Acta chirurgica Hungarica最新文献_第5页

Anatomic variations in patients operated for bladder substitution. 膀胱置换手术患者的解剖差异。

Acta chirurgica Hungarica Pub Date : 1999-01-01

G Tamás, D L Répássy

引用次数: 0

Isolated chylothorax after penetrating trauma. 穿透性创伤后孤立乳糜胸。

Acta chirurgica Hungarica Pub Date : 1999-01-01

N Karaoğlanoğlu, A Eroğlu, A Başoğlu

引用次数: 0

Extrapleural bullectomy or lung volume reduction: air tight surgery for emphysema without strip-patch. 胸膜外大泡切除或肺减容术:气密手术治疗肺气肿，不加贴片。

Acta chirurgica Hungarica Pub Date : 1999-01-01

A Busetto, R Moretti, S Barbaresco, P Fontana, V Pagan

引用次数: 0

Extensive multiple and lobe-sparing pulmonary resections with the Nd: YAG laser and a new wavelength of 1318 nm. Nd: YAG激光和1318 nm新波长广泛的肺多发和保留肺叶切除术。

Acta chirurgica Hungarica Pub Date : 1999-01-01

A Rolle, E Eulerich

{"title":"Extensive multiple and lobe-sparing pulmonary resections with the Nd: YAG laser and a new wavelength of 1318 nm.","authors":"A Rolle, E Eulerich","doi":"","DOIUrl":"","url":null,"abstract":"Aims: Analysing the results of extensive parenchymal resections in 110 patients we want to demonstrate the safe usage and the superiority of the second Nd: YAG laser wavelength (1318 nm) which shows significantly better lung tissue determinants.Methods: Between 3/96 and 11/97, 110 patients (66 men and 44 women, mean age 60 years) were integrated prospectively in three groups and underwent pulmonary surgery with the Nd: YAG laser of the 1318 nm wavelength. 78 patients had suspected lung metastases of known primary malignancies (group 1); 20 patients with poor lung function had peripheral T1 or T2 lung primaries (group 2) and 12 patients had multiple pulmonary nodules but unknown malignancies (group 3).Results: In group 1 we resected 353 nodules or 4.6 nodules per patient, between 5 and 60 nm. Although 41% of all lesions were deep-seated and only 28% solitary, it was in 97.5% possible to perform precision resections. In two patients (2.5%) lobectomy was necessary which demonstrates a drastic decrease of the lobectomy rate--reported between 20 and 30% in the literature. There was no mortality in all groups, and only two complications were treated conservatively.Discussion: The technical improvements in this special laser (1318 nm) allow extensive parenchymal resections and should make the long-discussed advantages of lasers in open lung surgery applicable to a broad clinical usage.","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 1","pages":"115-7"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21304731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopic wedge resection of the gastric wall for gastric benign tumour. The collaboration of the laparoscopic surgeon and the endoscopist. 腹腔镜胃壁楔形切除术治疗胃良性肿瘤。腹腔镜外科医生和内窥镜医师的合作。

Acta chirurgica Hungarica Pub Date : 1999-01-01

E M Gamal, A Altorjay, I Szántó, J Garcia, J Kiss

{"title":"Laparoscopic wedge resection of the gastric wall for gastric benign tumour. The collaboration of the laparoscopic surgeon and the endoscopist.","authors":"E M Gamal, A Altorjay, I Szántó, J Garcia, J Kiss","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: By the introduction of the laparoscopy for the management of gastric pathology many techniques are applied by now. In these techniques the collaboration of the endoscopist and the laparoscopic surgeon is mandatory.Aims of the study: To emphasise the necessity of the collaboration of the endoscopist and the laparoscopic surgeon for the management of the gastric pathology using the double lifting and wedge resection technique.Method: A case of a female with 2 x 2.5 cm submucosal tumour is presented. The tumour was located in the antrum. After the onset of the general anaesthesia the gastroscope was introduced to locate the position of the tumour, the free edges of the tumour were elevated by a double lifting method and the tumour was resected by a laparoscopic linear stapler. The process of the proper resection was all through observed and directed by the view of the gastroscope.Conclusion: Correct wedge resection of the gastric wall can be safely performed, if the correct gastroscopic control is present. The collaboration of the endoscopist and the laparoscopic surgeon seems to be mandatory, thus avoiding the hazards arising from the use of tattooing.","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 2","pages":"167-8"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21454480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopic gastric surgery. Early experiences. 腹腔镜胃手术。早期的经历。

Acta chirurgica Hungarica Pub Date : 1999-01-01

I Gál, J Szívós, A Bálint, L Hejjel, I Gyóry, B Nagy

{"title":"Laparoscopic gastric surgery. Early experiences.","authors":"I Gál, J Szívós, A Bálint, L Hejjel, I Gyóry, B Nagy","doi":"","DOIUrl":"","url":null,"abstract":"In the Department of General Surgery the authors performed 12 elective laparoscopic gastric operations for gastric pathologies. The indications for the procedures were recurrent or therapy resistant and complicated peptic ulcer in 9 cases, benign gastric tumors in 2 cases and early gastric cancer in 1 case. Operative procedures were the next: posterior truncal vagotomy with anterior lesser curve seromyotomy (5 patients), total truncal vagotomy with gastrojejunostomy (2 patients), total truncal vagotomy with pyloroplasty (1 patient), total truncal vagotomy with antrectomy and Billroth-II reconstruction (1 patient), resection of benign gastric tumor by the transgastric approach (1 patient), Billroth-II resection for benign gastric tumor (1 patient), wedge resection of gastric wall for early gastric cancer (1 patient). Intraoperative gastroscopy was used for location of the lesion in 4 of 12 cases. Apart from delayed gastric emptying (2 cases), patients recovered without any problem. The mean hospital stay was 5.7 days. Early experiences with laparoscopic gastric surgery has shown that there are certain important advantages to the approaches. They hold the promise of less pain, less immobility, quicker alimentation, shorter hospitalization, less wound and respiratory complications and an earlier return to normal activities.","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 2","pages":"163-5"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21454479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The laparoscopic technique for bilateral inguinal hernias. 双侧腹股沟疝的腹腔镜技术。

Acta chirurgica Hungarica Pub Date : 1999-01-01

A Petóházi, E Simon, O Kelemen, I Székely, J Bátorfi

引用次数: 0

New surgical procedures in postgraduate medical education. 研究生医学教育中的新外科手术。

Acta chirurgica Hungarica Pub Date : 1999-01-01

E Róth

{"title":"New surgical procedures in postgraduate medical education.","authors":"E Róth","doi":"","DOIUrl":"","url":null,"abstract":"An outstanding role in developing the recent nation-wide postgraduate accreditation process in Hungary has been played by University Medical School of Pécs. GRADUATE TRAINING: By providing opportunities for students to practice basic surgical interventions on living tissues, the Department of Experimental Surgery has served as a bridge between theoretical and clinical phases of their education. Students benefit from the infrastructure of surgical training we provide, including even access to microsurgery and laparoscopic techniques. POSTGRADUATE TRAINING: One category of postgraduate training offered by our department is further training of young physicians in special branches of surgery, with emphasis on microsurgery and laparoscopy. The other category is in the form of special courses. A great number of applicants from across Hungary highlight the need for running such courses. Throughout Europe such training is available only at very high prices. With the invaluable assistance of Prof. Z. Szabo (San Francisco, USA), we have been able to create the right environment and offer expert technical training in laparoscopic procedures since 1995. We face new challenges in the year 1999. As part of the new resident training system, Department of Experimental Surgery will provide not only training in traditional surgical procedures, but also include training in the most up to date techniques. Organizing such sources, apart from financial backing, requires genuine professional commitment.","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 2","pages":"201-3"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21453737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical aspects of gastro-esophageal reflux disease--indication for surgery. An update. 胃食管反流病的外科方面——手术指征一个更新。

Acta chirurgica Hungarica Pub Date : 1999-01-01

A Bálint, M Máté, K Szabó, L Romics

引用次数: 0

Laparoscopic cholecystectomy in acute cholecystitis. 急性胆囊炎的腹腔镜胆囊切除术。

Acta chirurgica Hungarica Pub Date : 1999-01-01

S Bodnár, O Kelemen, A Füle, G Kolonics, E Simon, J Bátorfi

{"title":"Laparoscopic cholecystectomy in acute cholecystitis.","authors":"S Bodnár, O Kelemen, A Füle, G Kolonics, E Simon, J Bátorfi","doi":"","DOIUrl":"","url":null,"abstract":"The authors retrospective analyze the role of golden standard laparoscopic cholecystectomy for the treatment of acute cholecystitis. They make a comparison between the results of 50 early cholecystectomy and 44 \"a froid\" cholecystectomy (operation was postponed until 6 weeks after acute cholecystitis had healed). From January 1997 to December 1998 536 laparoscopic cholecystectomies were performed. In 491 cases (91.6%) laparoscopic, and in 45 cases (8.4%) traditional (opening) method was indicated. Converted cholecystectomies were in 36 cases (7.3%). Agreeing to the literature they can determine the optimal timing of the operation in 72 hours from the onset of acute cholecystitis [2, 4]. In this group (first group) there were 50 cases, with 14 conversions (28%). In the second group (postponed, so called \"a froid\" phase) there were 44 patients. From this group was the intraoperative diagnosis serious acute-subacute cholecystitis in 24 cases (54.54%) causing complicated laparoscopic cholecystectomy and resulting in 11 conversions (11/44: 25%). The causes of the higher rate of conversion were the grave inflammation and slow dissection of central formation. There were no serious complication and mortality in both groups. It was diagnosed bile leak (two cases) which ceased spontaneously, one haematoma in abdominal layers, and one trocar's hernia. The authors have recommended the laparoscopic cholecystectomy for early diagnose acute cholecystitis in order to prevent the complications and reduce the sick-leave. Supporting their viewpoint the most important clinical end economical facts are: the recurrence of inflammation forced urgent surgery and caused more complication in the course of \"a froid\" phase there were scrutable anatomical situation the patients recovered in a shorter time.","PeriodicalId":76967,"journal":{"name":"Acta chirurgica Hungarica","volume":"38 2","pages":"135-8"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21455186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0