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József Ferenczy

Publications and source records attributed to József Ferenczy.

3 recordsLinked to original sources

[Micro and mini-cholecystectomies in the 21st century].

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. AIM: It is the Author's objective to illustrate the advantages and disadvantages of laparoscopic and microlaparotomy cholecystectomy. METHODS: The 2400 unselected patients who were operated with micro- and minicholecystectomy by them and a review of the relevant data of laparoscopic and standard minicholecystectomies permit some inferences to be made about the validity of microlaparotomy cholecystectomy. CONCLUSIONS: Main outcome measures regarding to mortality (0.12%), common bile duct injuries (0.08%), conversion an incision longer than 8 cm (0.29%) and syncronical choledocholithotomy (5.5%) as well as complete cholecystectomy (98.1%) indicate that micro- and minilaparotomy cholecystectomy with suitable technique and equipment are safe, less expensive choice either than the laparoscopic or the standard open cholecystectomy.

Cholecystectomy↗

[The use of ROMICRO set in plastic surgery].

More than thousand plastic operations were performed in our departments with ROMICRO-set during the last ten years. First we applied it for reconstructive and aesthetic augmentation of the breast. Thereafter, we developed new technique for gynecomastia and reconstruction of diastasis of the m. rectus abdominis sheath. According to our experience, the ROMICRO-set is a useful tool in plastic surgery. The ROMICRO-set can be used through a small incision to achieve three dimensional views with excellent exposure and lighting.

Female↗

[Left-sided gallbladder].

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 0.04 per cent. Despite of the abnormal position of the gallbladder, the biliary pain experienced by the patient was on the right side. Preoperative diagnosis of this anomaly was not made in this patient despite preoperative sonography. The cystic duct may open in the common hepatic duct either side. In this anomaly safe microlaparotomy cholecystectomy or laparoscopic cholecystectomy can be performed.

Abdominal Pain↗