{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:05:43Z","timestamp":1704326743948},"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":[[2019,12]]},"abstract":"<jats:title>Absztrakt: <\/jats:title>\n        <jats:p>\n          <jats:italic>Bevezet\u00e9s:<\/jats:italic> A komplett\u00e1l\u00f3 pneumonectomia (KP) a marad\u00e9k\n                    t\u00fcd\u0151sz\u00f6vet teljes elt\u00e1vol\u00edt\u00e1sa az azonos oldali kor\u00e1bbi t\u00fcd\u0151reszekci\u00f3t k\u00f6vet\u0151en.\n                    A standard pneumonectomi\u00e1hoz viszony\u00edtva magasabb mortalit\u00e1ssal \u00e9s morbidit\u00e1ssal\n                    j\u00e1r. K\u00f6zlem\u00e9ny\u00fcnkben e m\u0171t\u00e9ti t\u00edpus javallat\u00e1t \u00e9s a perioperat\u00edv eredm\u00e9nyeit\n                    tekintj\u00fck \u00e1t. <jats:italic>M\u00f3dszer:<\/jats:italic> 15 \u00e9v alatt v\u00e9gzett KP\u2011m\u0171t\u00e9teink\n                    perioperat\u00edv eredm\u00e9nyeit visszatekint\u0151en vizsg\u00e1ltuk k\u00f3rlapi adatok, m\u0171t\u00e9ti\n                    le\u00edr\u00e1s \u00e9s sz\u00f6vettani leletek alapj\u00e1n, a javallatot h\u00e1rom csoportra osztva: a\n                    korai posztoperat\u00edv szak sz\u00f6v\u0151dm\u00e9ny\u00e9t elh\u00e1r\u00edt\u00f3 (ment\u0151: mKP), sz\u00f6vettani lelettel\n                    igazolt inkomplett (patol\u00f3giai: pKP) \u00e9s a k\u00e9s\u0151i posztoperat\u00edv szakban v\u00e9gzett\n                    (konvencion\u00e1lis: kKP) m\u0171t\u00e9tek. A sz\u00f6v\u0151dm\u00e9nyek besorol\u00e1s\u00e1t nemzetk\u00f6zi sk\u00e1la\n                    alapj\u00e1n v\u00e9gezt\u00fck. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> 102 beteg \u00f6sszegzett m\u0171t\u00e9ti\n                    morbidit\u00e1sa 70,5% (minor: 36,27%, major: 34,23%), mortalit\u00e1sa 16,6%. M\u0171t\u00e9t\n                    alatti hal\u00e1loz\u00e1s nem fordult el\u0151. mKP: 24 beteg (18 f\u00e9rfi, 6 n\u0151, 46\u201377 \u00e9v, \u00e1tlag\n                    61,7 \u00e9v). Id\u0151intervallum: 10,87 nap (0\u201332 nap). Javallatok: sz\u00e9tes\u0151 vagy\n                    t\u00e1lyogos t\u00fcd\u0151 (8 eset), h\u00f6rg\u0151sipoly (5 eset), anasztom\u00f3zis-el\u00e9gtelens\u00e9g vagy\n                    -elz\u00e1r\u00f3d\u00e1s (3 eset), massz\u00edv v\u00e9rk\u00f6p\u00e9s (3 eset), mell\u00fcregi v\u00e9rz\u00e9s (2 eset),\n                    t\u00fcd\u0151t\u00e1gul\u00e1si k\u00e9ptelens\u00e9g (3 eset). Teljes morbidit\u00e1s: 79,19%. Kilenc beteget\n                    vesztett\u00fcnk el (37,5%). pKP: 7 beteg (5 f\u00e9rfi, 2 n\u0151), 45\u201366 \u00e9v (\u00e1tlag: 56,3 \u00e9v).\n                    Els\u0151 m\u0171t\u00e9t: 6 lobectomia, 1 bilobectomia. Id\u0151intervallum: 1\u20135 h\u00f3nap (\u00e1tlag: 2,84\n                    h\u00f3nap). H\u00e1rom beteg sz\u00f6v\u0151dm\u00e9ny n\u00e9lk\u00fcli, n\u00e9gy anaemia transzf\u00fazi\u00f3val, egy empyema\n                    fenesztr\u00e1ci\u00f3val, egy exitus (14,28%) mell\u00fcregi elv\u00e9rz\u00e9s miatt. N\u00e9gy betegn\u00e9l nem\n                    volt tumor a kivett t\u00fcd\u0151sz\u00f6vetben. kKP: 71 beteg (27 n\u0151, 44 f\u00e9rfi, 29\u201379 \u00e9v\n                    (\u00e1tlag: 60,3 \u00e9v). Id\u0151intervallum: 34 nap \u00e9s 40 \u00e9v k\u00f6z\u00f6tt (\u00e1tlag: 6,7 \u00e9v). A\n                    kor\u00e1bbi m\u0171t\u00e9t sz\u00f6vettana: primer t\u00fcd\u0151tumor (64 beteg), m\u00e1s szervi daganat\n                    t\u00fcd\u0151\u00e1tt\u00e9te (1 beteg), bronchiectasia (1 beteg), tuberkul\u00f3zis (5 beteg). A kKP\n                    javallata: k\u00e9s\u0151i h\u00f6rg\u0151sipoly (2 beteg), igazolt daganat vagy gyan\u00faja (65 beteg),\n                    egy\u00e9b (4 beteg). Sz\u00f6vettani leletek primer t\u00fcd\u0151tumor-el\u0151zm\u00e9nnyel: 32 \u00faj tumor,\n                    15 helyi recidiva, 9 \u00e1tt\u00e9t, 2 \u00e1tt\u00e9t vagy recidiva, 7 nem malignus. Sz\u00f6vettani\n                    leletek nem malignus el\u0151zm\u00e9nnyel: 3 \u00faj daganat, 1 tbc, 2 kr\u00f3nikus gyullad\u00e1s.\n                    Teljes morbidit\u00e1s (76,2%), 30 napon bel\u00fcli \u00e9s k\u00f3rh\u00e1zi mortalit\u00e1s (9,8%).\n                        <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic> Az mKP j\u00e1r a legnagyobb morbidit\u00e1ssal \u00e9s\n                    hal\u00e1loz\u00e1ssal, de a betegnek t\u00f6bbnyire nincs m\u00e1s es\u00e9lye a gy\u00f3gyul\u00e1sra. Az\n                    inkomplett tumorreszekci\u00f3 javallat\u00e1val 10 \u00e9ve m\u00e1r nem v\u00e9gz\u00fcnk reoper\u00e1ci\u00f3t. A\n                    kKP-m\u0171t\u00e9teink morbidit\u00e1sa nemzetk\u00f6zi \u00f6sszehasonl\u00edt\u00e1sban magasnak, a hal\u00e1loz\u00e1s\n                    \u00e1tlagosnak \u00e9rt\u00e9kelhet\u0151.<\/jats:p>","DOI":"10.1556\/1046.72.2019.4.1","type":"journal-article","created":{"date-parts":[[2019,12,8]],"date-time":"2019-12-08T16:57:36Z","timestamp":1575824256000},"page":"149-160","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":2,"title":["A komplett\u00e1l\u00f3 pneumonectomia javallatai \u00e9s perioperat\u00edv eredm\u00e9nyei"],"prefix":"10.1556","volume":"72","author":[{"given":"J\u00f3zsef","family":"Kas","sequence":"first","affiliation":[{"name":"1 SE \u00c1OK Mellkasseb\u00e9szeti Tansz\u00e9ki Csoport, Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Kor\u00e1nyi Pulmonol\u00f3giai Int\u00e9zet1029 Budapest, Pihen\u0151 \u00fat 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