{"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":1747199371506,"version":"3.40.5"},"reference-count":10,"publisher":"Akademiai Kiado Zrt.","issue":"3","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2023,9,25]]},"abstract":"Bevezet\u00e9s<\/jats:title>A colorectalis m\u0171t\u00e9tek legfontosabb eleme a megfelel\u0151 b\u00e9l\u00f6sszek\u00f6ttet\u00e9s elk\u00e9sz\u00edt\u00e9se. A varratel\u00e9gtelens\u00e9g elker\u00fcl\u00e9s\u00e9hez t\u00f6bbek k\u00f6z\u00f6tt k\u00e9t alapvet\u0151 t\u00e9nyez\u0151 sz\u00fcks\u00e9ges: az anasztomiz\u00e1lt b\u00e9lv\u00e9gek megfelel\u0151 v\u00e9rell\u00e1t\u00e1sa, valamint a fesz\u00fcl\u00e9smentes varratsor. Kiterjesztett bal oldali vastagb\u00e9l-resecti\u00f3k ut\u00e1n el\u0151fordulhat, hogy a hagyom\u00e1nyos m\u00f3don mobiliz\u00e1lt colon fesz\u00fcl\u00e9smentesen nem k\u00f6thet\u0151 \u00f6ssze a rectumcsonkkal. Ezekben az esetekben javasolj\u00e1k a colon transversum transmesenterialis \u00faton t\u00f6rt\u00e9n\u0151 levezet\u00e9s\u00e9t a kismedenc\u00e9be.<\/jats:p><\/jats:sec>M\u00f3dszer<\/jats:title>A BAZ Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z Seb\u00e9szeti Oszt\u00e1ly\u00e1n v\u00e9gzett transmesenterialis colon \u00e1tvezet\u00e9ses colorectalis anasztom\u00f3zisok eredm\u00e9nyeit prezent\u00e1ljuk, \u00f6sszevetve az irodalmi adatokkal.<\/jats:p><\/jats:sec>Eredm\u00e9nyek<\/jats:title>Nyolc betegn\u00e9l alkalmaztunk transmesenterialis colon \u00e1tvezet\u00e9ses colorect\u00e1lis anasztom\u00f3zist. Varratel\u00e9gtelens\u00e9get nem \u00e9szlelt\u00fcnk. Az\u00a0intraoperat\u00edv v\u00e9rvesztes\u00e9g, intra- \u00e9s posztoperat\u00edv f\u00e1jdalomcsillap\u00edt\u00e1s, b\u00e9lm\u0171k\u00f6d\u00e9s beindul\u00e1sa hasonl\u00f3 m\u00f3don alakult, mint a hagyom\u00e1nyos anasztom\u00f3zisok eset\u00e9ben v\u00e1rhat\u00f3. \u00d6t betegn\u00e9l laparoszk\u00f3posan, h\u00e1rom esetben laparoszk\u00f3pia ut\u00e1n conversio sor\u00e1n k\u00e9sz\u00fclt el az anasztom\u00f3zis.<\/jats:p><\/jats:sec>K\u00f6vetkeztet\u00e9s<\/jats:title>A bal oldali colonfelet \u00e9s rectosigmoide\u00e1lis szakaszt \u00e9rint\u0151 kiterjesztett resecti\u00f3k sor\u00e1n el\u0151fordulhat, hogy nem megfelel\u0151 az anasztomiz\u00e1lni k\u00edv\u00e1nt b\u00e9lv\u00e9g hossza. Amikor a mobiliz\u00e1lt colon a hagyom\u00e1nyos teljes mobiliz\u00e1l\u00e1st k\u00f6vet\u0151en sem \u00e9r le fesz\u00fcl\u00e9smentesen a kismedenc\u00e9be, alkalmazhat\u00f3 a\u00a0transmesenteri\u00e1lisan \u00e1tvezetett colon transversummal t\u00f6rt\u00e9n\u0151 b\u00e9lvarrat. Ez a laparoszk\u00f3ppal is v\u00e9gezhet\u0151 m\u00f3dszer biztons\u00e1gos alternat\u00edva lehet a fesz\u00fcl\u00e9smentes anasztom\u00f3zis elk\u00e9sz\u00edt\u00e9s\u00e9ben.<\/jats:p><\/jats:sec>","DOI":"10.1556\/1046.2023.30004","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T07:46:18Z","timestamp":1695627978000},"page":"92-95","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Transmesenteri\u00e1lis colon \u00e1tvezet\u00e9ses colorect\u00e1lis anasztom\u00f3zis"],"prefix":"10.1556","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2915-2355","authenticated-orcid":true,"given":"K\u00e1roly","family":"Szab\u00f3","sequence":"first","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Miskolc, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e1nos","family":"Bezsilla","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Miskolc, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"B1","series-title":"Colorectal Dis","first-page":"1262","article-title":"Laparoscopic retrojejunal trans-mesenteric anastomosis for extended left-sided colorectal resections - a new solution to an old problem","volume":"23","author":"Seow-En I","year":"2021","unstructured":"Seow-En I, Ke TW, Chang SC, Chen WT. Laparoscopic retrojejunal trans-mesenteric anastomosis for extended left-sided colorectal resections - a new solution to an old problem. Colorectal Dis 2021; 23: 1262\u20131267."},{"key":"B2","series-title":"Colorectal Dis","first-page":"1189","article-title":"Colorectal anastomosis after laparoscopic extended left colectomy: techniques and outcome","volume":"22","author":"Chen YC","year":"2020","unstructured":"Chen YC, Fingerhut A, Shen MY, Chen HC, Ke TW, Chang SJ, et\u00a0al. Colorectal anastomosis after laparoscopic extended left colectomy: techniques and outcome. Colorectal Dis 2020; 22: 1189\u20131194."},{"key":"B3","series-title":"Ann Surg","first-page":"806","article-title":"Redo coloanal anastomosis:a retrospective study of 66 patients","volume":"256","author":"Pitel S","year":"2012","unstructured":"Pitel S, Lef\u00e8vre JH, Tiret E, Chafai N, Parc Y. Redo coloanal anastomosis:a retrospective study of 66 patients. Ann Surg 2012; 256: 806\u2013810."},{"issue":"31","key":"B4","series-title":"Medicine","first-page":"21421","article-title":"Single-port laparoscopic Deloyers procedure for tension-free anastomosis after extended left colectomy or subtotal colectomy: a 6-patient case series observational study","volume":"99","author":"Choi BJ","year":"2020","unstructured":"Choi BJ, Kwon W, Baek SH, Jeong WJ, Lee SC. Single-port laparoscopic Deloyers procedure for tension-free anastomosis after extended left colectomy or subtotal colectomy: a 6-patient case series observational study. Medicine 2020; 99(31): 21421."},{"key":"B5","series-title":"Observational Study Colorectal Dis","first-page":"747","article-title":"Options and outcome for reconstruction after extended left hemicolectomy","volume":"15","author":"Dumont F","year":"2013","unstructured":"Dumont F, Da Re C., Go\u00e9r\u00e9 D, Honor\u00e9 C, Elias D. Options and outcome for reconstruction after extended left hemicolectomy. Observational Study Colorectal Dis 2013; 15: 747\u2013754."},{"key":"B6","series-title":"Arch Surg","first-page":"1004","article-title":"Left-sided colectomy with retroileal colorectal anastomosis","volume":"113","author":"Rombeau JL","year":"1978","unstructured":"Rombeau JL, Collins JP, Turnbull RB Jr. Left-sided colectomy with retroileal colorectal anastomosis. Arch Surg 1978; 113: 1004\u20131005."},{"key":"B7","series-title":"Lyon Chir","first-page":"404","article-title":"Suspension of the right colon permits without exception preservation of the anal sphincter after extensive colectomy of the transverse and left colon (including rectum). Technic - indications - immediate and late results","volume":"60","author":"Deloyers L","year":"1964","unstructured":"Deloyers L. Suspension of the right colon permits without exception preservation of the anal sphincter after extensive colectomy of the transverse and left colon (including rectum). Technic - indications - immediate and late results. Lyon Chir 1964; 60: 404\u2013413."},{"key":"B8","series-title":"Surg Today","first-page":"1476","article-title":"Retroileal colorectal anastomosis after extended left colectomy: application for laparoscopic surgery","volume":"46","author":"Sakamoto Y","year":"2016 Dec","unstructured":"Sakamoto Y, Tokunaga R, Miyamoto J, Ohuchi M, Nakamura K, Kosumi K, et al. Retroileal colorectal anastomosis after extended left colectomy: application for laparoscopic surgery. Surg Today 2016 Dec; 46: 1476\u20131478."},{"key":"B9","series-title":"Chirurg","article-title":"Indications and technique of retro-ileal colorectal anastomosis after expanded left-sided hemicolectomy","volume":"65","author":"Nafe M","year":"1994","unstructured":"Nafe M, Athanasiadis S, Kohler A. Indications and technique of retro-ileal colorectal anastomosis after expanded left-sided hemicolectomy. Chirurg 1994; 65: 804\u20136. 5."},{"key":"B10","series-title":"Tech Coloproctol","article-title":"Retroileal colorectal anastomosis: an old technique, still relevant","volume":"18","author":"Hogan NM","year":"2014","unstructured":"Hogan NM, Joyce MR. Retroileal colorectal anastomosis: an old technique, still relevant. 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