{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:19:41Z","timestamp":1784765981045,"version":"3.55.0"},"reference-count":23,"publisher":"Akademiai Kiado Zrt.","issue":"14","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2023,4,9]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> Az achalasia miatt v\u00e9gzett seb\u00e9szeti beavatkoz\u00e1sok\n                    eredm\u00e9nyei jelent\u0151sen javultak a minim\u00e1lisan invaz\u00edv seb\u00e9szet bevezet\u00e9s\u00e9vel. A\n                    robotassziszt\u00e1lt Heller\u2013Dor (RAHD)-m\u0171t\u00e9t az ut\u00f3bbi \u00e9vek sor\u00e1n kezd elterjedni,\n                    mivel olyan el\u0151ny\u00f6ket biztos\u00edt a seb\u00e9sz sz\u00e1m\u00e1ra, mint a h\u00e1romdimenzi\u00f3s l\u00e1t\u00e1s \u00e9s\n                    a m\u0171t\u00e9t alatti finommozg\u00e1sok m\u00e9g magasabb szint\u0171 kontrollja.\n                        <jats:italic>M\u00f3dszer:<\/jats:italic> 2022. okt\u00f3ber 1. \u00e9s december 31. k\u00f6z\u00f6tt,\n                    Magyarorsz\u00e1gon el\u0151sz\u00f6r, a P\u00e9csi Tudom\u00e1nyegyetem Klinikai K\u00f6zpontj\u00e1ban 3 betegen\n                    (37 \u00e9ves f\u00e9rfi \u00e9s 55, illetve 72 \u00e9ves n\u0151) v\u00e9gezt\u00fcnk achalasia miatt RAHD-m\u0171t\u00e9tet\n                    a da Vinci Xi rendszer seg\u00edts\u00e9g\u00e9vel. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Mindh\u00e1rom\n                    esetben sz\u00f6v\u0151dm\u00e9nymentes RAHD-m\u0171t\u00e9t t\u00f6rt\u00e9nt, \u00e9s a betegek a m\u0171t\u00e9t ut\u00e1n\n                    panaszmentess\u00e9 v\u00e1ltak. A m\u0171t\u00e9ti id\u0151 198, 204 \u00e9s 238 perc volt, mely mag\u00e1ban\n                    foglalta a 23, 19 \u00e9s 14 perces dokkol\u00e1si id\u0151t. Az utols\u00f3 betegn\u00e9l hiatus hernia\n                    is ismert volt, ez\u00e9rt egy id\u0151ben ennek rekonstrukci\u00f3j\u00e1t is elv\u00e9gezt\u00fck. Az els\u0151 2\n                    beteget a m\u0171t\u00e9tet k\u00f6vet\u0151 negyedik, a hiatusrekonstrukci\u00f3n is \u00e1tesett 3. beteget\n                    a m\u0171t\u00e9t ut\u00e1ni 6. napon engedt\u00fck otthon\u00e1ba. <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> Az\n                    ut\u00f3bbi \u00e9vekben egyre t\u00f6bb vizsg\u00e1lat ismert, mely a RAHD-cardiomyotomi\u00e1val\n                    foglalkozik. \u00c1ltal\u00e1noss\u00e1gban azt a k\u00f6vetkeztet\u00e9st vonj\u00e1k le, hogy gyakorlott\n                    k\u00e9zben ez k\u00f6nnyen elv\u00e9gezhet\u0151 m\u0171t\u00e9t, mely nagyon alapos myotomi\u00e1t biztos\u00edt mind\n                    a nyel\u0151cs\u0151, mind a gyomor ter\u00fclet\u00e9n az\u00e1ltal, hogy nagy nagy\u00edt\u00e1sban minden\n                    izomrost felismerhet\u0151, \u00e9s ennek k\u00f6sz\u00f6nhet\u0151en l\u00e9nyegesen kevesebb perfor\u00e1ci\u00f3\n                    fordul el\u0151 a m\u0171t\u00e9t sor\u00e1n a laparoszk\u00f3pos m\u0171t\u00e9tekhez viszony\u00edtva. Ugyanakkor az\n                    is ismert, hogy k\u00f6lts\u00e9gesebb beavatkoz\u00e1s, amelyet a tanul\u00e1si id\u0151szak hosszabb\n                    m\u0171t\u00e9ti ideje is tov\u00e1bb dr\u00e1g\u00edt. A ny\u00e1lkah\u00e1rtya-s\u00e9r\u00fcl\u00e9sek \u00e9s a k\u00f6vetkezm\u00e9nyes\n                    sz\u00f6v\u0151dm\u00e9nyek elker\u00fcl\u00e9se azonban ellens\u00falyozhatja hossz\u00fa t\u00e1von ezeket a magasabb\n                    k\u00f6lts\u00e9geket. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A laparoszk\u00f3pos cardiomyotomia az\n                    egyik olyan fels\u0151 gastrointestinalis standard m\u0171t\u00e9t, amelyn\u00e9l a robot haszna\n                    egy\u00e9rtelm\u0171en bizony\u00edthat\u00f3. Ez\u00e9rt azon helyeken, ahol a robotseb\u00e9szeti rendszer\n                    hozz\u00e1f\u00e9rhet\u0151, javasolt ezt a beavatkoz\u00e1st azzal v\u00e9gezni. Orv Hetil. 2023;\n                    164(14): 542\u2013547.<\/jats:p>","DOI":"10.1556\/650.2023.32748","type":"journal-article","created":{"date-parts":[[2023,4,10]],"date-time":"2023-04-10T15:01:10Z","timestamp":1681138870000},"page":"542-547","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":2,"title":["Achalasia miatt v\u00e9gzett robotassziszt\u00e1lt laparoszk\u00f3pos cardiomyotomia \u00e9s fundoplicatio (Heller\u2013Dor-m\u0171t\u00e9t)"],"prefix":"10.1556","volume":"164","author":[{"given":"Andr\u00e1s","family":"Papp","sequence":"first","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fatja 13., 7624 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s","family":"Palkovics","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fatja 13., 7624 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D\u00f3ra_Lili","family":"Sindler","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fatja 13., 7624 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Csenge","family":"Papp","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fatja 13., 7624 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"Halvax","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika P\u00e9cs, Ifj\u00fas\u00e1g \u00fatja 13., 7624 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f3zsef","family":"Czimmer","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, I. 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[Extramuk\u00f6se Cardiaplastik beim chronischen Cardiospasmus: mit Dilatation des Oesophagus.] Mitt Grenzgeb Med Chir. 1914; 27: 141-149. [German]"},{"key":"ref1","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1097\/00000658-192305000-00014","article-title":"Cardiospasm in the aged","volume":"77","author":"2 Zaaijer","year":"1923","unstructured":"2 Zaaijer JH. Cardiospasm in the aged. Ann Surg. 1923; 77: 615-617.","journal-title":"Ann Surg"},{"key":"ref2","unstructured":"3 Shimi S, Nathanson LK, Cuschieri A. Laparoscopic cardiomyotomy for achalasia. J R Coll Surg Edinb. 1991; 36: 152-154."},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"4 Andr\u00e1si L, Paszt A, Simonka Z, et al. Surgical treatment of esophageal achalasia in the era of minimally invasive surgery. JSLS 2021; 25: e2020.00099.","DOI":"10.4293\/JSLS.2020.00099"},{"key":"ref4","unstructured":"5 Zaninotto G, Bennett C, Boeckxstaens G, et. al. The 2018 ISDE achalasia guidelines. Dis Esophagus 2018; 31(9) September 2018, doy071."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1020","DOI":"10.1016\/j.gassur.2005.06.026","article-title":"Robotic-assisted Heller myotomy versus laparoscopic Heller myotomy for the treatment of esophageal achalasia: multicenter study","volume":"9","author":"6 Horgan","year":"2005","unstructured":"6 Horgan S, Galvani C, Gorodner M, et al. Robotic-assisted Heller myotomy versus laparoscopic Heller myotomy for the treatment of esophageal achalasia: multicenter study. J Gastrointest Surg. 2005; 9: 1020-1030.","journal-title":"J Gastrointest Surg"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"7 Xie J, Vatsan MS, Gangemi A. Laparoscopic versus robotic-assisted Heller myotomy for the treatment of achalasia: a systematic review with meta-analysis. Int J Med Robot. 2021; 17: e2253.","DOI":"10.1002\/rcs.2253"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"8 Yadlapati R, Kahrilas PJ, Fox MR, et al. Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0\u00a9. Neurogastroenterol Motil. 2021","DOI":"10.1111\/nmo.14053"},{"key":"ref8","unstructured":"33: e14058. Erratum: Neurogastroenterol Motil. 2022 Dec 5. e14179."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1007\/s00455-007-9116-1","article-title":"An epidemiological study of achalasia among the South Asian population of Leicester, 1986-2005","volume":"23","author":"9 Farrukh","year":"2008","unstructured":"9 Farrukh A, DeCaestecker J, Mayberry JF. An epidemiological study of achalasia among the South Asian population of Leicester, 1986-2005. Dysphagia 2008; 23: 161-164.","journal-title":"Dysphagia"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"10 Sadowski DC, Ackah F, Jiang B, et al. Achalasia: incidence, prevalence and survival. A population-based study. Neurogastroenterol Motil. 2010; 22: e256-e261.","DOI":"10.1111\/j.1365-2982.2010.01511.x"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1209","DOI":"10.1111\/j.1365-2036.2011.04655.x","article-title":"Epidemiology and practice patterns of achalasia in a large multi-centre database","volume":"33","author":"11 Enestvedt","year":"2011","unstructured":"11 Enestvedt BK, Williams JL, Sonnenberg A. Epidemiology and practice patterns of achalasia in a large multi-centre database. Aliment Pharmacol Ther. 2011; 33: 1209-1214.","journal-title":"Aliment Pharmacol Ther"},{"key":"ref12","unstructured":"12 Hajd\u00fa Z, S\u00e1ndor K, Bokor L, et al. Laparoscopic cardiomyotomy in the treatment of achalasia. [Laparoszk\u00f3pos cardiomyotomia az achalasia kezel\u00e9s\u00e9ben.] Magy Seb. 2000; 53: 43-47. [Hungarian]"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"39","DOI":"10.2147\/TCRM.S152429","article-title":"Achalasia following reflux disease: coincidence, consequence, or accommodation? An experience-based literature review","volume":"14","author":"13 Vereczkei","year":"2017","unstructured":"13 Vereczkei A, Bogn\u00e1r L, Papp A, et al. Achalasia following reflux disease: coincidence, consequence, or accommodation? An experience-based literature review. Ther Clin Risk Manag. 2017; 14: 39-45.","journal-title":"Ther Clin Risk Manag"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"618","DOI":"10.5056\/jnm17057","article-title":"Gastroesophageal reflux disease could progress to achalasia","volume":"23","author":"14 Bognar","year":"2017","unstructured":"14 Bognar L, Vereczkei A, Horvath OP. Gastroesophageal reflux disease could progress to achalasia. J Neurogastroenterol Motil. 2017; 23: 618.","journal-title":"J Neurogastroenterol Motil"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"15 Haidegger T, S\u00e1ndor J. Robot-assisted minimally invasive surgery in the age of surgical data science. [Robot-assziszt\u00e1lt minim\u00e1l invaz\u00edv seb\u00e9szeti rendszerek a seb\u00e9szeti adattudom\u00e1ny kor\u00e1ban.] Magy Seb. 2021; 74: 127-135. [Hungarian]","DOI":"10.1556\/1046.74.2021.4.5"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"2550","DOI":"10.1007\/s00268-016-3543-9","article-title":"30 years of robotic surgery","volume":"40","author":"Leal Ghezzi T","year":"2016","unstructured":"16 Leal Ghezzi T, Campos Corleta O. 30 years of robotic surgery. World J Surg. 2016; 40: 2550-2557.","journal-title":"World J Surg"},{"key":"ref17","unstructured":"17 Intuitive. Pairing human ingenuity with technology. Available from: https:\/\/www.intuitive.com\/en-us\/about-us\/company [accessed: Jan 15, 2023]."},{"key":"ref18","doi-asserted-by":"publisher","unstructured":"18 Melvin WS, Needleman BJ, Krause KR, et al. Computer-enhanced robotic telesurgery. Initial experience in foregut surgery. Surg Endosc. 2002; 16: 1790-1792.","DOI":"10.1007\/s00464-001-8192-9"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1047","DOI":"10.1007\/s00464-011-1994-5","article-title":"How does the robot affect outcomes? A retrospective review of open, laparoscopic, and robotic Heller myotomy for achalasia","volume":"26","author":"19 Shaligram","year":"2012","unstructured":"19 Shaligram A, Unnirevi J, Simorov A, et al. How does the robot affect outcomes? A retrospective review of open, laparoscopic, and robotic Heller myotomy for achalasia. Surg Endosc. 2012; 26: 1047-1050.","journal-title":"Surg Endosc"},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"20 Xie J, Vatsan MS, Gangemi A. Laparoscopic versus robotic-assisted Heller myotomy for the treatment of achalasia: a systematic review with meta-analysis. Int J Med Robot. 2021; 17: e2253.","DOI":"10.1002\/rcs.2253"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/dote\/doz062","article-title":"Robotic versus laparoscopic approach to treat symptomatic achalasia: systematic review with meta-analysis","volume":"32","author":"21 Milone","year":"2019","unstructured":"21 Milone M, Manigrasso M, Vertaldi S, et al. Robotic versus laparoscopic approach to treat symptomatic achalasia: systematic review with meta-analysis. Dis Esophagus 2019; 32: 1-8.","journal-title":"Dis Esophagus"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1007\/s11701-018-0865-7","article-title":"Optimal surgical intervention for achalasia: laparoscopic or robotic approach","volume":"13","author":"22 Kim","year":"2019","unstructured":"22 Kim SS, Guillen-Rodriguez J, Little AG. 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