{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:03:01Z","timestamp":1704326581688},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"3","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>A belgy\u00f3gy\u00e1szati m\u00f3dszerekkel panasz- \u00e9s t\u00fcnetmentess\u00e9 nem tehet\u0151\n                    gastrooesophagealis refluxbetegs\u00e9gben szenved\u0151 betegek kezel\u00e9s\u00e9re bev\u00e1lt m\u00f3dszer\n                    a laparoszk\u00f3pos antireflux-seb\u00e9szet. Gyakorlatot szerzett seb\u00e9szek nagy\n                    biztons\u00e1ggal v\u00e9gzik a m\u0171t\u00e9tet, m\u00e9gis fell\u00e9pnek intraoperativ, korai postoperativ\n                    \u00e9s k\u00e9s\u0151i sz\u00f6v\u0151dm\u00e9nyek, amelyek reoper\u00e1ci\u00f3t tehetnek sz\u00fcks\u00e9gess\u00e9. A P\u00e9csi\n                    Tudom\u00e1nyegyetem Seb\u00e9szeti Klinik\u00e1j\u00e1n 1998 \u00e9s 2015 k\u00f6z\u00f6tt 407 laparoszk\u00f3pos\n                    antirefluxm\u0171t\u00e9tet v\u00e9gezt\u00fcnk. A peri\u00f3dust k\u00e9t szakaszra osztottuk. Az els\u0151ben\n                    1998 \u00e9s 2006 k\u00f6z\u00f6tt 241 beteget oper\u00e1ltunk \u00e9s a vizsg\u00e1lat prospekt\u00edv volt;\n                    minden diagnosztikus elj\u00e1r\u00e1st magunk v\u00e9gezt\u00fcnk. A m\u00e1sodik peri\u00f3dusban 166\n                    beteget kezelt\u00fcnk minim\u00e1lisan invaz\u00edv m\u00f3dszerrel \u00e9s az eredm\u00e9nyeket\n                    retrospekt\u00edve elemezt\u00fck. Az \u00f6sszbeteganyagban a f\u00e9rfi\/n\u0151 ar\u00e1ny 161\/246 volt. A\n                    betegek \u00e1tlag\u00e9letkora 53,1 \u00e9v volt. A 407 m\u0171t\u00e9tet kieg\u00e9sz\u00edtett\u00fck 27 esetben\n                    ligamentum teres plasztik\u00e1val, 28 esetben h\u00e1l\u00f3be\u00fcltet\u00e9ssel \u00e9s n\u00e9gy esetben\n                    fascia lata plasztik\u00e1val, mert a hiatus direkt z\u00e1r\u00e1s\u00e1t nem tartottuk\n                    megb\u00edzhat\u00f3nak. 16 esetben (4%) v\u00e9gezt\u00fcnk konverzi\u00f3t, a hal\u00e1loz\u00e1s 0,5% volt. 39\n                    esetben v\u00e9gezt\u00fcnk laparoszk\u00f3pos reoper\u00e1ci\u00f3t \u00e9s hat esetben thoracolaparotomi\u00e1s\n                    reoper\u00e1ci\u00f3t (12%). Ehhez m\u00e9g \u00f6t reoper\u00e1ci\u00f3 j\u00e1rul, amelyn\u00e9l a primer m\u0171t\u00e9t nem\n                    klinik\u00e1nkon t\u00f6rt\u00e9nt. A 4%-os konverzi\u00f3s r\u00e1ta, a 12%-os reoper\u00e1ci\u00f3s ar\u00e1ny,\n                    valamint a 0,5%-os hal\u00e1loz\u00e1s megfelel az irodalomban tal\u00e1lt ar\u00e1nyoknak.\n                    \u00d6sszess\u00e9g\u00e9ben meg\u00e1llap\u00edthatjuk, hogy a laparoszk\u00f3pos antirefluxm\u0171t\u00e9t\n                    biztons\u00e1ggal \u00e9s nagyon j\u00f3 eredm\u00e9nnyel v\u00e9gezhet\u0151 beavatkoz\u00e1s. A tart\u00f3s\n                    sz\u00f6v\u0151dm\u00e9nyek (els\u0151sorban reflux- \u00e9s s\u00e9rvki\u00fajul\u00e1s), illetve a reoper\u00e1ci\u00f3k szinte\n                    kiz\u00e1r\u00f3lag csak a nagym\u00e9ret\u0171 hiatusherni\u00e1k seb\u00e9szi kezel\u00e9se kapcs\u00e1n fordultak\n                    el\u0151.<\/jats:p>","DOI":"10.1556\/1046.69.2016.3.1","type":"journal-article","created":{"date-parts":[[2016,9,20]],"date-time":"2016-09-20T13:20:08Z","timestamp":1474377608000},"page":"91-99","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":4,"title":["Sz\u00f6v\u0151dm\u00e9nyek \u00e9s reoper\u00e1ci\u00f3k laparoszk\u00f3pos antirefluxm\u0171t\u00e9tek ut\u00e1n"],"prefix":"10.1556","volume":"69","author":[{"given":"\u00d6rs P\u00e9ter","family":"Horv\u00e1th","sequence":"first","affiliation":[{"name":"1 Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika, P\u00e9csi Tudom\u00e1nyegyetem7624 P\u00e9cs, Ifj\u00fas\u00e1g \u00fat 13."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Varga","sequence":"additional","affiliation":[{"name":"2 Klinik f\u00fcr Allgemein-,Viszeral- und Thoraxchirurgie, AGAPLESION Markus KrankenhausFrankfurt am Main"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsanett","family":"Bir\u00f3","sequence":"additional","affiliation":[{"name":"1 Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika, P\u00e9csi Tudom\u00e1nyegyetem7624 P\u00e9cs, Ifj\u00fas\u00e1g \u00fat 13."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Papp","sequence":"additional","affiliation":[{"name":"1 Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika, P\u00e9csi Tudom\u00e1nyegyetem7624 P\u00e9cs, Ifj\u00fas\u00e1g \u00fat 13."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Bogn\u00e1r","sequence":"additional","affiliation":[{"name":"3 Seb\u00e9szeti Oktat\u00f3- \u00e9s Kutat\u00f3int\u00e9zet, P\u00e9csi Tudom\u00e1nyegyetemP\u00e9cs"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Vereczkei","sequence":"additional","affiliation":[{"name":"1 Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika, P\u00e9csi Tudom\u00e1nyegyetem7624 P\u00e9cs, Ifj\u00fas\u00e1g \u00fat 13."}],"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\/3\/article-p91.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/69\/3\/article-p91.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/69\/3\/article-p91.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T16:44:22Z","timestamp":1704300262000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/69\/3\/article-p91.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9]]},"references-count":0,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.1556\/1046.69.2016.3.1","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"value":"0025-0295","type":"print"},{"value":"1789-4301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9]]}}}