{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T20:24:49Z","timestamp":1692390289178},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"1","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2020,3]]},"abstract":"Absztrakt: <\/jats:title>\n \n Bevezet\u00e9s:<\/jats:italic> A laparoszk\u00f3pos colontumor-seb\u00e9szet l\u00e9tjogosults\u00e1g\u00e1t\n t\u00f6bb I\/a szint\u0171 evidencia t\u00e1masztja al\u00e1. A sigmatumorok \u00e9s fels\u0151 harmadi\n rectumtumorok eset\u00e9n is kiv\u00e1l\u00f3 korai \u00e9s k\u00e9s\u0151i eredm\u00e9nyekr\u0151l sz\u00e1moltak be a\n laparoszk\u00f3pos seb\u00e9szet jav\u00e1ra. A kemoirradi\u00e1lt rectumtumorok seb\u00e9szet\u00e9ben kev\u00e9s\n az ilyen szint\u0171 irodalmi \u00e1ll\u00e1sfoglal\u00e1s. Anyag \u00e9s m\u00f3dszer:<\/jats:italic> 2006.\n 01. 01. \u00e9s 2011. 12. 31. k\u00f6z\u00f6tt 196 beteg kapott neoadjuv\u00e1ns kezel\u00e9st als\u00f3 \u00e9s\n k\u00f6z\u00e9ps\u0151 harmadi rectumtumor miatt a BAZ Megyei K\u00f3rh\u00e1z Seb\u00e9szeti Oszt\u00e1ly\u00e1n. A 196\n beteg k\u00f6z\u00fcl 12 beteg nem volt k\u00f6vethet\u0151, \u00edgy 184 beteg adatait elemezt\u00fck.\n Laparoszk\u00f3posan oper\u00e1ltunk 67 beteget, ebb\u0151l 15 esetben konverzi\u00f3 t\u00f6rt\u00e9nt.\n Nyitott m\u0171t\u00e9tet v\u00e9gezt\u00fcnk 117 betegn\u00e9l. Eredm\u00e9nyek:<\/jats:italic> A\n Dukes-st\u00e1diumok hasonl\u00f3ak voltak, az ASA-st\u00e1dium szint\u00e9n. A betegek BMI\n tekintet\u00e9ben sem mutattak jelent\u0151s k\u00fcl\u00f6nbs\u00e9get. Az elt\u00e1vol\u00edtott specimenek\n hossza \u00e9s a tumorm\u00e9ret is hasonl\u00f3 volt. A betegs\u00e9g ki\u00fajul\u00e1s\u00e1t meghat\u00e1roz\u00f3 faktor\n a k\u00f6rk\u00f6r\u00f6s reszekci\u00f3s sz\u00e9l (CRM) \u00e9rintetts\u00e9ge, a TME komplett kivitelez\u00e9se, mely\n saj\u00e1t anyagunkban a laparoszk\u00f3pos technik\u00e1n\u00e1l is megfelel\u0151 volt, nem tal\u00e1ltunk\n szignifik\u00e1ns elt\u00e9r\u00e9st (kh\u00ed-n\u00e9gyzet teszt, p<\/jats:italic> = 0,94). A m\u0171t\u00e9ti\n id\u0151k a laparoszk\u00f3pos, konvert\u00e1lt \u00e9s nyitott csoportban hasonl\u00f3ak voltak, nem\n volt szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9g. Az \u00e1pol\u00e1si id\u0151 a laparoszk\u00f3pos csoportban volt a\n legr\u00f6videbb, de a Mann\u2013Whitney-teszt nem mutatott szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9get.\n Jelent\u0151s k\u00fcl\u00f6nbs\u00e9g mutatkozott a laparoszk\u00f3pos \u00e9s nyitott csoport\n transzf\u00fazi\u00f3ig\u00e9ny\u00e9ben. A k\u00e9t csoport k\u00f6z\u00f6tt a nyitott h\u00e1tr\u00e1ny\u00e1ra szignifik\u00e1ns\n elt\u00e9r\u00e9s mutatkozik (kh\u00ed-n\u00e9gyzet teszt, p<\/jats:italic> = 0,04). Betegeink\n ut\u00e1nk\u00f6vet\u00e9se sor\u00e1n sem a betegs\u00e9g ki\u00fajul\u00e1s\u00e1ban, sem a t\u00fal\u00e9l\u00e9sben nem tal\u00e1ltunk\n szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9get. Konkl\u00fazi\u00f3:<\/jats:italic> A laparoszk\u00f3pos m\u0171t\u00e9t\n r\u00f6vid t\u00e1v\u00fa el\u0151nyei mellett onkol\u00f3giailag is biztons\u00e1gos a rectum kemoirradi\u00e1lt\n tumorainak megold\u00e1s\u00e1ra.<\/jats:p>","DOI":"10.1556\/1046.73.2020.1.4","type":"journal-article","created":{"date-parts":[[2020,3,14]],"date-time":"2020-03-14T07:21:21Z","timestamp":1584170481000},"page":"29-36","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["Lok\u00e1lisan el\u0151rehaladott kemoirradi\u00e1lt rectumtumorok nyitott \u00e9s laparoszk\u00f3pos m\u0171t\u00e9teinek az \u00f6sszehasonl\u00edt\u00e1sa"],"prefix":"10.1556","volume":"73","author":[{"given":"L\u00e1szl\u00f3","family":"Sikorszki","sequence":"first","affiliation":[{"name":"1 Seb\u00e9szeti Oszt\u00e1ly, B\u00e1cs-Kiskun Megyei K\u00f3rh\u00e1z6000 Kecskem\u00e9t, Ny\u00edri u 38."},{"name":"2 Seb\u00e9szeti Oszt\u00e1ly, BAZ Megyei K\u00f3rh\u00e1zMiskolc"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e1nos","family":"Bezsilla","sequence":"additional","affiliation":[{"name":"2 Seb\u00e9szeti Oszt\u00e1ly, BAZ Megyei K\u00f3rh\u00e1zMiskolc"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Korn\u00e9l","family":"Vajda","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Oszt\u00e1ly, B\u00e1cs-Kiskun Megyei K\u00f3rh\u00e1z6000 Kecskem\u00e9t, Ny\u00edri u 38."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Temesi","sequence":"additional","affiliation":[{"name":"2 Seb\u00e9szeti Oszt\u00e1ly, BAZ Megyei K\u00f3rh\u00e1zMiskolc"}],"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\/73\/1\/article-p29.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/73\/1\/article-p29.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,14]],"date-time":"2021-08-14T03:11:48Z","timestamp":1628910708000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/73\/1\/article-p29.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":0,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.1556\/1046.73.2020.1.4","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"value":"0025-0295","type":"print"},{"value":"1789-4301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3]]}}}