Endoscopic Nasogallbladder Drainage Combined with Laparoscopic Surgery for Type I Mirizzi Syndrome with Acute Cholecystitis: A Case Series Report

Table 1

Clinical diagnosis and treatment data for the four patients with type I Mirizzi syndrome included in the study.

Clinical information	Case 1	Case 2	Case 3	Case 4
Medical history	History of gallbladder stones	History of upper right abdominal pain without systemic examination	History of gallbladder stones	History of gallbladder stones
Preoperative consultation (yes or no)	Yes	Yes	Yes	Yes
Operation plan	ENGBD+LC	ENGBD+LC	EST+EPBD and stone removal+ENGBD+LC	ENGBD+LCBDE
Surgical interval (days)	2	2	5	4
Recovery of operation	Very well	Very well	Very well	A small amount of bile leakage occurred after the operation but cured by ultrasound-guided puncture drainage. Three months later, returned to the hospital to pull out the T-tube
Length of hospitalization (days)	12	11	13	16

Abbreviation: ENGBD: endoscopic nasogallbladder drainage; LC: laparoscopic cholecystectomy; EST: endoscopic sphincterotomy; EPBD: endoscopically performed biliary drainage; LCBDE: laparoscopic common bile duct exploration.