{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:03:21Z","timestamp":1704326601811},"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":[[2017,12]]},"abstract":"<jats:title>Absztrakt: <\/jats:title>\n        <jats:p>\n          <jats:italic>Bevezet\u00e9s:<\/jats:italic> A laparoszk\u00f3pos coecumk\u00fap-reszekci\u00f3 indik\u00e1ci\u00f3i k\u00f6z\u00f6tt\n                    a szakirodalomban sokf\u00e9le tumoros \u00e9s nem tumoros betegs\u00e9g szerepel, de\n                    leggyakrabban appendicitis acuta, appendix mucokele \u00e9s coecumpolypusok\n                    v\u00e1logatott eseteiben v\u00e9gezz\u00fck. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> \u00d6sszefoglaljuk a\n                    laparoszk\u00f3pos coecumk\u00fap-reszekci\u00f3k indik\u00e1ci\u00f3it. Ismertetj\u00fck a 2010. janu\u00e1r\n                    1-j\u00e9t\u0151l 2016. december 31-ig oszt\u00e1lyunkon v\u00e9gzett laparoszk\u00f3pos\n                    coecumk\u00fap-reszekci\u00f3k eredm\u00e9nyeit. R\u00e9szletesen t\u00e1rgyaljuk egy coecumpolypus miatt\n                    oper\u00e1lt beteg\u00fcnk k\u00f3rt\u00f6rt\u00e9net\u00e9t. <jats:italic>Betegek:<\/jats:italic> 2010. janu\u00e1r 1. \u00e9s\n                    2016. december 31. k\u00f6z\u00f6tt oszt\u00e1lyunkon 56 esetben v\u00e9gezt\u00fcnk laparoszk\u00f3pos\n                    coecumk\u00fap-reszekci\u00f3t. A betegek \u00e1tlag\u00e9letkora 42 \u00e9v volt (14\u201383 \u00e9v), 28 f\u00e9rfi \u00e9s\n                    28 n\u0151. 46 esetben heveny f\u00e9regny\u00falv\u00e1ny-gyullad\u00e1s komplik\u00e1lt eseteiben, hat\n                    betegn\u00e9l appendix mucokele, n\u00e9gy esetben endoszk\u00f3ppal el nem t\u00e1vol\u00edthat\u00f3,\n                    benignus coecumpolypus miatt t\u00f6rt\u00e9nt laparoszk\u00f3pos coecumk\u00fap-reszekci\u00f3.\n                        <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Az \u00e1tlagos m\u0171t\u00e9ti id\u0151 65 perc volt. A m\u0171t\u00e9thez\n                    k\u00e9t 10 mm-es \u00e9s egy 5 mm-es portot haszn\u00e1ltunk, a reszekci\u00f3hoz 45 vagy 60 mm-es\n                    laparoszk\u00f3pos v\u00e1g\u00f3-varr\u00f3 g\u00e9pet alkalmaztunk, az esetek 57,1%-\u00e1ban hasi dren\u00e1l\u00e1st\n                    v\u00e9gezt\u00fcnk. H\u00e1rom esetben (5,4%) k\u00e9nyszer\u00fclt\u00fcnk konverzi\u00f3ra, egy esetben v\u00e9rz\u00e9s,\n                    k\u00e9t esetben technikai probl\u00e9ma miatt. M\u0171t\u00e9ti sz\u00f6v\u0151dm\u00e9nyt n\u00e9gy esetben (7,1%)\n                    \u00e9szlelt\u00fcnk: egy betegn\u00e9l Clavien\u2013Dindo-klasszifik\u00e1ci\u00f3 szerinti I-es, h\u00e1rom\n                    betegn\u00e9l III-as fok\u00fat, ezen ut\u00f3bbiak k\u00f6z\u00fcl k\u00e9t esetben reoper\u00e1ci\u00f3 t\u00f6rt\u00e9nt.\n                    Reoper\u00e1ci\u00f3t \u00f6sszesen h\u00e1rom esetben (5,4%) v\u00e9gezt\u00fcnk: egy hasfali phlegmone \u00e9s\n                    egy pericoecalis t\u00e1lyog miatt, illetve egy \u00edzben coecum melletti t\u00e1lyog\n                    gyan\u00faj\u00e1val, amely ut\u00f3bbi nem igazol\u00f3dott. Mucokele \u00e9s coecumpolypus miatt\n                    v\u00e9gzett m\u0171t\u00e9teinkn\u00e9l sz\u00f6v\u0151dm\u00e9nyt nem \u00e9szlelt\u00fcnk. Perioperat\u00edv mortalit\u00e1s nem\n                    volt. <jats:italic>Konkl\u00fazi\u00f3:<\/jats:italic> A laparoszk\u00f3pos coecumk\u00fap-reszekci\u00f3\n                    endoszk\u00f3pos v\u00e1g\u00f3-varr\u00f3 g\u00e9p alkalmaz\u00e1s\u00e1val relat\u00edve egyszer\u0171, gyors \u00e9s\n                    biztons\u00e1gos m\u0171t\u00e9t alacsony morbidit\u00e1ssal \u00e9s mortalit\u00e1ssal, a minim\u00e1lisan invaz\u00edv\n                    m\u0171t\u00e9tek ismert el\u0151nyeivel. Az elj\u00e1r\u00e1s alkalmas nemcsak az appendicitis acuta\n                    komplik\u00e1lt esetei, hanem az appendix mucokele \u00e9s az endoszk\u00f3ppal el nem\n                    t\u00e1vol\u00edthat\u00f3, megfelel\u0151 lokaliz\u00e1ci\u00f3j\u00fa benignus coecumpolypusok v\u00e1logatott\n                    eseteinek laparoszk\u00f3pos ell\u00e1t\u00e1s\u00e1ra. A coecumpolypusok preoperat\u00edv pontos\n                    lokaliz\u00e1l\u00e1sa kulcsk\u00e9rd\u00e9s coecumk\u00fap-reszekci\u00f3 alkalmaz\u00e1sakor.<\/jats:p>","DOI":"10.1556\/1046.70.2017.4.3","type":"journal-article","created":{"date-parts":[[2017,11,29]],"date-time":"2017-11-29T03:50:02Z","timestamp":1511927402000},"page":"307-312","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Laparoszk\u00f3pos coecumk\u00fap-reszekci\u00f3k"],"prefix":"10.1556","volume":"70","author":[{"given":"Iv\u00e1n","family":"Karaffa","sequence":"first","affiliation":[{"name":"1 Seb\u00e9szeti Oszt\u00e1ly, Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z3521 Miskolc, Nagy L\u00e1szl\u00f3 u. 30."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n","family":"Barra","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Oszt\u00e1ly, Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z3521 Miskolc, Nagy L\u00e1szl\u00f3 u. 30."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Balog","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Oszt\u00e1ly, Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z3521 Miskolc, Nagy L\u00e1szl\u00f3 u. 30."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zita","family":"Farkas","sequence":"additional","affiliation":[{"name":"2 K\u00f6zponti Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly, Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1zMiskolc"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e1nos","family":"Bezsilla","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Oszt\u00e1ly, Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z3521 Miskolc, Nagy L\u00e1szl\u00f3 u. 30."}],"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\/70\/4\/article-p307.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/70\/4\/article-p307.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/70\/4\/article-p307.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T16:47:45Z","timestamp":1704300465000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/70\/4\/article-p307.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12]]},"references-count":0,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.1556\/1046.70.2017.4.3","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"value":"0025-0295","type":"print"},{"value":"1789-4301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12]]}}}