{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T06:23:19Z","timestamp":1756189399247},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"1","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>\n          <jats:italic>H\u00e1tt\u00e9r:<\/jats:italic> A laparoscopos splenectomia (LS) sor\u00e1n extr\u00e9m l\u00e9pm\u00e9ret\n                    eset\u00e9n gyakori technikai probl\u00e9ma a specimen has\u00fcregb\u0151l val\u00f3 elt\u00e1vol\u00edt\u00e1sa.\n                    \u00c1ltal\u00e1ban a specimen EndoBagbe helyez\u00e9se \u00e9s morcellati\u00f3t k\u00f6vet\u0151 elt\u00e1vol\u00edt\u00e1sa\n                    terjedt el. Massz\u00edv splenomegalia, 1000\u20132000 grammos l\u00e9pek eset\u00e9n ez a m\u00f3dszer\n                    olykor nem kivitelezhet\u0151, mivel a l\u00e9p m\u00e9rete meghaladja a legnagyobb EndoBag\n                    \u0171rtartalm\u00e1t. Ebben az esetben, irodalmi adatok szerint, vagy a has\u00fcregen bel\u00fcli\n                    morcellati\u00f3t v\u00e9gezhet\u00fcnk (splenosis vesz\u00e9lye), vagy laparotomi\u00e1b\u00f3l t\u00e1vol\u00edthatjuk\n                    el a speciment. Munkacsoportunk a probl\u00e9m\u00e1ra megold\u00e1sk\u00e9nt 2009 \u00f3ta\n                    Pfannenstiel-metsz\u00e9st alkalmaz a specimen elt\u00e1vol\u00edt\u00e1s\u00e1ra.\n                        <jats:italic>M\u00f3dszer:<\/jats:italic> A 2002. janu\u00e1r 1. \u00e9s 2014. szeptember 30. k\u00f6z\u00f6tt\n                    klinik\u00e1nkon v\u00e9gzett 74 LS eredm\u00e9nyeit elemezt\u00fck. A speciment 56 esetben a\n                    szok\u00e1sos m\u00f3don a lateralis port hely\u00e9n morcellati\u00f3val, m\u00edg nagym\u00e9ret\u0171 l\u00e9pek\n                    eset\u00e9n 12 esetben 10\u201312 cm-es Pfannenstiel-metsz\u00e9sb\u0151l t\u00e1vol\u00edtottuk el.\n                        <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A m\u0171t\u00e9tek \u00e1tlagos hossza 121 (50\u2013220) perc\n                    volt. Pfannenstiel-metsz\u00e9sb\u0151l t\u00f6rt\u00e9n\u0151 specimenelt\u00e1vol\u00edt\u00e1s eset\u00e9n szignifik\u00e1nsan\n                    r\u00f6videbb m\u0171t\u00e9ti id\u0151t tapasztaltunk (108 vs. 125 perc; <jats:italic>p<\/jats:italic> = 0,05)\n                    \u00e9s nagyobb m\u00e9ret\u0171 l\u00e9peket tudtunk elt\u00e1vol\u00edtani (1032 vs. 338 gramm;\n                        <jats:italic>p<\/jats:italic> = 0,0001), mint a hagyom\u00e1nyos morcellati\u00f3s technik\u00e1val. A\n                    m\u00f3dszer a k\u00f3rh\u00e1zi benntart\u00f3zkod\u00e1s hossz\u00e1t nem ny\u00fajtotta meg (4,7 vs. 5,2 nap;\n                        <jats:italic>p<\/jats:italic> = 0,178). <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic> Vizsg\u00e1latunk\n                    al\u00e1t\u00e1masztja, hogy a laparoscopos l\u00e9pelt\u00e1vol\u00edt\u00e1s biztons\u00e1gos \u00e9s sz\u00e1mos el\u0151nnyel\n                    j\u00e1r massz\u00edv splenomegalia eset\u00e9ben is. A specimen Pfannenstiel-metsz\u00e9sb\u0151l\n                    t\u00f6rt\u00e9n\u0151 elt\u00e1vol\u00edt\u00e1s\u00e1t biztons\u00e1gos \u00e9s kozmetikailag is elfogadhat\u00f3 alternat\u00edv\u00e1nak\n                    tartjuk.<\/jats:p>","DOI":"10.1556\/1046.69.2016.1.3","type":"journal-article","created":{"date-parts":[[2016,2,22]],"date-time":"2016-02-22T15:31:58Z","timestamp":1456155118000},"page":"14-19","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopos technika alkalmaz\u00e1sa nagym\u00e9ret\u0171 l\u00e9pek elt\u00e1vol\u00edt\u00e1s\u00e1ra: Pfannenstiel-metsz\u00e9s mint alternat\u00edv specimenelt\u00e1vol\u00edt\u00e1si m\u00f3d"],"prefix":"10.1556","volume":"69","author":[{"given":"\u00c1ron","family":"Nyilas","sequence":"first","affiliation":[{"name":"Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar6720 Szeged, Sz\u0151kefalvi-Nagy u. 6."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Paszt","sequence":"additional","affiliation":[{"name":"Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar6720 Szeged, Sz\u0151kefalvi-Nagy u. 6."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsolt","family":"Simonka","sequence":"additional","affiliation":[{"name":"Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar6720 Szeged, Sz\u0151kefalvi-Nagy u. 6."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szabolcs","family":"\u00c1brah\u00e1m","sequence":"additional","affiliation":[{"name":"Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar6720 Szeged, Sz\u0151kefalvi-Nagy u. 6."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernadett","family":"Borda","sequence":"additional","affiliation":[{"name":"Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar6720 Szeged, Sz\u0151kefalvi-Nagy u. 6."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eszter","family":"M\u00e1n","sequence":"additional","affiliation":[{"name":"Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar6720 Szeged, Sz\u0151kefalvi-Nagy u. 6."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6rgy","family":"L\u00e1z\u00e1r","sequence":"additional","affiliation":[{"name":"Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar6720 Szeged, Sz\u0151kefalvi-Nagy u. 6."}],"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\/69\/1\/article-p14.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/69\/1\/article-p14.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/69\/1\/article-p14.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T16:43:35Z","timestamp":1704300215000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/69\/1\/article-p14.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3]]},"references-count":0,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.1556\/1046.69.2016.1.3","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"value":"0025-0295","type":"print"},{"value":"1789-4301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3]]}}}