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Updated: Feb 4, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Abstract:
Results of diagnosis and treatment of 21 patients, suffering Mirizzi syndrome (MS), were analyzed. Informativity of ultrasound investigation and endoscopic retrograde cholangiopancreatography in diagnosis of MS types I and II was presented. The first stage of treatment consisted of endoscopic interventions — lithotripsy with lithoextraction, the biliary ducts stenting, nasobiliary drainage. In 14.3% of patients surgical treatment was not necessary after endoscopic interventions. Variants of surgical treatment for MS were analyzed. In MS type I in 5 patients cholecystectomy was performed, and for type II — partial cholecystectomy with biliary ducts plasty — in 11, cholecystofistulolithotomy — in 2, hepaticojejunostomy — in 1.
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