{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T05:09:32Z","timestamp":1747199372929,"version":"3.40.5"},"reference-count":27,"publisher":"Akademiai Kiado Zrt.","issue":"2","license":[{"start":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T00:00:00Z","timestamp":1719446400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2024,6,27]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A posztoperat\u00edv pancreasfistula mind proximalis, mind distalis pancreatectomia ut\u00e1n a legjelent\u0151sebb\u00a0seb\u00e9szi sz\u00f6v\u0151dm\u00e9nynek sz\u00e1m\u00edt. A szakirodalomban nincs egy\u00e9rtelm\u0171en aj\u00e1nlott, megb\u00edzhat\u00f3\u00a0m\u00f3dszer ezen probl\u00e9ma kik\u00fcsz\u00f6b\u00f6l\u00e9s\u00e9re, emiatt t\u00f6rt\u00e9nnek \u00faj\u00edt\u00e1sok szerte a vil\u00e1gon. Jelen k\u00f6zlem\u00e9ny\u00fcnkben a technikai innov\u00e1ci\u00f3inkr\u00f3l sz\u00e1molunk be. Anyag \u00e9s m\u00f3dszerek: 2013. janu\u00e1r 1-j\u00e9t\u0151l 2023. november 30-ig terjed\u0151 id\u0151szakban 205 Whipple-m\u0171t\u00e9tet v\u00e9gezt\u00fcnk nyitottan, mely sor\u00e1n a pancreatojejunalis anastomosist az \u00e1ltalunk m\u00f3dos\u00edtott doh\u00e1nyzacsk\u00f3-\u00f6lt\u00e9ses m\u00f3dszerrel k\u00e9sz\u00edtett\u00fck el. 2019. janu\u00e1r 1. \u00e9s 2023. november 30. k\u00f6z\u00f6tt pedig 30 betegn\u00e9l t\u00f6rt\u00e9nt nyitott distalis pancreatectomia, amikor a pancreascsonkot az \u00e1ltalunk kifejlesztett technik\u00e1val, szabad rectus fascia-peritoneum grafttal fedt\u00fck, majd azt cirkul\u00e1ris \u00f6lt\u00e9ssel r\u00f6gz\u00edtett\u00fck. K\u00f6zlem\u00e9ny\u00fcnkben ezen k\u00e9t m\u00f3dszerrel el\u00e9rt eredm\u00e9nyeket ismertetj\u00fck. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> a demogr\u00e1fiai adatok megfeleltek a betegs\u00e9gn\u00e9l szok\u00e1sosnak. A\u00a0posztoperat\u00edv \u00e1pol\u00e1si id\u0151 \u00e9s a transzf\u00fazi\u00f3 ig\u00e9ny ter\u00e9n \u00e9szlelt k\u00fcl\u00f6nbs\u00e9gek t\u00fckr\u00f6zt\u00e9k a k\u00e9tf\u00e9le beavatkoz\u00e1s\u00a0elt\u00e9r\u0151 invazivit\u00e1s\u00e1t. A relev\u00e1ns pancreasfistula kialakul\u00e1si r\u00e1t\u00e1ja kedvez\u0151 k\u00e9pet mutatott, Whipple-m\u0171t\u00e9t ut\u00e1n 7,3% volt, m\u00edg distalis pancreatectom\u00e1t k\u00f6vet\u0151en nem fejl\u0151d\u00f6tt ki. A reoper\u00e1ci\u00f3s \u00e9s a hal\u00e1loz\u00e1si ar\u00e1nyok megfeleltek az elv\u00e1rtaknak \u00e9s korrel\u00e1ltak a m\u0171t\u00e9tek kiterjedts\u00e9g\u00e9vel. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> pancreas resecti\u00f3k ut\u00e1ni komplik\u00e1ci\u00f3k cs\u00f6kkent\u00e9s\u00e9re tett t\u00f6rekv\u00e9seink sor\u00e1n a m\u00f3dos\u00edtott doh\u00e1nyzacsk\u00f3-\u00f6lt\u00e9ses pancreatojejunostomia \u00e9s a pancreascsonk fed\u00e9s\u00e9re kidolgozott m\u00f3dszer\u00fcnk egyar\u00e1nt kedvez\u0151 eredm\u00e9nyekkel j\u00e1rt.<\/jats:p>","DOI":"10.1556\/1046.2024.20002","type":"journal-article","created":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T07:13:51Z","timestamp":1719558831000},"page":"43-49","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["A posztoperat\u00edv pancreasfistula cs\u00f6kkent\u00e9s\u00e9re bevezetett innov\u00e1ci\u00f3ink"],"prefix":"10.1556","volume":"77","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":"\u00c1d\u00e1m","family":"Varga","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":"Palkovics","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":"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":"Surgery","first-page":"8","article-title":"Postoperative pancreatic fistula: an international study group (ISGPF) definition","volume":"138","author":"Bassi C","year":"2005","unstructured":"Bassi C, Dervenis C, Butturini G, Fingerhut A, Yeo C, Izbicki J, et\u00a0al. 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