{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T11:15:42Z","timestamp":1783682142658,"version":"3.55.0"},"reference-count":5,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T00:00:00Z","timestamp":1617148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:p>\n                    <jats:italic toggle=\"yes\">Background<\/jats:italic>\n                    . The Mirizzi syndrome (MS) is a rare complication of cholecystolithiasis that is often accompanied by severe inflammation and fibrosis around Calot\u2019s triangle. It is difficult to treat Type 2 MS surgically, and the treatment for this condition has not yet been standardized. The data on operative management are limited. The study aimed to review our institutional clinical experience regarding surgery and provide recommendations for treating Type 2 MS.\n                    <jats:italic toggle=\"yes\">Methods<\/jats:italic>\n                    : We conducted a retrospective study on 6 patients with MS who were surgically treated at our institution between January 2010 and December 2019. The classification of MS by McSherry CK, Ferstenberg H, Virshup M. The Mirizzi syndrome: Suggested classification and surgical therapy. Surg Gastroenterol. 1982;1:219-225 was used. Mucosal approach was used to treat Type 2 MS. The parameters for comparison included patient demographics, operative procedures, operation time, blood loss, length of hospital stay, complications, and follow-up.\n                    <jats:italic toggle=\"yes\">Results<\/jats:italic>\n                    : There were 23 patients with MS among 10\u00a0386 cholecystectomies in our area. Six patients with Type 2 MS had successful surgery, and the mucosal approach was used. The average operative time was 253.3 \u00b1 32.5\u00a0minutes. The average blood loss was 70.0 \u00b1 14.1\u00a0mL. The mean postoperative hospital stay was 9.5 \u00b1 3.9\u00a0days. There was no postoperative mortality. The most frequent postoperative complications were bile leakage (16.7%), and postoperative intra-abdominal collection (16.7%). The mean postoperative follow-up was 10\u00a0months, and all patients are asymptomatic. The mucosal approach may decrease the risk of bile duct injury, biliary tract infection, and blood loss more than other surgical approaches.\n                    <jats:italic toggle=\"yes\">Conclusion<\/jats:italic>\n                    : This study demonstrates that the mucosal approach is an effective surgical procedure for Type 2 MS.\n                  <\/jats:p>","DOI":"10.1177\/15533506211006057","type":"journal-article","created":{"date-parts":[[2021,4,2]],"date-time":"2021-04-02T02:22:28Z","timestamp":1617330148000},"page":"426-429","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Novel Surgical Approach for Type 2 Mirizzi Syndrome: Based on a Decade of Clinical Experience at a Teaching Hospital"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9167-7276","authenticated-orcid":false,"given":"Hong W","family":"Yu","sequence":"first","affiliation":[{"name":"Zhoushan Hospital of Zhejiang University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guoqiang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Zhoushan Hospital of Zhejiang University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingjie","family":"Zhang","sequence":"additional","affiliation":[{"name":"Zhoushan Hospital of Zhejiang University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanneng","family":"Yan","sequence":"additional","affiliation":[{"name":"Zhoushan Hospital of Zhejiang University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,3,31]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"731","article-title":"Syndrome del conducto hepatico","volume":"8","author":"Mirizzi P","year":"1948","unstructured":"Mirizzi P. Syndrome del conducto hepatico. J Int Chir. 1948;8: 731-777.","journal-title":"J Int Chir"},{"key":"e_1_3_3_3_2","first-page":"219","article-title":"The Mirizzi syndrome: Suggested classification and surgical therapy","volume":"1","author":"McSherry CK","year":"1982","unstructured":"McSherry CK, Ferstenberg H, Virshup M. The Mirizzi syndrome: Suggested classification and surgical therapy. Surg Gastroenterol. 1982;1:219-225.","journal-title":"Surg Gastroenterol"},{"key":"e_1_3_3_4_2","first-page":"114","article-title":"Diagnosis and treatment of Mirizzi Syndrome: 23-Year Mayo clinic experience","volume":"1","author":"Young E","year":"2011","unstructured":"Young E, Benavente-Chenhalls LA, Donohue JM, et al. Diagnosis and treatment of Mirizzi Syndrome: 23-Year Mayo clinic experience. J Am Coll Surg. 2011;1:114-119.","journal-title":"J Am Coll Surg"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-019-05164-y"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-0966-5"}],"container-title":["Surgical Innovation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15533506211006057","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15533506211006057","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15533506211006057","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T10:46:24Z","timestamp":1783680384000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15533506211006057"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,31]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1177\/15533506211006057"],"URL":"https:\/\/doi.org\/10.1177\/15533506211006057","relation":{},"ISSN":["1553-3506","1553-3514"],"issn-type":[{"value":"1553-3506","type":"print"},{"value":"1553-3514","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,31]]}}}