CCL

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001-es BibID:BIBFORM034323
Első szerző:Csáky Gergely
Cím:Video-choledochoscopy in bile duct surgery / Csáky Gergely, Bezsilla János, Tóth Dezső
Dátum:1999
ISSN:0231-4614
Megjegyzések:The authors report on common bile duct explorations performed in 92 patients and in one patient laparoscopically. In their practice usually ERCP and EST were attempted first when bile duct stones were suspected. Open choledochotomy was performed when the endoscopic approach was unsuccessful, or a stone was detected during selective intraoperative cholangiography. In 16 cases intraoperative video-choledochoscopy was performed. The thing that increased the average operating time by 47 minutes. In 4 patients in this group residual stones were detected postoperatively, presumably because of the inexperience of the surgeons with the use of the choledochoscope. Postoperative cholangiography raised the suspicion of a residual stone altogether in 8 cases. Postoperative ERCP was negative in 2 instances, EST and stone extraction were successful in 3 patients, but unsuccessful in 3 patients. In these last cases a successful reoperation was made in one, ESWL and dissolution therapy were performed in two patients. The authors advise to learn the technique of laparoscopic removal of the bile duct stones and the application of guide-wire, Dormia basket, Fogarty balloon catheter, and balloon dilatator. According to the data of the literature, the one stage laparoscopic procedure is successful in most of the patients, more comfortable, and cost saving.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény hazai lapban
Megjelenés:Acta Chirurgica Hungarica. - 38 : 2 (1999), p. 139-142. -
További szerzők:Bezsilla János Tóth Dezső (1972-) (sebész, onkológus)
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2.

001-es BibID:BIBFORM034324
Első szerző:Kánya László
Cím:Laparoscopic surgery of focal lesions of the liver / Kánya László, Botos Ákos, Bezsilla János, Szederkényi István, Tóth Dezső
Dátum:1999
ISSN:0231-4614
Megjegyzések:In this work the laparoscopic surgical approach of two benignant hepatic lesions (focal nodular hyperplasia [1st case], and hepatic cyst with simultaneous cholecystolithiasis [2nd case]) will be discussed. The authors present the steps of the laparoscopic procedures: non-anatomical liver resection in the first, resection and cholecystectomy in the latter case. During the operations no surgical complications occurred, the postoperative course was also uneventful. The patients were discharged in the fifth day after the surgery, without any complains. During a short follow-up period, our patients were asymptomatic and free of recurrences. In our opinion, the laparoscopic hepatic surgery might be a feasible technique in the hands of surgeons with hepatic and laparoscopic experience, but careful selection criteria should be followed in the selection of such cases.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény hazai lapban
Megjelenés:Acta Chirurgica Hungarica. - 38 : 2 (1999), p. 187-189. -
További szerzők:Botos Ákos Bezsilla János Szederkényi István Tóth Dezső (1972-) (sebész, onkológus)
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