{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T04:33:43Z","timestamp":1648701223728},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"2","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"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":[[2020,6]]},"abstract":"Absztrakt: <\/jats:title>\n A laparoszk\u00f3pos cholecystectomia (LC) a leggyakrabban v\u00e9gzett m\u0171t\u00e9tek egyike. A\n beavatkoz\u00e1s ritka, ugyanakkor nagyon s\u00falyos sz\u00f6v\u0151dm\u00e9nye az epe\u00fati s\u00e9r\u00fcl\u00e9s.\n C\u00e9lunk az LC, valamint laparoszk\u00f3pos kezd\u00e9s ut\u00e1n konvert\u00e1lt m\u0171t\u00e9tek sor\u00e1n\n bek\u00f6vetkezett epe\u00fati s\u00e9r\u00fcl\u00e9sek \u00e9s sz\u00f6v\u0151dm\u00e9nyeik, valamint ezek ell\u00e1t\u00e1s\u00e1nak\n vizsg\u00e1lata volt.<\/jats:p>\n Vizsg\u00e1latainkat a Semmelweis Egyetem I. sz. Seb\u00e9szeti Klinik\u00e1j\u00e1n 2006\u20132016 k\u00f6z\u00f6tt\n epeh\u00f3lyag-elt\u00e1vol\u00edt\u00e1sra ker\u00fclt betegek dokument\u00e1ci\u00f3j\u00e1nak retrospekt\u00edv\n elemz\u00e9s\u00e9vel v\u00e9gezt\u00fck.<\/jats:p>\n Tizenegy \u00e9v alatt 4\u2009885 cholecystectomi\u00e1t v\u00e9gezt\u00fcnk. Ebb\u0151l 4\u2009558 (93,3%)\n laparoszk\u00f3pos m\u0171t\u00e9t, melyb\u0151l 30 betegn\u00e9l fordult el\u0151 valamilyen sz\u00f6v\u0151dm\u00e9ny, ami\n az \u00f6sszes LC 0,66%-a. A konvert\u00e1lt m\u0171t\u00e9tek k\u00f6z\u00fcl 7,95%-ban (26\/327) l\u00e9pett fel\n sz\u00f6v\u0151dm\u00e9ny. M\u00e1s int\u00e9zm\u00e9nyb\u0151l 22 sz\u00f6v\u0151dm\u00e9nyes beteget utaltak Klinik\u00e1nkra.\n Epe\u00fat-, illetve \u00e9rs\u00e9r\u00fcl\u00e9s 41 esetben fordult el\u0151 (61%, 41\/78). Epe\u00fati s\u00e9r\u00fcl\u00e9s\n ell\u00e1t\u00e1sa sor\u00e1n 25 esetben ker\u00fclt sor epe\u00fati intervenci\u00f3ra (ERCP), 92%-os siker\n ar\u00e1nnyal. Reoper\u00e1ci\u00f3ra az epe\u00fati s\u00e9r\u00fclt betegek 68%-n\u00e1l volt sz\u00fcks\u00e9g (28\/41),\n melynek sor\u00e1n a v\u00e9gleges epe\u00fati rekonstrukci\u00f3 82%-ban hepaticojejunostomia\n seg\u00edts\u00e9g\u00e9vel t\u00f6rt\u00e9nt.<\/jats:p>\n K\u00f6vetkeztet\u00e9s:<\/jats:italic> A laparoszk\u00f3pos cholecystectomia a XXI. sz\u00e1zadban\n is rutin beavatkoz\u00e1s\u00e1nak tekinthet\u0151, ugyanakkor a sz\u00f6v\u0151dm\u00e9nyek ter\u00e1pi\u00e1s\n megold\u00e1sa tov\u00e1bbra is neh\u00e9z. A sz\u00f6v\u0151dm\u00e9nyes esetek ell\u00e1t\u00e1sa csak nagy\n gyakorlat\u00fa, multidiszciplin\u00e1ris h\u00e1tt\u00e9rrel rendelkez\u0151 int\u00e9zm\u00e9nyekben javasolt.\n <\/jats:p>","DOI":"10.1556\/1046.73.2020.2.1","type":"journal-article","created":{"date-parts":[[2020,7,25]],"date-time":"2020-07-25T03:02:14Z","timestamp":1595646134000},"page":"49-56","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["Cholecystectomia sor\u00e1n bek\u00f6vetkez\u0151 epe\u00fats\u00e9r\u00fcl\u00e9sek ell\u00e1t\u00e1sa"],"prefix":"10.1556","volume":"73","author":[{"given":"B\u00e1nk","family":"Keczer","sequence":"first","affiliation":[{"name":"I. sz. Seb\u00e9szeti Klinika, Semmelweis Egyetem Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N\u00e1ndor","family":"Csuja","sequence":"additional","affiliation":[{"name":"I. sz. Seb\u00e9szeti Klinika, Semmelweis Egyetem Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"F\u00fcl\u00f6p","sequence":"additional","affiliation":[{"name":"I. sz. Seb\u00e9szeti Klinika, Semmelweis Egyetem Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damj\u00e1n","family":"Pekli","sequence":"additional","affiliation":[{"name":"I. sz. Seb\u00e9szeti Klinika, Semmelweis Egyetem Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Hars\u00e1nyi","sequence":"additional","affiliation":[{"name":"I. sz. Seb\u00e9szeti Klinika, Semmelweis Egyetem Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Istv\u00e1n","family":"Hritz","sequence":"additional","affiliation":[{"name":"I. sz. Seb\u00e9szeti Klinika, Semmelweis Egyetem Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Szij\u00e1rt\u00f3","sequence":"additional","affiliation":[{"name":"I. sz. Seb\u00e9szeti Klinika, Semmelweis Egyetem Budapest"}],"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\/2\/article-p49.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1046\/73\/2\/article-p49.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,14]],"date-time":"2021-08-14T03:12:15Z","timestamp":1628910735000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/73\/2\/article-p49.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6]]},"references-count":0,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.1556\/1046.73.2020.2.1","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"value":"0025-0295","type":"print"},{"value":"1789-4301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6]]}}}