{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:03:05Z","timestamp":1704326585974},"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":[[2016,12]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>\n          <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A nyel\u0151cs\u0151-reszekci\u00f3 t\u00f6bbnyire rossz \u00e1llapot\u00fa\n                    betegeken v\u00e9gzett, k\u00e9t test\u00fcreget megnyit\u00f3 m\u0171t\u00e9t, ennek megfelel\u0151en magas\n                    mortalit\u00e1si \u00e9s morbidit\u00e1si adatokkal. Ennek jav\u00edt\u00e1sa \u00e9rdek\u00e9ben ker\u00fcltek\n                    bevezet\u00e9sre a kisebb megterhel\u00e9st jelent\u0151, minim\u00e1lisan invaz\u00edv m\u00f3don v\u00e9gzett\n                    beavatkoz\u00e1sok. A torakoszk\u00f3posan \u00e9s laparoszk\u00f3posan v\u00e9gzett McKeown-m\u0171t\u00e9t\n                    k\u00f6zvetlen posztoperat\u00edv szakra kifejtett hat\u00e1s\u00e1t tanulm\u00e1nyoztuk 20 eset\u00fcnk\n                    kapcs\u00e1n, tov\u00e1bb\u00e1 k\u00f6zl\u00e9sre ker\u00fcl az \u00e1ltalunk alkalmazott m\u0171t\u00e9ti technika.\n                        <jats:italic>Betegek \u00e9s m\u00f3dszer:<\/jats:italic> Oszt\u00e1lyunkon az elm\u00falt n\u00e9gy \u00e9vben 20\n                    torakoszk\u00f3pos oesophagusreszekci\u00f3t v\u00e9gezt\u00fcnk laparoszk\u00f3pos gyomorcs\u00f6ves\u00edt\u00e9ssel\n                    \u00e9s nyaki anastomosissal. Egy beteg strictura, a m\u00e1sik 19 carcinoma miatt ker\u00fclt\n                    m\u0171t\u00e9tre, k\u00f6z\u00fcl\u00fck 11 volt T4 st\u00e1dium\u00fa. 17 betegn\u00e9l t\u00f6rt\u00e9nt neoadjuv\u00e1ns\n                    kemoradioter\u00e1pia el\u0151rehaladott st\u00e1dium miatt. A rendszeres kontrollvizsg\u00e1latokat\n                    az onkol\u00f3giai ambulancia v\u00e9gezte. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> \u00c1tlagosan 25\n                    h\u00f3napos k\u00f6vet\u00e9si id\u0151 ut\u00e1n nyolc beteg\u00fcnk van \u00e9letben, k\u00f6z\u00fcl\u00fck kett\u0151 \u00e1ll kezel\u00e9s\n                    alatt ismert recid\u00edv tumor miatt. 19 beteg a m\u0171t\u00e9tet k\u00f6vet\u0151en 12 \u00f3r\u00e1n bel\u00fcl\n                    extub\u00e1l\u00e1sra ker\u00fclt, az intenz\u00edv oszt\u00e1lyon t\u00f6lt\u00f6tt id\u0151 egy-k\u00e9t napra r\u00f6vid\u00fclt. A\n                    m\u0171t\u00e9ti id\u0151 \u00e1tlagosan 320 perc volt. Nyolc betegn\u00e9l \u00f6sszeejtett t\u00fcd\u0151 mellett\n                    v\u00e9gezt\u00fck a mellkasi dissecti\u00f3t, k\u00f6z\u00fcl\u00fck h\u00e1rom eset\u00e9ben alakult ki pneumonia, m\u00edg\n                    a ventil\u00e1lt t\u00fcd\u0151 mellett oper\u00e1lt 12 beteg eset\u00e9ben egy alkalommal. Egy betegn\u00e9l\n                    k\u00e9nyszer\u00fclt\u00fcnk s\u00fcrg\u0151s konverzi\u00f3ra aortas\u00e9r\u00fcl\u00e9s miatt, amit azonnali thoracotomia\n                    ut\u00e1n siker\u00fclt ell\u00e1tnunk. Egy beteget vesz\u00edtett\u00fcnk el 30 napon bel\u00fcl nyaki\n                    anastomosisel\u00e9gtelens\u00e9g, mediastinitis, oesophagotrachealis fistula miatt. K\u00e9t\n                    betegn\u00e9l kellett a posztoperat\u00edv szakban retorakoszk\u00f3pi\u00e1t \u00e9s a ductus thoracicus\n                    lek\u00f6t\u00e9s\u00e9t elv\u00e9gezn\u00fcnk chylothorax miatt. <jats:italic>Konkl\u00fazi\u00f3:<\/jats:italic>\n                    Megfigyel\u00e9s\u00fcnk szerint a minim\u00e1lisan invaz\u00edv nyel\u0151cs\u0151-reszekci\u00f3 l\u00e9nyegesen\n                    alacsonyabb mortalit\u00e1s \u00e9s morbidit\u00e1s mellett vezet azonos onkol\u00f3giai eredm\u00e9nyre\n                    a nyitottan v\u00e9gzett beavatkoz\u00e1ssal \u00f6sszehasonl\u00edtva. Ventil\u00e1lt t\u00fcd\u0151 mellett\n                    v\u00e9gzett mellkasi dissectio ut\u00e1n a l\u00e9g\u00fati komplik\u00e1ci\u00f3k ar\u00e1nya tov\u00e1bb cs\u00f6kkent.\n                    Aorta-, illetve trachea\u00e9rintetts\u00e9g eset\u00e9n m\u00e9rlegelend\u0151 a thoracotomi\u00e1b\u00f3l v\u00e9gzett\n                    explor\u00e1ci\u00f3 \u00e9s esetleges reszekci\u00f3. Tapasztalataink az alacsony betegsz\u00e1m miatt\n                    tov\u00e1bbi meger\u0151s\u00edt\u00e9sre szorulnak.<\/jats:p>","DOI":"10.1556\/1046.69.2016.4.4","type":"journal-article","created":{"date-parts":[[2016,12,17]],"date-time":"2016-12-17T15:35:26Z","timestamp":1481988926000},"page":"165-170","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Minim\u00e1lisan invaz\u00edv oesophagusreszekci\u00f3 nyaki anastomosissal (McKeown-m\u0171t\u00e9t). Tapasztalataink 20 eset kapcs\u00e1n"],"prefix":"10.1556","volume":"69","author":[{"given":"Elem\u00e9r","family":"Mohos","sequence":"first","affiliation":[{"name":"1 \u00c1ltal\u00e1nos \u00e9s \u00c9rseb\u00e9szeti Centrum, Veszpr\u00e9m Megyei Csolnoky Ferenc K\u00f3rh\u00e1z8200 Veszpr\u00e9m, K\u00f3rh\u00e1z u. 1."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Nagy","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos \u00e9s \u00c9rseb\u00e9szeti Centrum, Veszpr\u00e9m Megyei Csolnoky Ferenc K\u00f3rh\u00e1z8200 Veszpr\u00e9m, K\u00f3rh\u00e1z u. 1."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6rgy","family":"Szabados","sequence":"additional","affiliation":[{"name":"2 Intenz\u00edv \u00e9s Aneszteziol\u00f3giai Oszt\u00e1ly, Veszpr\u00e9m Megyei Csolnoky Ferenc 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