fig1

Figure 1. (A) Endoscopic retrograde cholangiopancreatography (ERCP) showing stone (arrows) located at cholecystocholedochal fistula. (B-H) Operative views showing robotic subtotal cholecystectomy for Mirizzi syndrome: (B) outlook of the Calot’s triangle after omental adhesion taken down; (C) adherent Calot’s triangle (arrows), where the culprit stone was located by operative ultrasound (broken circle); (D) gallbladder dissected from liver with fundus first approach (the dotted line indicates the line for subtotal cholecystectomy); (E) the dotted line indicates the line for incision over Hartmann’s pouch for stone retrieval; (F) the culprit stone (arrows) to be removed; (G) biliary stent (arrows) as seen through cholecystocholedochal fistula; and (H) gallbladder cuff closed over the bile duct with a single layer continuous suture (arrows).