challenging disease process that requires careful, interdisciplinary care.

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