Mirizzi syndrome type Vb with cholecystogastric fistula causing gastric outlet obstruction: A case report

doi:10.4240/wjgs.118262

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. Jun 27, 2026; 18(6): 118262
Published online Jun 27, 2026. doi: 10.4240/wjgs.118262

Table 3 Comparison of open vs laparoscopic surgery in Mirizzi syndrome (literature-based)

Parameter	Open surgery	Laparoscopic surgery
Typical indication	Advanced Mirizzi syndrome (type III-V/Vb), cholecystoenteric fistula	Selected early-stage cases
Preoperative diagnosis	Often uncertain; diagnosis frequently established intraoperatively	Similar limitations
Technical feasibility	High due to direct anatomical control	Limited in advanced disease
Conversion rate	Not applicable	High in advanced stages
Perioperative mortality	Low	Low
Procedure-related morbidity	Acceptable; mainly related to disease severity	Higher in advanced disease
Risk of bile duct injury	Lower with controlled dissection	Increased in distorted anatomy
Recurrence of biliary symptoms	Low after definitive surgery	Variable
Long-term outcome	Generally favorable	Favorable only in selected cases

Full Size Table

Citation: Mussina A, Berik D, Birzhanbekov N, Kaniyev S, Baimakhanov B. Mirizzi syndrome type Vb with cholecystogastric fistula causing gastric outlet obstruction: A case report. World J Gastrointest Surg 2026; 18(6): 118262
URL: https://www.wjgnet.com/1948-9366/full/v18/i6/118262.htm
DOI: https://dx.doi.org/10.4240/wjgs.118262

Mussina A, Berik D, Birzhanbekov N, Kaniyev S, Baimakhanov B. Mirizzi syndrome type Vb with cholecystogastric fistula causing gastric outlet obstruction: A case report. World J Gastrointest Surg 2026; 18(6): 118262 [DOI: 10.4240/wjgs.118262]

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