Subtotal reconstructive laparoscopic cholecystectomy with rendezvous approach as treatment for cholecystocholedocholithiasis, Mirizzi syndrome type IV, and duodenal diverticulum

Omar Alejandro Zamarripa Banda; Josué Neftalí Vargas de La Paz; Carolina Topete Rodríguez

doi:10.18203/2349-2902.isj20260027

Authors

Omar Alejandro Zamarripa Banda Instituto Mexicano del Seguro Social, Hospital General de Zona No. 33, Bahía de Banderas, Mexico
Josué Neftalí Vargas de La Paz Instituto Mexicano del Seguro Social, Hospital General de Zona No. 33, Bahía de Banderas, Mexico
Carolina Topete Rodríguez Instituto Mexicano del Seguro Social, Hospital General de Zona No. 33, Bahía de Banderas, Mexico

DOI:

https://doi.org/10.18203/2349-2902.isj20260027

Keywords:

Adenocarcinoma, Colorectal, Carcinoma, Colonoscopy, Retrospective

Abstract

This case report describes the successful management of complex biliary pathology in a 49-year-old female patient with Mirizzi syndrome type IV, cholecystocholedocholithiasis, and a duodenal diverticulum. A minimally invasive approach was employed, combining subtotal reconstructive laparoscopic cholecystectomy with a rendezvous procedure to facilitate stone clearance and biliary reconstruction. The case highlights the feasibility and safety of this combined technique in challenging scenarios, emphasizing the importance of individualized, multidisciplinary management. Further research is necessary to establish standardized protocols and evaluate long-term outcomes in similar complex cases.

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References

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