<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202017000200017</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.agosto.17-20</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[EXPERIENCIA EN EL MANEJO DE SX DE MIRIZZI EN LA II CATEDRA DE CLÍNICA QUIRÚRGICA DEL HOSPITAL DE CLÍNICAS]]></article-title>
<article-title xml:lang="en"><![CDATA[EXPERIENCE IN THE MANAGEMENT OF THE MIRIZZI SYNDROME IN THE II CÁTEDRA DE CLÍNICA QUIRÚRGICA DEL HOSPITAL DE CLÍNICAS]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machain-Vega]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodriguez]]></surname>
<given-names><![CDATA[Agustín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[Gilberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pederzoli]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coronel]]></surname>
<given-names><![CDATA[Jazmin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas II Cátedra de Clínica Quirúrgica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas, II Cátedra de Clínica Quirúrgica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas II Cátedra de Clínica Quirúrgica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas II Cátedra de Clínica Quirúrgica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<volume>41</volume>
<numero>2</numero>
<fpage>17</fpage>
<lpage>20</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202017000200017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202017000200017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202017000200017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Se hizo una revisión de las historias clínicas de los pacientes con síndrome de Mirizzi tratados en el Hospital de Clínicas durante el período de enero de 2006 a diciembre de 2015, y se describe su presentación y la importancia de la complejidad en su manejo.  Objetivo: Determinar la prevalencia de síndrome de Mirizzi en pacientes operados por patología biliar y manejo del mismo en la II Cátedra de Clínica Quirúrgica del Hospital de Clínicas de San Lorenzo.  Pacientes y método: Estudio observacional, descriptivo, retrospectivo de corte trasverso. Se describe edad, sexo, diagnóstico de colelitiasis, cuadro clínico, exámenes complementarios, manejo quirúrgico, estancia hospitalaria, morbilidad y mortalidad.  Resultados:  Se diagnosticaron 21 pacientes. Siendo los más prevalentes el tipo I y II. Una media de 52 años. Todos presentaron dolor abdominal, ictericia (52%). Ningún paciente fue diagnosticado antes de la cirugía. En el Tipo l, se realizaron 8 colecistectomías con distintos abordajes. Tipo II, finalizaron en su totalidad por vía convencional. Las demás clasificaciones tuvieron un tratamiento quirúrgico específico.  Conclusión:  El síndrome de Mirizzi es una patología compleja de difícil diagnostico pre quirúrgico. La ecografía no es específica para esta patología. Todos los casos se detectaron en el intraoperatorio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY  Introduction:  A review of the medical records of patients with Mirizzi syndrome treated at the Hospital de Clínicas during the period from January 2006 to December 2015 was made, describing their presentation and the importance of the complexity in their management.  Objective:  To determine the prevalence of Mirizzi syndrome in patients operated by biliary pathology and show their management in the II Cátedra de Clínica Quirúrgica del Hospital de Clínicas de San Lorenzo.  Patients and method: Observational, descriptive, retrospective cross-sectional study. Age, sex, diagnosis of cholelithiasis, clinical picture, complementary examinations, surgical management, hospital stay, morbidity and mortality are described.  Results: Twenty-one patients were diagnosed. The most prevalent being types I and II. An average of 52 years. All had abdominal pain, jaundice (52%). No patient was diagnosed prior to surgery. In Type I, eight cholecystectomies were performed with different approaches. Type II, were terminated in their entirety by conventional route. The other classifications had a specific surgical treatment  Conclusion:  Mirizzi syndrome is a complex pathology that is difficult to diagnose preoperatively. Ultrasound is not specific for this pathology. All cases were detected intraoperatively.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colédoco]]></kwd>
<kwd lng="es"><![CDATA[Ecografía]]></kwd>
<kwd lng="es"><![CDATA[Drenaje.]]></kwd>
<kwd lng="en"><![CDATA[Bile duct]]></kwd>
<kwd lng="en"><![CDATA[Ultrasonography]]></kwd>
<kwd lng="en"><![CDATA[Drain tube.]]></kwd>
</kwd-group>
</article-meta>
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