[Pelvic Exenteration - Is it worth taking on greater risk?].

BevezetÉs: A lokálisan előrehaladott vagy recidív kismedencei daganatok kezelésére a totális (TPE) vagy parciális kismedencei exenteráció (PPE) lehet az egyetlen kuratív műtét, mely a beteg túlélését növelheti. A mortalitáscsökkenés ellenére a morbiditás még mindig magas, az R0 reszekció elérése sokszor nehéz.

Anyag És MÓdszer: Retrospektív módon elemeztük az osztályunkon 2016.

A bélelőkészítés lehetőségei és hazai gyakorlata a tervezett colorectalis műtétek előtt.

Introduction: The bowel preparation before elective colorectal surgery is a controversial topic in the surgical practice. During the last 15 years numerous publications concerning the necessity and options of the bowel preparation were published. The aim of our team was to perform a survey about the current, domestic practice as well as to give a short overview of the relevant literature and recommendations.

[Successful treatment of brachial artery aneurysm causing embolization after brachiocephalic arteriovenous fistula].

Introduction: The brachial artery aneurysm is a rare condition that accounts for 5% of peripheral aneurysms. Most are pseudoaneurysms that develop as a result of iatrogenic exposure or trauma. True brachial aneurysm can develop after an occluded dialysis fistula.

[The effect of preoperative biliary stent on postoperative complications after the resection of pancreatic head tumour].

Introduction. A preoperative biliary stent is often inserted because of obstructive jaundice due to pancreatic head tumour. However, it can also be the source of complications too.

[Actinomycosis mimicking urachal cancer].

Összefoglaló. Az urachus tumorai és egyéb betegségei ritkák. A 67 éves férfi anamnézisében ismétlődő húgyúti fertőzés szerepelt ciprofloxacinterápiával.

[Readmission indicated by severe fluid-electrolyte disturbances as a complication of ileostomy].

Introduction: After the operations of rectal tumours following neoadjuvant chemo-radio therapy it is a common practice to create a defunctioning ileostomy in order to prevent complications due to anastomotic leak. The ileostomy itself can be the source of complications with 20–60% incidence rate, while dehydration causes 16.9–40% of readmissions.

[The role of indocyanine green fluorescence in sentinel lymph node biopsy for breast cancer].

Unlabelled: Összefoglaló. Bevezetés: Napjainkban az őrszemnyirokcsomó felkeresésének legelterjedtebb módszere a radioizotópos és kék festékes kettős jelölés, emellett azonban több más jelölés is alkalmazható. Az indociánzöld-fluoreszcencia ígéretes nyirokút-térképezési módszer, mely a találati arányát tekintve - irodalmi adatok alapján - összevethető a radioizotópos módszerrel.

[Comparing the short-term results of extracorporeal and intracorporeal anastomosis in laparoscopic right hemicolectomy performed because of malignant tumour].

Introduction: Laparoscopy became evident for right-sided colon surgery too. Today the laparoscopic-assisted right-hemicolectomy is the gold standard with extracorporeal anastomosis. Morbidity according to randomized trials is still approximately 30%.

[The role of laparoscopy in the treatment of perforated gastro-duodenal ulcers].

Introduction: The incidence of peptic ulcer disease decreased due to proton pump inhibitors and Helicobacter pylori eradication. Bleeding from peptic ulcer decreased, as well, although perforation did not decrease and it is permanently between 2–10%. This is a potential surgical emergency, the mortality can reach up to 25% and the morbidity 50%, respectively.

[The results of the first 100 minimal invasive lobectomy in our department].

Patients and methods: Between 1st November 2013 and 30th June 2019 we performed 112 VATS lobectomies with isolated intubation and anterior approach. In 98 cases lobectomies were performed for malignant lesions, while in 9 cases for benign changes. 78 men and 34 women were operated on.

[The comparison of open and laparoscopic surgeries of the locally advanced chemo-irradiated rectum tumours].

The raison d'etre of laparoscopic surgery of colonic tumours is supported by many I/a level evidence. There are a lot of excellent early and late results regarding sigmoid and upper third rectum tumours in favour of laparoscopic surgery. There are not many literature proposals like this regarding chemo-irradiated tumours.

[Laparoscopic and open complete mesocolic excision in right-sided colon cancer compared with open and laparoscopic surgery].

In 2009, Hohenberger translated the concept of total mesorectal excision to colon cancer surgery and he named it complete mesocolic excision (CME). The principle of CME is based on wide mesenteric excision in the embriologic plane to remove mesenteric lymph nodes, central vascular ligation without damage of the peritoneal layer. CME can be performed by laparoscopic and open methods.

[The importance of the extracapsular extension of the sentinel node metastasis in the surgical treatment of breast cancer].

Introduction: The introduction of sentinel node biopsy (SNB) has led to a significant decrease of axillary lymph node dissections (ALND). The importance of the extracapsular extension (ECE) in the sentinel lymph node (SN) remains unclear. Method: The data of 635 patients with T1-T2N0M0 invasive breast cancer who underwent SNB between 2014 and 2018 were retrospectively analysed.

Negative pressure wound therapy of Corynebacterium jeikeium associated granulomatous mastitis.

We present the first Corynebacterium associated therapy resistant granulomatous mastitis successfully treated with negative pressure wound therapy (NPWT). Our patient had received five different courses of antibiotic therapy, and three surgical explorations before NPWT was introduced and resulted in healing. For a successful treatment, the use of targeted antibiotic therapy, steroid therapy and in case of progressive disease, wide excision is required.

[Outcomes following rectal and recto-sigmoid cancer resections: comparison of the laparoscopic and open techniques].

Background/aims: Surgical technique and experience are considered as significant determinants of the successful treatment of recto-sigmoid malignancies.

Methods: Two hundred patients operated on between 2005 and 2009 were prospectively followed with an average of 39.8 months.

[Laparoscopic sigmoid resection in total situs inversus].

Total situs inversus (SIT) is a rare congenital disorder in which all abdominal and thoracic organs are in reversed position. A 57-year-old man with SIT presented with change in bowel habits and rectal bleeding.Colonoscopy and abdomino-pelvic CT scan confirmed a constricting sigmoid lesion with normal tumor-marker levels.

Impact of positive intraabdominal lavage cytology on the long-term prognosis of colorectal cancer patients.

Background: Our aim was to investigate the presence of free cancer cells found in lavage cytology specimens taken from the proximity of tumors during the course of curative open and laparoscopic colorectal resections and then examine and compare the long-term disease outcomes in cases of negative and positive cytology. Based on the results, we were hoping to identify the place of peritumoral lavage cytology among prognostic factors for disease recurrence.

Methods: Between January 1, 2005 and December 31, 2007 intraoperative peritoneal lavage cytology was performed in 145 patients who underwent curative colorectal procedures.

[Colon cancer after colon interposition for oesophageal replacement].

The authors report the case of a colon adenocarcinoma developed on the neck at the anastomosis of the skin tube and colon 44 years following a corrosive oesophageal injury. This patient suffered a moderately severe oesophageal, stomach and laryngeal injuries due to drinking hydrochloric acid 44 years ago. He underwent serial laryngoplasties, then needed a tracheostomy, oesophagectomy, pyloroplasty and ileocolon transposition.

[Laparoscopic treatment of appendiceal mucocele].

Mucocele is a mucin-filled cavity, which can be multi-loculated as well. Mucocele is relatively rarely found in the appendix. The disease does not cause any symptoms in most cases, and it is usually an accidental finding.

[Laparoscopic reconstruction of abdominal wall hernias].

The widespread use of tension free surgical techniques and the modern, tissue-friendly surgical meshes have led to the development of new surgical techniques. The increasing importance of minimal invasive surgery became apparent in abdominal wall reconstructions, too, and their use has been justified by literature data. This procedure combines the advantages of minimal invasive surgery with tension free technique.

[Laparoscopic rectocele repair with mesh--a case report].

Relaxation of the pelvic floor causes changes in the anatomy. This results in symptoms, which can be treated with different operations. The use of modern, minimal invasive methods and tension free mesh implants for the reconstruction is widely used in rectocele repair as well.

[Laparoscopic colon operations for endoscopically unremovable polyps and tumors].

The use of laparoscopy in colorectal surgery is expanding. Minimally invasive surgery of benign lesions is widely accepted and can be performed with good results even during the learning curve. After gaining adequate expertise one can remove polyps which can not be treated with a colonoscope and early colonic carcinomas.

[Laparoscopic exploration of the common bile duct].

Since the first laparoscopic common bile duct exploration in Hungary published in 1999 the authors use the technique themselves. We review and analyse our activity between 1 June 1999 and 31 August 2003. The minimally invasive approach was selected in twelve patients with obstructive jaundice for suspected bile duct stones.