{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T11:12:19Z","timestamp":1698750739424},"reference-count":27,"publisher":"Akademiai Kiado Zrt.","issue":"26","license":[{"start":{"date-parts":[[2021,6,27]],"date-time":"2021-06-27T00:00:00Z","timestamp":1624752000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2021,6,27]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic> Vese\u00e1t\u00fcltet\u00e9st k\u00f6vet\u0151en a graft \u00e9s a beteg\n                    t\u00fal\u00e9l\u00e9s\u00e9re hat\u00e1ssal lehetnek a posztoperat\u00edv intervenci\u00f3t ig\u00e9nyl\u0151 sz\u00f6v\u0151dm\u00e9nyek.\n                    Fontos szempont a m\u0171t\u00e9ttechnikai eredm\u00e9nyess\u00e9g monitoroz\u00e1sa. T\u00f6bbek k\u00f6z\u00f6tt az\n                    irodalomban sz\u00e1mos lehet\u0151s\u00e9g ismert a vese\u00e1t\u00fcltet\u00e9s sarokpontj\u00e1nak sz\u00e1m\u00edt\u00f3\n                    ureteranastomosis elk\u00e9sz\u00edt\u00e9s\u00e9re is, de az \u00e9ranastomosisok technik\u00e1ja szint\u00e9n\n                    d\u00f6nt\u0151 lehet. <jats:italic>C\u00e9lkit\u0171z\u00e9s \u00e9s m\u00f3dszer:<\/jats:italic> Retrospekt\u00edven vizsg\u00e1ltuk a\n                    2010 \u00e9s 2020 k\u00f6z\u00f6tt v\u00e9gzett vese\u00e1t\u00fcltet\u00e9seket a Debreceni Egyetem Seb\u00e9szeti\n                    Klinik\u00e1j\u00e1n. C\u00e9lul t\u0171zt\u00fck ki a seb\u00e9szeti sz\u00f6v\u0151dm\u00e9nyek vizsg\u00e1lat\u00e1t, melyeket\n                    rendszerezt\u00fcnk, a m\u00f3dos\u00edtott Clavien-f\u00e9le beoszt\u00e1s alapj\u00e1n. A legnagyobb\n                    figyelmet az ureteranastomosisokra ford\u00edtottuk. Minden betegn\u00e9l az adott\n                    kateg\u00f3ri\u00e1ban legs\u00falyosabb sz\u00f6v\u0151dm\u00e9nyt vett\u00fck alapul a beoszt\u00e1shoz. A minim\u00e1lis\n                    ut\u00e1nk\u00f6vet\u00e9si id\u0151 1 \u00e9v volt. Az adatokat az SPSS statisztikai program\n                    seg\u00edts\u00e9g\u00e9vel elemezt\u00fck. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A vizsg\u00e1lt peri\u00f3dusban 406\n                    vese\u00e1t\u00fcltet\u00e9s t\u00f6rt\u00e9nt, melyb\u0151l 24,4% (n = 99) vesetranszplant\u00e1ltn\u00e1l alakult ki\n                    intervenci\u00f3s (seb\u00e9szeti, radiol\u00f3giai, urol\u00f3giai) sz\u00f6v\u0151dm\u00e9ny. A betegek\n                    \u00e1tlag\u00e9letkora 49,5 \u00b1 13,7 \u00e9v, 60,8% f\u00e9rfi volt. A kumulat\u00edv mortalit\u00e1s 10,1%\n                    volt. Grade 4-es sz\u00f6v\u0151dm\u00e9ny a betegek 6,9%-\u00e1n\u00e1l (n = 28), Grade 3-as a 6,7%-\u00e1n\u00e1l\n                    (n = 27), Grade 2-es a 3%-\u00e1n\u00e1l (n = 12), Grade 1-es a 7,9%-\u00e1n\u00e1l (n = 32)\n                    jelentkezett. A vese\u00e1t\u00fcltet\u00e9s ut\u00e1n 20,4%-ban (n = 83) alakult ki k\u00e9s\u0151n indul\u00f3\n                    graftfunkci\u00f3. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A legenyh\u00e9bb kateg\u00f3ri\u00e1ba (Grade\n                    1.) ker\u00fclt a legt\u00f6bb beteg, a sz\u00f6v\u0151dm\u00e9nyek jelent\u0151s r\u00e9sze seb\u00e9szi, intervenci\u00f3s\n                    radiol\u00f3giai \u00e9s urol\u00f3giai k\u00f6zrem\u0171k\u00f6d\u00e9ssel megoldhat\u00f3 volt. Az ureteranastomosisok\n                    m\u0171t\u00e9ti technik\u00e1ja \u00e9s a relev\u00e1ns sz\u00f6v\u0151dm\u00e9nyek kialakul\u00e1sa k\u00f6z\u00f6tt nincs\n                    szignifik\u00e1ns \u00f6sszef\u00fcgg\u00e9s. Megfelel\u0151 \u00e9s id\u0151ben alkalmazott korrekci\u00f3s kezel\u00e9s\n                    mellett a graft- \u00e9s betegt\u00fal\u00e9l\u00e9st nem rontja szignifik\u00e1nsan az enyhe \u00e9s\n                    k\u00f6z\u00e9ps\u00falyos (Grade 1\u20133.) sz\u00f6v\u0151dm\u00e9nyek kialakul\u00e1sa. Orv Hetil. 2021; 162(26):\n                    1038\u20131051.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold>\n                    <jats:italic>Introduction:<\/jats:italic> Complications associated with postoperative\n                    intervention may affect graft and patient survival after kidney transplantation.\n                    Monitoring the effectiveness of surgery is an important aspect. Ureter\n                    anastomosis can be the pivot of kidney transplant, the same as vascular\n                    anastomosis, so efficiency of the surgical technique is important to follow up.\n                        <jats:italic>Objective and method:<\/jats:italic> We retrospectively examined kidney\n                    transplants performed between 2010 and 2020 at the Department of Surgery of the\n                    University of Debrecen. Data were analyzed by the SPSS statistical program. We\n                    aimed to investigate surgical complications, which were systematized based on\n                    the modified Clavien classification. In one patient, the most severe\n                    complication was used as the basis for the schedule. The minimum follow-up time\n                    was 1 year. <jats:italic>Results:<\/jats:italic> 406 kidney transplants were performed in\n                    the examined period, of which 24.4% (n = 99) developed renal transplant\n                    complications (surgical, radiological, urological). The mean age of the patients\n                    was 49.5 \u00b1 13.7 years, and 60.8% were male. The cumulative mortality was 10.1%.\n                    Grade 4 complication developed in 6.9% (n = 28) of the recipients, Grade 3 in\n                    6.7% (n = 27), Grade 2 in 3% (n = 12), and Grade 1 in 7.9% (n = 32). 20.4% of\n                    the recipients had delayed graft function. <jats:italic>Conclusion:<\/jats:italic> The\n                    Grade 1 group had the biggest case number, so a significant part of the\n                    complications could be solved with the help of interventional radiology and\n                    urologists. There is no significant association between the surgical technique\n                    of ureteral anastomoses and the development of related complications. With\n                    appropriate therapy, graft and patient survival are not significantly impaired\n                    by the development of Grade 1\u20133 complications. Orv Hetil. 2021; 162(26):\n                    1038\u20131051.<\/jats:p>","DOI":"10.1556\/650.2021.32278","type":"journal-article","created":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T10:03:55Z","timestamp":1630404235000},"page":"1038-1051","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["Vese\u00e1t\u00fcltet\u00e9s ut\u00e1ni seb\u00e9szeti sz\u00f6v\u0151dm\u00e9nyek el\u0151fordul\u00e1sa a Clavien-beoszt\u00e1s szerint, k\u00fcl\u00f6n\u00f6s tekintettel a h\u00fagyvezet\u00e9k-anastomosis t\u00edpus\u00e1ra"],"prefix":"10.1556","volume":"162","author":[{"given":"L\u00f3r\u00e1nt","family":"Ill\u00e9sy","sequence":"first","affiliation":[{"name":"1 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Int\u00e9zet, Szervtranszplant\u00e1ci\u00f3s Nem \u00d6n\u00e1ll\u00f3 Tansz\u00e9k, Debrecen, M\u00f3ricz Zs. k\u00f6r\u00fat 22., 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Fedor","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Int\u00e9zet, Szervtranszplant\u00e1ci\u00f3s Nem \u00d6n\u00e1ll\u00f3 Tansz\u00e9k, Debrecen, M\u00f3ricz Zs. k\u00f6r\u00fat 22., 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D\u00e1vid \u00c1goston","family":"Kov\u00e1cs","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Int\u00e9zet, Szervtranszplant\u00e1ci\u00f3s Nem \u00d6n\u00e1ll\u00f3 Tansz\u00e9k, Debrecen, M\u00f3ricz Zs. k\u00f6r\u00fat 22., 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsolt","family":"Kany\u00e1ri","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Int\u00e9zet, Szervtranszplant\u00e1ci\u00f3s Nem \u00d6n\u00e1ll\u00f3 Tansz\u00e9k, Debrecen, M\u00f3ricz Zs. k\u00f6r\u00fat 22., 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gergely","family":"Z\u00e1dori","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Int\u00e9zet, Szervtranszplant\u00e1ci\u00f3s Nem \u00d6n\u00e1ll\u00f3 Tansz\u00e9k, Debrecen, M\u00f3ricz Zs. k\u00f6r\u00fat 22., 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerg\u0151 J\u00f3zsef","family":"Sz\u0151ll\u0151si","sequence":"additional","affiliation":[{"name":"2 Debreceni Egyetem, N\u00e9peg\u00e9szs\u00e9g\u00fcgyi Kar, Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rton","family":"Kov\u00e1cs","sequence":"additional","affiliation":[{"name":"3 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, \u00c1ltal\u00e1nos Orvos Szak, Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tibor","family":"Flask\u00f3","sequence":"additional","affiliation":[{"name":"4 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Urol\u00f3giai Tansz\u00e9k, Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judit","family":"T\u00f3th","sequence":"additional","affiliation":[{"name":"5 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Orvosi K\u00e9palkot\u00f3 Int\u00e9zet, Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rich\u00e1rd","family":"Veisz","sequence":"additional","affiliation":[{"name":"5 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Orvosi K\u00e9palkot\u00f3 Int\u00e9zet, Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivett","family":"Bel\u00e1n","sequence":"additional","affiliation":[{"name":"5 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Orvosi K\u00e9palkot\u00f3 Int\u00e9zet, Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bal\u00e1zs","family":"Nemes","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Int\u00e9zet, Szervtranszplant\u00e1ci\u00f3s Nem \u00d6n\u00e1ll\u00f3 Tansz\u00e9k, Debrecen, M\u00f3ricz Zs. k\u00f6r\u00fat 22., 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1016\/j.transproceed.2006.01.016","article-title":"Health-related quality of life after kidney transplantation in comparison intermittent hemodialysis, peritoneal dialysis, and normal controls","volume":"38","author":"1 Ogutmen","year":"2006","unstructured":"1 Ogutmen B, Yildirim A, Sever MS, et al. 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