{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T19:49:21Z","timestamp":1791748161885,"version":"4.3.4"},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"46","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orvosi Hetilap"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p> Abstract: <\/jats:p><jats:p> The first lung transplantation in Hungary was performed on 12th of December, 2015. It was a joint effort of the National Institute of Oncology and the Semmelweis University. Hereby we summarise the results and experiences from the first three years. Until August, 2018, 55 lung transplantations were performed in Hungary. This was a retrospective analysis. All patients were listed according to the recommendation of the Lung Transplantation Committee. All implanted lungs have been procured from brain dead donors. Postoperative treatment and rehabilitation of the patients were continued at the Semmelweis University. Between 12. 12. 2015 and 31. 07. 2018, our team performed 76 organ retrievals: out of 45 Hungarian offers, 23 came from Eurotransplant countries and 8 outside of the Eurotransplant region. From these donations, 54 double and 1 single side transplantations were successfully performed. The surgical approach was single side thoracotomy (n = 1), bilateral thoracotomy (n = 1) and in the majority of the cases clamshell incision (n = 53). For the intraoperative veno-arterial extracorporeal membrane oxygenation support was used. The extracorporeal membrane oxygenation support had to be prolonged in 3 patients into the early postoperative period, two other recipients were bridged to transplant with extracorporeal membrane oxygenation. In the same time period, one combined lung-kidney transplantation was also performed. The distribution of recipients according to the underlying disease was: chronic obstructive pulmonary disease (n = 28); idiopathic pulmonary fibrosis (n = 8); cystic fibrosis (n = 12); primary pulmonary hypertension (n = 2); hystiocytosis-X (n = 1); bronchiectasis (n = 2); lymphangioleiomyomatosis (n = 1); and re-transplantation following bronchiolitis obliterans syndrome (n = 1), respectively. The mean age of recipients was 47.5 \u00b1 15.18 years. The youngest recipient was 13 years old. We unfortunately lost 12 patients on our waiting list. The mean intensive care unit stay was 24.6 \u00b1 18.18 days. Two patients were lost in the early postoperative phase. Tracheostomy was necessary in 13 cases due to the need of prolonged ventilation. 1-year survival of the recipients was 82.96% (until 31. 07. 2018). When looking at the first three years of the program, the case numbers elevated quickly throughout the years which is rather unique when compared to other centres in their starting period. Perioperative mortality and morbidity is comparable with high-volume lung transplantation centres. In the future we would like to increase the number of patients on the waiting list, thus increasing the total number of transplantations performed, and we are also planning to implement the use of the ex vivo lung perfusion system (EVLP) in our program. Orv Hetil. 2018; 159(46): 1859\u20131868. <\/jats:p>","DOI":"10.1556\/650.2018.31300","type":"journal-article","created":{"date-parts":[[2018,11,18]],"date-time":"2018-11-18T07:16:22Z","timestamp":1542525382000},"page":"1859-1868","source":"Crossref","is-referenced-by-count":4,"title":["A magyar t\u00fcd\u0151transzplant\u00e1ci\u00f3s program indul\u00e1sa \u00e9s els\u0151                     eredm\u00e9nyei"],"prefix":"10.1556","volume":"159","author":[{"given":"Bal\u00e1zs","family":"Gieszer","sequence":"first","affiliation":[{"name":"Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet Budapest, R\u00e1th Gy. u. 7\u20139., 1122"},{"name":"Mellkasseb\u00e9szeti Klinika, Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"Radeczky","sequence":"additional","affiliation":[{"name":"Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet Budapest, R\u00e1th Gy. u. 7\u20139., 1122"},{"name":"Mellkasseb\u00e9szeti Klinika, Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1ron","family":"Ghimessy","sequence":"additional","affiliation":[{"name":"Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet Budapest, R\u00e1th Gy. u. 7\u20139., 1122"},{"name":"Mellkasseb\u00e9szeti Klinika, Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila","family":"Farkas","sequence":"additional","affiliation":[{"name":"Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet Budapest, R\u00e1th Gy. u. 7\u20139., 1122"},{"name":"Mellkasseb\u00e9szeti Klinika, Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar 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          Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N\u00f3ra","family":"Kov\u00e1cs","sequence":"additional","affiliation":[{"name":"Mellkasseb\u00e9szeti Klinika, Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ildik\u00f3","family":"Madurka","sequence":"additional","affiliation":[{"name":"Aneszteziol\u00f3giai \u00e9s K\u00f6zponti Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly,                         Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1kos","family":"Kocsis","sequence":"additional","affiliation":[{"name":"Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet Budapest, R\u00e1th Gy. u. 7\u20139., 1122"},{"name":"Mellkasseb\u00e9szeti Klinika, Semmelweis Egyetem, \u00c1ltal\u00e1nos 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