{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:02:51Z","timestamp":1704326571593},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"4","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>\n          <jats:italic>Bevezet\u00e9s:<\/jats:italic> A megnagyobbodott, ak\u00e1r a trache\u00e1t is komprim\u00e1l\u00f3\n                    pajzsmirigy m\u0171t\u00e9ti kezel\u00e9se legt\u00f6bb esetben a tot\u00e1lis thyreoidectomia, amely\n                    mind a fej-nyak seb\u00e9szek, mind az \u00e1ltal\u00e1nos seb\u00e9szek k\u00f6r\u00e9ben ismert elj\u00e1r\u00e1s. A\n                    megnagyobbodott pajzsmirigy az esetek k\u00f6r\u00fclbel\u00fcl 1\u201310%-\u00e1ban a szegycsont m\u00f6g\u00e9\n                    \u00e9r, ez\u00e1ltal elt\u00e9r\u0151 m\u0171t\u00e9ti technik\u00e1t ig\u00e9nyel az elt\u00e1vol\u00edt\u00e1sa. <jats:italic>Betegek \u00e9s\n                        m\u00f3dszerek:<\/jats:italic> Munkacsoportunk 2000\u20132014-ig 182 substernalis struma\n                    miatt v\u00e9gzett m\u0171t\u00e9tet. Substernalisnak azon pajzsmirigylebenyeket tekintett\u00fck,\n                    amelyek legal\u00e1bb a jugulum szintje al\u00e1 \u00e9rtek. Retrospekt\u00edve vizsg\u00e1ltuk a 182\n                    esetet, amelyek substernalisan elhelyezked\u0151 pajzsmirigylebenyek miatt ker\u00fcltek\n                    m\u0171t\u00e9tre az elm\u00falt 14\u00e9vben. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Minden beteg panaszokkal\n                    \u00e9rkezett, amelyek k\u00f6z\u00fcl a fullad\u00e1s \u00e9s neh\u00e9zl\u00e9gz\u00e9s volt a leggyakoribb. A m\u0171t\u00e9tet\n                    minden esetben megel\u0151zte k\u00e9palkot\u00f3 vizsg\u00e1lat. 31 esetben praeoperativ nyaki\n                    ultrahang k\u00e9sz\u00fclt, 13 esetben MR- \u00e9s 138 esetben CT-vizsg\u00e1lat jelentette a\n                    k\u00e9palkot\u00f3 elj\u00e1r\u00e1st. 15 beteg eset\u00e9ben t\u00f6rt\u00e9nt kor\u00e1bban r\u00e9szleges vagy teljes\n                    pajzsmirigylebeny-elt\u00e1vol\u00edt\u00e1s. Nyaki metsz\u00e9sb\u0151l 175 esetben siker\u00fclt\n                    elt\u00e1vol\u00edtani a megnagyobbodott lebenyeket, median sternotomi\u00e1ra h\u00e9t esetben\n                    k\u00e9nyszer\u00fclt\u00fcnk. \u00c1tmeneti nervus laryngeus recurrens b\u00e9nul\u00e1s egy esetben,\n                    v\u00e9gleges pedig h\u00e1rom esetben fordult el\u0151. Kilenc esetben igazol\u00f3dott\n                    rosszindulat\u00fa pajzsmirigy-megbeteged\u00e9s a specimenb\u0151l, 173 esetben benignus\n                    megnagyobbod\u00e1sr\u00f3l volt sz\u00f3. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Fullad\u00e1s \u00e9s\n                    neh\u00e9zl\u00e9gz\u00e9s a leggyakoribb panasz a nagym\u00e9rt\u00e9kben megn\u00f6vekedett, sternum m\u00f6g\u00e9 is\n                    \u00e9r\u0151, \u00fagynevezett substernalis vagy retrosternalis struma k\u00f3rk\u00e9p\u00e9ben. A\n                    CT-vizsg\u00e1lat alapvet\u0151 a diagnosztik\u00e1ban, hiszen a pontos kiterjed\u00e9s\n                    meghat\u00e1roz\u00e1sa egyik alapfelt\u00e9tele a megfelel\u0151 seb\u00e9szi kezel\u00e9snek, illetve az\n                    oper\u00e1l\u00f3 team \u00f6ssze\u00e1ll\u00edt\u00e1s\u00e1nak. A megfelel\u0151 kezel\u00e9s a m\u0171t\u00e9t, azonban sok esetben\n                    a m\u0171t\u00e9t sor\u00e1n m\u00e1s technika alkalmaz\u00e1sa v\u00e1lik sz\u00fcks\u00e9gess\u00e9, mint a hagyom\u00e1nyos,\n                    nyakr\u00f3l is k\u00f6nnyen kivehet\u0151 kisebb m\u00e9ret\u0171 pajzsmirigylebenyek elt\u00e1vol\u00edt\u00e1sakor.\n                    Ez\u00e9rt fontos a mellkasseb\u00e9szeti h\u00e1tt\u00e9r vagy akt\u00edv r\u00e9szv\u00e9tel ezen\n                    beavatkoz\u00e1sokban. A hazai irodalmat \u00e1ttekintve nem tal\u00e1ltunk ekkora\n                    betegcsoportot vizsg\u00e1l\u00f3 \u00f6sszefoglal\u00f3 k\u00f6zlem\u00e9nyt.<\/jats:p>","DOI":"10.1556\/1046.68.2015.4.3","type":"journal-article","created":{"date-parts":[[2015,8,18]],"date-time":"2015-08-18T15:52:58Z","timestamp":1439913178000},"page":"173-175","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["A nagym\u00e9ret\u0171 retrosternalis strum\u00e1k m\u0171t\u00e9ti megold\u00e1sa \u2013 fej-nyak seb\u00e9sz \u00e9s mellkasseb\u00e9sz sikeres egy\u00fcttm\u0171k\u00f6d\u00e9se"],"prefix":"10.1556","volume":"68","author":[{"given":"Bernadett","family":"L\u00e9vay","sequence":"first","affiliation":[{"name":"1 Fej-Nyaki Daganatok Multidiszciplin\u00e1ris Centrum, Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet1124 Budapest, R\u00e1th Gy\u00f6rgy utca 7\u20139."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Bo\u00e9r","sequence":"additional","affiliation":[{"name":"1 Fej-Nyaki Daganatok Multidiszciplin\u00e1ris Centrum, Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet1124 Budapest, R\u00e1th Gy\u00f6rgy utca 7\u20139."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1kos","family":"Kocsis","sequence":"additional","affiliation":[{"name":"2 Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zetBudapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Ag\u00f3cs","sequence":"additional","affiliation":[{"name":"2 Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zetBudapest"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Magyar Seb\u00e9szet (Hungarian Journal of Surgery)"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/68\/4\/article-p173.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/68\/4\/article-p173.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/68\/4\/article-p173.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T16:52:11Z","timestamp":1704300731000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/68\/4\/article-p173.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8]]},"references-count":0,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.1556\/1046.68.2015.4.3","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"value":"0025-0295","type":"print"},{"value":"1789-4301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8]]}}}