Lukács Veres

Publications (7)2.23 Total impact

• Article: [The treatment of spontaneous pneumothorax--focusing on the use of videothoracoscopy].

  Zsolt Szentkereszty, Adrienn Csiszkó, Miklós Boros, Lukács Veres, Sándor Sz Kiss
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  ABSTRACT: Videothoracoscopy plays a leading role in the management of spontaneous pneumothorax. This study evaluates various treatment strategies based on early results. In a five-year period 243 (184 male, 59 female, mean age: 37.1 years) patients were treated with spontaneous pneumothorax in 302 cases. In case of partial ptx observation was used in 24 (8%) and aspiration in 6 (2%) patients. Chest drain was inserted in 241 (67.6%) cases. Indications for surgery were recurrence of disease, previous contralateral pneumothorax and failure of drainage. Videothoracoscopy was indicated in 71 (23.5%), Jakoscopy in 5 (1.7%), thoracotomy in 13 (4.3%) cases. The operation was completed with partial pleurectomy in 25, talcum or mechanical pleurodesis in 32 and 3 cases, respectively. Conservative treatment was successful in 24 (80%) of the 30 conservatively treated cases, while chest drainage succeeded in 204 (84.7%) of the 241 cases. Conversion was needed in 8 (11.3%) cases of the 71 VATS. The remaining 63 patients recovered. Thoracotomy and Jakoscopy were successful in all cases. The postoperative complication rate was 6.3% after VATS, and 7.7% after thoracotomy. Reoperation was performed because bleeding in one case after VATS and thoracotomy. In one case empyema, and in another patient pneumonia developed after VATS. Postoperative bleeding occurred in one case after thoracotomy. The mean hospitalization was 8.5 days after drainage, 9.1 days after VATS and 11.3 days after thoracotomy. The postoperative mortality rate was 1.3% (4 patients). In case of spontaneous pneumothorax the first choice of therapy is chest tube drainage. VATS is indicated in case of recurrence, failure of drainage and previous contralateral pneumothorax.
  Magyar Sebészet (Hungarian Journal of Surgery) 06/2010; 63(3):112-7.
• Article: [A complicated case of spontaneous oesophageal rupture managed by transgastric drainage].

  Lukács Veres, Sándor Sz Kiss, Regina Kiss, Attila Enyedi, Tamás Végh, László Damjanovich, István Takács
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  ABSTRACT: Spontaneous rupture of the oesophagus is an extremely serious condition with high morbidity and mortality. Primary surgical repair may be followed by numerous complications. A 29-year-old man had undergone primary surgical repair due to spontaneous rupture of the lower third of the oesophagus. After the operation he developed suture insufficiency, which could not have been stented, and transgastric drainage was performed therefore. After a slow healing of the fistula, we could avoid another operation and his oesophagus was preserved. Fortunately, a stricture did not develop either. Transgastric drainage of the oesophagus could be a good therapeutic choice in selective and complicated cases.
  Magyar Sebészet (Hungarian Journal of Surgery) 06/2010; 63(3):121-4.
• Article: [Intrathoracic migration of Kirschner wires].

  Lukács Veres, Regina Kiss, Miklós Boros, Attila Enyedi, István Takács, Sándor Kollár, László Damjanovich, Sándor Sz Kiss
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  ABSTRACT: Orthopedic surgeons apply metallic pins to stabilize the clavicule and humerus on a daily basis. Migration of these pins into the thoracic cavity is rare. We present the case of an elderly female patient, whose right humeroscapular joint was fixed with Kirschner wires due to recurrent luxation. Six weeks later, a follow-up X-ray revealed that the pins have migrated into the right thoracic cavity, confirmed by a CT chest. Videothoracoscopic removal of the metallic pins was not possible because of dense adhesions. Right anterolateral thoracotomy was carried out, and after pneumolysis one pin was taken out from the 2nd lung segment. The other one, which was running along the cupola and entering the spinal cord, was also removed. There was no postoperative surgical complication. The authors review the literature of this rare complication and point out that pins migrating into the thoracic cavity should be removed to avoid life threatening complications.
  Magyar Sebészet (Hungarian Journal of Surgery) 12/2009; 62(6):353-6.
• Article: The use of pulse contour cardiac output-volumetric ejection fraction monitoring system in thoracic anaesthesia for high-risk patient: case report.

  Tamás Végh, Krisztina Béczy, Marianna Juhász, Gábor Sira, László Balogh, Lukács Veres, Béla Fülesdi
  European Journal of Anaesthesiology 09/2009; 26(12):1085-8. · 2.23 Impact Factor
• Article: [Abdominal hernia repair with No-React treated bovine pericardial patch].

  Tamás Szerafin, Andrij Leny, Lehel Palotás, Lukács Veres, Agnes Homolay, Csaba Papp
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  ABSTRACT: In the last decades surgical treatment of abdominal wall hernias has extensively developed. Tension free reconstruction is essential to the successful operation, which can be achieved in many cases only with the use of hernia patch or mesh. Synthetic materials gained widespread use for this purpose, which markedly reduced recurrence rate; but they can cause infections and other serious complications. Various different types of meshes have been developed during the last years, but none of them meets entirely the requirements. The authors repaired epigastric hernias with intraperitoneal implantation of specially treated bovine pericardial patch in two patients to prevent infection. Both patients recovered without postoperative complications. Follow-up examination 7 and 15 months after the operation did not reveal recurrence or any other complications. The authors describe the applied surgical technique, the advantageous properties of the bovine patch and review the literature. CONCLUSION: According to the early experiences of the authors as well as to data of the literature, the Shelhigh No-React bovine pericardial patch can be used safely and efficiently for the reconstruction of incisional hernias not suitable to direct repair. Further clinical trials are warranted to evaluate the usefulness of this method.
  Magyar Sebészet (Hungarian Journal of Surgery) 06/2008; 61 Suppl:61-5.
• Article: [Changes in surgical therapy of pulmonary hydatid cysts].

  László Kerekes, István Takács, Sándor Kollár, Lukács Veres, Péter Sápy, Sándor Sz Kiss
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  ABSTRACT: The lung is the second most common site of hydatid cysts after the liver. The authors analyse retrospectively the results of patients treated with pulmonary hydatid cysts in the past 18 years, considering video-thoracoscopy. Twenty eight patients were treated during this period in 31 cases. Hydatid disease affected only the lung in case of 22 patients, while in 6 cases it was present in the liver and lung simultaneously. Pulmonary hydatid disease affected one side in 24 and both sides in 4 cases. For surgical treatment pericystectomy in one, atypical segment resection in 18, anatomical segmentectomy in three, lobectomy in 7 and video-thoracoscopy in 3 cases were performed without surgical complications. The mean hospital stay was 10.5 days in case of thoracotomies and 8.5 days in case of video-thoracoscopy. There was one recurrence in conventional surgery and reoperation was necessary. After video-thoracoscopy no recurrence was detected. Mean follow-up was 120 months, after video-thoracoscopy it was 20 months. Three patients have uncertain chest pain after thoracotomy, but none has any complaints after video-thoracoscopy. Fifteen patients took mebendazole permanently after the final histological result. According to the authors' practice the indication of lung resections for pulmonary hydatid cysts is limited, in selective cases video-thoracoscopic cystectomy can be a successful treatment of choice.
  Magyar Sebészet (Hungarian Journal of Surgery) 01/2005; 57(6):358-63.
• Article: [Early results after minimal lobectomy for benign nodular goiter].

  Gergely Csáky, István Takács, Lukács Veres, Mehrdad Boland
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  ABSTRACT: Following traditional operations (enucleation and subtotal resection) for benign nodular goiters recurrences may develop. Reoperations for this condition can cause complications, such as hypoparathyroidism and damage of the recurrent laryngeal nerve. That is why total thyroidectomy is recommended by many specialists in benign thyroid disease. We performed lobectomy on one side, and, if necessary, partial resection on the other side. Lobectomy was performed on one side in 31 cases, with partial resections on the other side in 73 patients. We tried to identify the parathyroid glands and both recurrent laryngeal nerves. Postoperative complications were evaluated. Temporary dysfunction of the recurrent laryngeal nerve was detected in 2.3%, permanent damage in 1.1%. Temporary hypocalcaemia developed in 16.4%, permanent hypocalcemia in 1.9%. Two reoperations were necessary for bleeding. Because of the low postoperative complication rate we recommend this method as an alternative to thyroidectomy for benign nodular goiters. We know that our favourable results can be compared with traditional subtotal resection and thyroidectomy when long term results of thyroid function and data about nodular recurrences will be collected.
  Magyar Sebészet (Hungarian Journal of Surgery) 09/2002; 55(4):268-71.