[Micro- and modern minilaparotomy in biliary tract surgery. (Remembering János Balassa)].

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Author(s): Rozsos I;Rozsos I
  • Source:
    Orvosi hetilap [Orv Hetil] 1996 Oct 13; Vol. 137 (41), pp. 2243-8.
  • Publication Type:
    Biography; English Abstract; Historical Article; Journal Article; Review
  • Language:
    Hungarian
  • Additional Information
    • Transliterated Title:
      Micro- és modern minilaparotomia az epeutak sebészetében.
    • Source:
      Publisher: Akademiai Kiado Country of Publication: Hungary NLM ID: 0376412 Publication Model: Print Cited Medium: Print ISSN: 0030-6002 (Print) Linking ISSN: 00306002 NLM ISO Abbreviation: Orv Hetil Subsets: MEDLINE
    • Publication Information:
      Publication: 2007- : Budapest : Akademiai Kiado
      Original Publication: Pest : Markusovszky Lajos
    • Subject Terms:
      Microsurgery*/history; Biliary Tract Diseases/*surgery ; Biliary Tract Surgical Procedures/*methods; Biliary Tract Surgical Procedures/history ; Cholecystectomy/history ; Cholecystectomy/methods ; Cholelithiasis/surgery ; History, 20th Century ; Humans ; Hungary ; Lithotripsy/methods
    • Subject Terms:
      Balassa J
    • Abstract:
      The author remembering "János Balassa" points out how his legacy can be used as a moulding energy for surgery in our present time. After analysing the personality and values of Balassa the results of 1357 consecutive unselected cholecyatectomies and choledocholithotomies performed in micro- and modern minilaparotomy are analyzed. The issue of mini laparotomy has not been defined yet, so that abdominal incisions from 3 to 10 cm are also called mini laparotomy. The author suggested in 1992 that the term microlaparotomy be applied to incisions less than 4 cm, modern mini laparotomy from 4 to 6 cm, and conventional mini laparotomy from 6 to 10 cm. In contrast to other mini laparotomies he uses a vertical incision in the infrasternal triangle. From the functional anatomical point of view this approach is advantageous because it is situated above Calot's Triangle and Moosman's area and results in reduced postoperative pain. Special lighting retractors have been developed for excellent exposure and illumination of the surgical field to make the operation safe. Micro and mini laparotomies can be used for both early and late reoperations on the biliary system and also for the conversion of laparoscopic cholecystectomy. At our department conventional, laparoscopic and micro laparotomy cholecystectomy are used. Considering both surgical and economic factors, the author has found that micro laparotomy cholecystectomy offers better results than conventional and laparoscopic cholecystectomy.
    • Number of References:
      38
    • Publication Date:
      Date Created: 19961013 Date Completed: 19970116 Latest Revision: 20091021
    • Publication Date:
      20221213
    • Accession Number:
      8992421