The authors are demonstrating the surgical technique of microlaparotomy cholecystectomy and the categorisation of minilaparotomy. In their 1575 unselected cases operated for cholelithiasis and their complications, 94% had microlaparotomy cholecystectomy (MLC: less than 4 cm single skin incision). 5.4% required modern minilaparotomy (4 to 6 cm incision) because of choledocholithotomy or bilioenteric fistula: and 0.3% had classical minilaparotomy (6 to 8 cm incision). In only 0.3% they converted into an incision longer than 8 cm.
Download full-text PDF |
Source |
---|
Orv Hetil
June 2003
Kaposi Mór Megyei Kórház, Altalános Sebészeti, Er- és Mellkassebészeti Osztály, Kaposvár.
Introduction: Today the removal of the gallbladder is the safest, the most effective and widely recommended treatment for gallstone disease. Three essential methods are used for the removal of the gallbladder: standard open cholecystectomy, laparoscopic cholecystectomy and minicholecystectomy. Traditionally, the surgical community has resisted accepting minicholecystectomy.
View Article and Find Full Text PDFMagy Seb
October 2002
Kaposi Mór Megyei Kórház Altalános Sebészeti, Er- és Mellkassebészeti Osztály, 7400 Kaposvár, Tallián Gyula u. 20-34.
Transposition of the gallbladder to the left side without situs inversus viscerum is rare. These gallbladders are almost always situated under the left lobe of the liver between the IV and III segments or on the III segment to the left of the falciform ligament. One left positioned gallbladder was found in a consecutive series of 2536 patients undergoing microlaparotomy cholecystectomy for symptomatic gallstone disease in the "Moritz Kaposi" Teaching Hospital between 1990 and 2000, a prevalence of 0.
View Article and Find Full Text PDFMagy Seb
August 2000
Kaposi Mór Megyei Kórház Altalános Sebészeti, Er- és Mellkassebészeti Osztály.
Microlaparotomy cholecystectomy (MLC) is an alternative for minimal invasive surgical interventions of the biliary tract. In Hungary over 7000 operations were performed in 21 surgical departments as at December 31. 1998 and numerous additional departments have indicated their demand for the initiation of the method.
View Article and Find Full Text PDFMagy Seb
August 2000
Kaposi Mór Megyei Kórház Altalános Sebészeti, Er- és Mellkassebészeti Osztály.
Gallstone disease is a major health problem, 10-15% of the adult population of Hungary are afflicted, and each year about 20,000 cholecystectomies are undertaken. There are two essential and widely accepted methods for the removal of gallbladder: conventional open cholecystectomy and laparoscopic cholecystectomy. Since 1988 the authors worked on a new surgical technique and equipment (ROMICRO R-set) for cholecystectomy using a single 2-4 cm microlaparotomy inside the infrasternal triangle.
View Article and Find Full Text PDFOrv Hetil
January 1998
Kaposi Mór Megyei Kórház, I. sz. Sebészeti Osztály Kaposvár.
An impacted gallstone in the cystic duct or in the Hartman's pouch with subsequent inflammation and edema resulting in extrinsic compression of the common hepatic or common bile duct with obstructive jaundice is known as Mirizzi's syndrome. The Mirizzi syndrome presents a difficult surgical challenge because of the dense adhesions and edematous inflammatory tissue cause distortion of the normal anatomy in Calot's triangle, leading to a great risk of bile duct injury. Therefore, a controversial issue the surgical strategy for the treatment of Mirizzi's syndrome since the introduction of laparoscopic cholecystectomy.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!