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001-es BibID:	BIBFORM120729
035-os BibID:	(Scopus)85106021991 (WOS)000651351400001
Első szerző:	Etlinger Péter
Cím:	Characterization of technical skill progress in a standardized rabbit model for training in laparoscopic duodenal atresia repair / Péter Etlinger, Catarina Barroso, Alice Miranda, João Moreira Pinto, Ruben Lamas?Pinheiro, Hélder Ferreira, Pedro Leão, Tamás Kovács, László Juhász, László Sasi Szabó, András Farkas, Péter Vajda, Attila Kálmán, Tibor Géczi, Zsolt Simonka, Tamás Cserni, Miklós Nógrády, Gergely H. Fodor, Andrea Szabó, Jorge Correia?Pinto
Dátum:	2021
ISSN:	0930-2794
Megjegyzések:	Background Laboratory skills training is an essential step before conducting minimally invasive surgery in clinical practice. Our main aim was to develop an animal model for training in clinically highly challenging laparoscopic duodenal atresia repair that could be useful in establishing a minimum number of repetitions to indicate safe performance of similar interventions on humans. Materials and methods A rabbit model of laparoscopic duodenum atresia surgery involving a diamond-shaped duodeno-duodenostomy was designed. This approach was tested in two groups of surgeons: in a beginner group without any previous clinical laparoscopic experience (but having undergone previous standardized dry-lab training, n = 8) and in an advanced group comprising pediatric surgery fellows with previous clinical experience of laparoscopy (n = 7). Each participant performed eight interventions. Surgical time, expert assessment using the Global Operative Assessment of Laparoscopic Skills (GOALS) score, anastomosis quality (leakage) and results from participant feedback questionnaires were analyzed. Results Participants in both groups successfully completed all eight surgeries. The surgical time gradually improved in both groups, but it was typically shorter in the advanced group than in the beginner group. The leakage rate was significantly lower in the advanced group in the first two interventions, and it reached its optimal level after five operations in both groups. The GOALS and participant feedback scores showed gradual increases, evident even after the fifth surgery. Conclusions Our data confirm the feasibility of this advanced pediatric laparoscopic model. Surgical time, anastomosis quality, GOALS score and self-assessment parameters adequately quantify technical improvement among the participants. Anastomosis quality reaches its optimal value after the fifth operation even in novice, but uniformly trained surgeons. A minimum number of wet-lab operations can be determined before surgery can be safely conducted in a clinical setting, where the development of further non-technical skills is also required.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Diamond-shaped anastomosis GOALS score Laparoscopy Pediatric surgery
Megjelenés:	Surgical Endoscopy And Other Interventional Techniques. - 36 : 4 (2021), p. 2456-2465. -
További szerzők:	Barroso, Catarina Miranda, Alice Moreira Pinto, João Lamas-Pinheiro, Ruben Ferreira, Hélder Leão, Pedro Kovács Tamás (1970-) (csecsemő és gyermekgyógyász, neonatológus) Juhász László Sasi Szabó László András (1974-) (sebész) Farkas András (gyermekgyógyász) Vajda Péter Kálmán Attila Géczi Tibor Simonka Zsolt Cserni Tamás (1967-) (gyermeksebész) Nógrády Miklós Fodor Gergely H. Szabó Andrea (orvos, Szeged) Correia-Pinto, Jorge
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001-es BibID:	BIBFORM017649
Első szerző:	Gamal, Eldin Mohamed (sebész)
Cím:	The influence of intraoperative complications on adhesion formation during laparoscopic and conventional cholecystectomy in an animal model / E. M. Gamal, P. Metzger, Gy. Szabó, E. Bráth, K. Pető, A. Oláh, J. Kiss, I. Furka, I. Mikó
Dátum:	2001
Megjegyzések:	The aim of this study was to evaluate the extent of postoperative adhesion formation after laparoscopic and open cholecystectomy. MATERIALS AND METHODS: Qualified surgeons performed 60 experimental laparoscopic cholecystectomies (LC) in dogs with the aim to acquire the laparoscopic technique. To assess the relation between the complications during the operation (bleeding, laceration of the liver bed, or gallbladder perforation) and the formation of adhesions, surviving animals were divided into four groups according to the type of complication occurred. Assessment of the results was made by second-look laparoscopy 4 weeks after LC using the adhesion index (AI; score range, 0-4). The animals then were killed so the extent of adhesion formation could be measured. As a control, open cholecystectomy was performed in 15 dogs without intraoperative complications. The Mann-Whitney rank-sum test and Dunn's method were used for statistical analysis. RESULTS: No adhesion formation or intraoperative complications were registered in the laparoscopic group I. In all the cases wherein bleeding or laceration of the liver bed occurred and was managed with electrocoagulation, adhesions formed. Adhesion formation in these groups was significantly higher than in "ideal LC" or cases of gallbladder perforation alone (p < 0.01). All the animals in the control group developed significantly more adhesions than those in the experimental group (p < 0.05). CONCLUSIONS: It seems that LC has a lower rate of adhesion formation than the conventional open technique. Complications such as bleeding or laceration of the liver bed during LC can enhance adhesion formation. No adhesion formation can be mentioned in relation to gallbladder perforation during LC.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Surgical endoscopy. - 15 : 8 (2001), p. 873-877. -
További szerzők:	Metzger Péter (sebész) Szabó György Bráth Endre (1969-) (kutatósebész) Pető Katalin (1961-) (kutatóorvos) (Kísérletes orvostudomány) Oláh A. (sebész Győr) Kiss János (sebész) Furka István (1935-2021) (sebész, urológus, kutatóorvos) Mikó Irén (1948-) (kutató sebész)
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001-es BibID:	BIBFORM019435
Első szerző:	Sasi Szabó László András (sebész)
Cím:	Laparoscopic treatment of nonparasitic hepatic cysts / L. Sasi-Szabó, I. Takács, P. Árkosy, P. Sápy, Zs. Szentkereszty
Dátum:	2006
ISSN:	0930-2794
Megjegyzések:	Background: We present our experience with laparoscopic deroofing of nonparasitic hepatic cysts. Methods: Laparoscopic deroofing was performed due to a solitary hepatic cyst in 21 patients and polycystic liver in four patients. Laparoscopy was indicated when a cyst was larger than 5 cm (the general size of cysts was 6.9 cm) and caused complaints and was in a superficial position. In eight patients in whom the cyst was larger than 10 cm, omentoplasty was performed. Results: Intraoperative complications were not detected. Two conversions were performed because of the deep position of the cyst. Postoperative bile leakage was detected in one case that was treated conservatively. The average hospital stay was 4.7 days. Relapse occurred in two patients (8%), but only one of them required a second operation. Conclusion: We recommend laparoscopic deroofing for treatment of nonparasitic liver cysts. This operation causes only slight discomfort for the patients, the intra- and postoperative morbidity is low, and relapses are rare.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Surgical Endoscopy And Other Interventional Techniques. - 20 : 4 (2006), p. 595-597. -
További szerzők:	Takács István (1963-) (sebész) Árkosy Péter (1962-) (általános sebész, mellkassebész) Sápy Péter (1942-) (sebész) Szentkereszty Zsolt (1961-) (sebész)
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001-es BibID:	BIBFORM002165
Első szerző:	Szabó Györgyi (biológus)
Cím:	Adhesion formation with open versus laparoscopic cholecystectomy : an immunologic and histologic study / Szabó G., Mikó I., Nagy P., Bráth E., Pető K., Furka I., Gamal E. M.
Dátum:	2007
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Surgical Endoscopy 21 : 2 (2007), p. 253-257. -
További szerzők:	Mikó Irén (1948-) (kutató sebész) Nagy P. Bráth Endre (1969-) (kutatósebész) Pető Katalin (1961-) (kutatóorvos) (Kísérletes orvostudomány) Furka István (1935-2021) (sebész, urológus, kutatóorvos) Gamal, Eldin Mohamed (sebész)
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