{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T05:09:31Z","timestamp":1747199371547,"version":"3.40.5"},"reference-count":33,"publisher":"Akademiai Kiado Zrt.","issue":"3","license":[{"start":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T00:00:00Z","timestamp":1695600000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The study was not funded."}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2023,9,25]]},"abstract":"<jats:sec><jats:title>Bevezet\u00e9s<\/jats:title><jats:p>A kr\u00f3nikus pancreatitisnek gyullad\u00e1sos pancreasfej-megnagyobbod\u00e1ssal j\u00e1r\u00f3 form\u00e1j\u00e1ban a seb\u00e9szi kezel\u00e9sre t\u00f6bbf\u00e9le beavatkoz\u00e1s is k\u00edn\u00e1lkozik, \u00fagymint a Beger-, Frey-, Whipple-m\u0171t\u00e9t \u00e9s a berni m\u00f3dos\u00edt\u00e1s. Jelen tanulm\u00e1ny az ezekkel el\u00e9rt eredm\u00e9nyeket hasonl\u00edtja \u00f6ssze, tov\u00e1bb\u00e1 a pancreatojejunalis \u00e9s biliodigeszt\u00edv anastomosis ter\u00e9n v\u00e9gzett innov\u00e1ci\u00f3kat is ismerteti.<\/jats:p><\/jats:sec><jats:sec><jats:title>Anyag \u00e9s m\u00f3dszerek<\/jats:title><jats:p>1991 \u00e9s 2021 k\u00f6z\u00f6tt \u00f6sszesen 231 pancreasfej resecti\u00f3t v\u00e9gezt\u00fcnk. Az adatokat retrospekt\u00edven elemezt\u00fck. K\u00e9rd\u0151\u00edvek \u00fatj\u00e1n vizsg\u00e1ltuk a k\u00e9s\u0151i eredm\u00e9nyeket is. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A statisztikai feldolgoz\u00e1s alapj\u00e1n a berni m\u00f3dos\u00edt\u00e1s \u00e9s a Frey-m\u0171t\u00e9t el\u0151ny\u00f6sebbnek bizonyult a Whipple- \u00e9s a Beger-m\u0171t\u00e9tn\u00e9l az oper\u00e1ci\u00f3 id\u0151tartama \u00e9s a transzf\u00fazi\u00f3s ig\u00e9ny (<jats:italic>P<\/jats:italic> &lt; 0,001) tekintet\u00e9ben, m\u00edg az intenz\u00edv oszt\u00e1lyos \u00e9s teljes posztoperat\u00edv \u00e1pol\u00e1si id\u0151 (<jats:italic>P<\/jats:italic> &lt; 0,001) ter\u00e9n a Whipple-m\u0171t\u00e9thez viszony\u00edtva voltak kedvez\u0151bbek. A korai morbidit\u00e1s gyakoris\u00e1ga a Whipple-m\u0171t\u00e9tet k\u00f6vet\u0151en volt a legnagyobb (<jats:italic>P<\/jats:italic> = 0,004). Ezek a k\u00fcl\u00f6nbs\u00e9gek szignifik\u00e1nsak voltak. A reoper\u00e1ci\u00f3 \u00e9s a mortalit\u00e1s ar\u00e1nya hasonl\u00f3 volt a csoportokban. A betegek \u00e9letmin\u0151s\u00e9ge elfogadhat\u00f3 volt, annak ellen\u00e9re, hogy az esetek z\u00f6m\u00e9ben az alkohol \u00e9s nikotin ab\u00fazus megmaradt.<\/jats:p><\/jats:sec><jats:sec><jats:title>K\u00f6vetkeztet\u00e9s<\/jats:title><jats:p>A Frey-m\u0171t\u00e9t \u00e9s a berni m\u00f3dos\u00edt\u00e1s volt a legkedvez\u0151bb a korai posztoperat\u00edv kimenetel szempontj\u00e1b\u00f3l, technikailag egyszer\u0171bb volta miatt viszont ink\u00e1bb az ut\u00f3bbi beavatkoz\u00e1st r\u00e9szes\u00edtj\u00fck el\u0151nyben. Mindk\u00e9t m\u0171t\u00e9t sor\u00e1n a pancreatojejunalis anastomosis k\u00e9sz\u00edt\u00e9s\u00e9re egyr\u00e9teg\u0171 tovafut\u00f3 varratot, \u00e9s epepang\u00e1s eset\u00e9n annak megold\u00e1s\u00e1ra egy extrapancreaticusan v\u00e9gzett biliodigeszt\u00edv \u00f6sszek\u00f6ttet\u00e9s l\u00e9tes\u00edt\u00e9s\u00e9t aj\u00e1nljuk a kedvez\u0151 tapasztalatok alapj\u00e1n.<\/jats:p><\/jats:sec>","DOI":"10.1556\/1046.2023.30002","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T07:46:06Z","timestamp":1695627966000},"page":"85-91","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Kr\u00f3nikus pancreatitis miatt v\u00e9gzett pancreasfej-resecti\u00f3s m\u0171t\u00e9teink elemz\u00e9se"],"prefix":"10.1556","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0093-6813","authenticated-orcid":true,"given":"Dezs\u0151","family":"Kelemen","sequence":"first","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika, P\u00e9cs, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"De\u00e1k","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika, P\u00e9cs, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e1ndor","family":"Ferencz","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika, P\u00e9cs, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelli","family":"Farkas","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Bioanalitikai Int\u00e9zet, P\u00e9cs, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d6rs P\u00e9ter","family":"Horv\u00e1th","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika, P\u00e9cs, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Vereczkei","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika, P\u00e9cs, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"B1","series-title":"Chirurg","first-page":"731","article-title":"Chronic pancreatitis. 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