[The Mirizzi syndrome in biliary surgery]

In the paper are 2 cases of the so called Mirizzi's syndrome presented, as a special clinical entity in the surgery of the biliary tract. Pablo Mirizzi (Cordoba, Argentina, 1948) performed the basic scientific observations, so the syndrome was named after him. There are 4 basic components: 1. Anatomic variations of the gall entrance, namely ductus cystic with the main gall canal, while ductus cystic has a prolonged parallel course with choleductus, 2. Impacted concrement in the gall throat or even ductus cystic, 3. A part of entire choleductus compression with extra luminar pathologic substrate, and 4. The consequences of the gall recurrent cholangitis, namely cholangitis cirrhosis. A long lasting compression of the choleductus wall due to the jammed concrement, sooner or later, may bring to the wall necrosis and penetration of the concrement into the choleductus lumen (make a bilio-biliary fistula) with all the perils. The mentioned circumstances, in the course of the operation being a number of serious post-operative complications (being obvious from the presented cases). Now days, a great importance is given to the Mirizzi's syndrom in the prevention of the post-operative complications relating to the outstanding clinical entity.