{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T17:21:50Z","timestamp":1782926510682,"version":"3.54.5"},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"41","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2020,10,11]]},"abstract":"<jats:title>Absztrakt: <\/jats:title>\n                <jats:p><jats:italic>Bevezet\u00e9s \u00e9s c\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A pajzsmirigym\u0171t\u00e9tek sor\u00e1n a nyakon j\u00f3l\n                    l\u00e1that\u00f3 \u00e9s nehezen takarhat\u00f3 heg keletkezik, mely a p\u00e1ciensek \u00e9letmin\u0151s\u00e9g\u00e9t\n                    hossz\u00fa t\u00e1von befoly\u00e1solhatja. Az elm\u00falt k\u00e9t \u00e9vtizedben sz\u00e1mtalan, minim\u00e1lisan\n                    invaz\u00edv m\u0171t\u00e9ti behatol\u00e1st dolgoztak ki, amelyek m\u00e9retben cs\u00f6kkentett\u00e9k, vagy\n                    kev\u00e9sb\u00e9 l\u00e1that\u00f3 r\u00e9gi\u00f3ba helyezt\u00e9k a pajzsmirigym\u0171t\u00e9tek hegeit. A m\u00f3dszerek\n                    soksz\u00edn\u0171s\u00e9ge azt jelzi, hogy egyik elj\u00e1r\u00e1s sem tudta megfelel\u0151en biztos\u00edtani az\n                    elv\u00e1rt klinikai \u00e9s kozmetikai eredm\u00e9nyt. A term\u00e9szetes testny\u00edl\u00e1sokon kereszt\u00fcl\n                    v\u00e9gzett m\u0171t\u00e9tek l\u00e1that\u00f3 heg n\u00e9lk\u00fcli gy\u00f3gyul\u00e1st eredm\u00e9nyeznek. A sz\u00e1j\u00fcregi\n                    behatol\u00e1sb\u00f3l kidolgozott m\u0171t\u00e9tek k\u00f6z\u00fcl a sz\u00e1jon (vestibulum oris) kereszt\u00fcli\n                    thyreoidectomia (TOETVA \u2013 transoral endoscopic thyroidectomy vestibular\n                    approach) bizonyult a legbiztons\u00e1gosabb \u00e9s legjobb eredm\u00e9nyt ad\u00f3 m\u0171t\u00e9ti\n                    elj\u00e1r\u00e1snak. Indik\u00e1ci\u00f3s ter\u00fclet\u00e9t a kisebb m\u00e9ret\u0171 ciszt\u00e1s pajzsmirigylebenyek,\n                    g\u00f6b\u00f6s lebenyek, kisebb m\u00e9ret\u0171 papillaris carcinoma, valamint a\n                    mell\u00e9kpajzsmirigy-adenoma adj\u00e1k. <jats:italic>M\u00f3dszer:<\/jats:italic> Az Orsz\u00e1gos\n                    Onkol\u00f3giai Int\u00e9zet Fej-nyaki Daganatok Multidiszciplin\u00e1ris K\u00f6zpontj\u00e1ban 2018.\n                    06. 12. \u00e9s 2020. 02. 18. k\u00f6z\u00f6tt 7 betegen v\u00e9gezt\u00fcnk pajzsmirigym\u0171t\u00e9tet sz\u00e1jon\n                    kereszt\u00fcli behatol\u00e1sb\u00f3l, endoszk\u00f3pos technik\u00e1val. A sz\u00f6vettani vizsg\u00e1lat 4\n                    esetben papillaris carcinom\u00e1t, 2 esetben follicularis adenom\u00e1t, illetve 1\n                    esetben benignus kolloid g\u00f6b\u00f6t v\u00e9lem\u00e9nyezett. Az 10\u201330 mm-es k\u00e9pletek\n                    elt\u00e1vol\u00edt\u00e1sa 1 esetben isthmectomi\u00e1val, 6 esetben lobectomi\u00e1val t\u00f6rt\u00e9nt.\n                        <jats:italic>Eredm\u00e9nyek:<\/jats:italic> M\u0171t\u00e9t sor\u00e1n 2 esetben k\u00e9nyszer\u00fclt\u00fcnk v\u00e9rz\u00e9s\n                    miatti konverzi\u00f3ra. Az 5, endoszk\u00f3pos m\u0171t\u00e9t v\u00e9g\u00e9n dr\u00e9nt nem helyezt\u00fcnk be,\n                    betegeinket az 1. posztoperat\u00edv napon hazabocs\u00e1tottuk. A k\u00e9t, konvert\u00e1lt m\u0171t\u00e9tes\n                    p\u00e1cienst a 2. posztoperat\u00edv napon, a nyaki dr\u00e9n elt\u00e1vol\u00edt\u00e1s\u00e1t k\u00f6vet\u0151en\n                    emitt\u00e1ltuk. A daganatok elt\u00e1vol\u00edt\u00e1sa a hisztol\u00f3gia alapj\u00e1n megfelelt az\n                    onkol\u00f3giai elveknek, a nervus recurrens s\u00e9r\u00fcl\u00e9s\u00e9t vagy egy\u00e9b sz\u00f6v\u0151dm\u00e9nyt nem\n                    \u00e9szlelt\u00fcnk. Az \u00e1tlagos m\u0171t\u00e9ti id\u0151 127 perc volt. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    A TOETVA a pajzsmirigy-elt\u00e1vol\u00edt\u00e1s egyetlen olyan m\u0171t\u00e9ti m\u00f3dszere, amely k\u00fcls\u0151\n                    heggel nem j\u00e1r, keloidk\u00e9pz\u0151d\u00e9st nem okoz. 15\u201320 m\u0171t\u00e9tben adj\u00e1k meg a tanul\u00e1si\n                    f\u00e1zist, mely ut\u00e1n a m\u0171t\u00e9ti id\u0151 cs\u00f6kken. Biztons\u00e1gos \u00e9s eredm\u00e9nyes\n                    kivitelez\u00e9s\u00e9hez azonban nagysz\u00e1m\u00fa nyitott pajzsmirigym\u0171t\u00e9tet v\u00e9gzett,\n                    endoszk\u00f3pos seb\u00e9szetben is gyakorlott specialista sz\u00fcks\u00e9ges. Orv Hetil. 2020;\n                    161(41): 1764\u20131768.<\/jats:p>","DOI":"10.1556\/650.2020.31850","type":"journal-article","created":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T09:28:24Z","timestamp":1602581304000},"page":"1764-1768","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["Heg n\u00e9lk\u00fcli pajzsmirigym\u0171t\u00e9t \u2013 a TOETVA mint \u00faj elj\u00e1r\u00e1s a hazai pajzsmirigyseb\u00e9szetben"],"prefix":"10.1556","volume":"161","author":[{"given":"Bernadett","family":"L\u00e9vay","sequence":"first","affiliation":[{"name":"Fej-nyaki Daganatok Multidiszciplin\u00e1ris K\u00f6zpont, Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Budapest, R\u00e1th Gy\u00f6rgy u. 7\u20139., 1124"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferenc","family":"Oberna","sequence":"additional","affiliation":[{"name":"Fej-nyaki Daganatok Multidiszciplin\u00e1ris K\u00f6zpont, Orsz\u00e1gos Onkol\u00f3giai Int\u00e9zet, Budapest, R\u00e1th Gy\u00f6rgy u. 7\u20139., 1124"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/41\/article-p1764.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/41\/article-p1764.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:13:20Z","timestamp":1633914800000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/41\/article-p1764.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,11]]},"references-count":0,"journal-issue":{"issue":"41"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31850","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,11]]}}}