Abstract
Introduction: Mirizzi syndrome (MS) is defined as extrinsic obstruction of the main bile duct by a stone impacted in the cystic duct or in the infundibulum of the gallbladder. Objective: To determine the incidence and describe the management of 15 cases diagnosed in the General Hospital of Zacatecas "Luz González Cosió". Material and methods: Retrospective, observational, cross-sectional and comparative study, age, sex, diagnostic method, surgical management are described. Results: 719 cholecystectomies were performed in a period of 3 years, 15 cases of MS were found, with an incidence of 2.07%, the diagnosis was made intraoperatively in 11 cases, 10 cases (66%) were type I, 3 cases (19.8%) type V, 1 case (6.6%) type III and 1 case (6.6%) type IV, for type I 10 cholecystectomies were performed, the other types had a specific surgical management. Conclusion: It is a complex pathology of difficult pre-surgical diagnosis. It must be treated by experienced surgeons to reduce the risk of the dreaded bile duct injury.
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