{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T22:33:07Z","timestamp":1785364387323,"version":"3.55.0"},"reference-count":25,"publisher":"Akademiai Kiado Zrt.","issue":"19","license":[{"start":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T00:00:00Z","timestamp":1715472000000},"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":[[2024,5,12]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A feln\u0151tt-, illetve a gyermekkori appendicitis\n                    kezel\u00e9se kapcs\u00e1n sz\u00e1mos irodalmi adat \u00e1ll rendelkez\u00e9sre mind a nyitott, mind a\n                    laparoszk\u00f3pos appendectomia el\u0151nyeir\u0151l \u00e9s h\u00e1tr\u00e1nyair\u00f3l.\n                        <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> Egy orsz\u00e1gos centrumban k\u00edv\u00e1ntuk vizsg\u00e1lni a\n                    gyermekkorban v\u00e9gzett laparoszk\u00f3pos \u00e9s nyitott appendectomi\u00e1k eredm\u00e9nyeit.\n                        <jats:italic>M\u00f3dszer:<\/jats:italic> Retrospekt\u00edv, megfigyel\u00e9sen alapul\u00f3\n                    kohorszvizsg\u00e1latot v\u00e9gezt\u00fcnk a 2011 \u00e9s 2020 k\u00f6z\u00f6tt nyitott vagy laparoszk\u00f3pos\n                    appendectomi\u00e1n \u00e1tesett 0\u201318 \u00e9ves gyermekek k\u00f6r\u00e9ben. A t\u00e1rsbetegs\u00e9ggel b\u00edr\u00f3\n                    betegeket kiz\u00e1rtuk a vizsg\u00e1latb\u00f3l. A betegeket nyitott (idesoroltuk a konvert\u00e1lt\n                    m\u0171t\u00e9teket is) \u00e9s laparoszk\u00f3pos appendectomia szerint csoportos\u00edtottuk, illetve a\n                    sz\u00f6vettani eredm\u00e9nyeik alapj\u00e1n \u201enem komplik\u00e1lt\u201d (negat\u00edv, simplex, catarrhalis,\n                    phlegmonosus, gangraen\u00e1s) \u00e9s \u201ekomplik\u00e1lt\u201d (perfor\u00e1lt) appendicitis-alcsoportokat\n                    \u00e1ll\u00edtottunk fel. A posztoperat\u00edv sz\u00f6v\u0151dm\u00e9nyeket (sebgy\u00f3gyul\u00e1si zavar, ileus,\n                    intraabdominalis abscessus) \u00e9s a k\u00f3rh\u00e1zi \u00e1pol\u00e1si id\u0151t vizsg\u00e1ltuk. A statisztikai\n                    anal\u00edzisekhez Fisher -f\u00e9le egzakt, khi<jats:sup>2<\/jats:sup>- (chi<jats:sup>2<\/jats:sup> test for\n                    trend) \u00e9s Mann\u2013Whitney-f\u00e9le U-tesztet haszn\u00e1ltunk. <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    A vizsg\u00e1latba 1444 beteget vontunk be (nyitott: 842, laparoszk\u00f3pos: 602), a\n                    medi\u00e1n\u00e9letkor 10,93 (SD 3,49) \u00e9v volt. Sz\u00f6v\u0151dm\u00e9nyeket sz\u00e1mottev\u0151en ink\u00e1bb\n                    nyitott m\u0171t\u00e9tek ut\u00e1n (83\/842, 9,86%), kev\u00e9sb\u00e9 a laparoszk\u00f3pos megold\u00e1s ut\u00e1n\n                    (45\/602, 7,48%) \u00e9szlelt\u00fcnk (p = 0,1163). A k\u00f3rh\u00e1zi tart\u00f3zkod\u00e1s medi\u00e1n\u00e9rt\u00e9ke\n                    nyitott m\u0171t\u00e9tek ut\u00e1n 3 (2,4) nap, laparoszk\u00f3pia eset\u00e9n 4 (3,5) nap volt\n                    (p&lt;0,0001). A nem komplik\u00e1lt esetekn\u00e9l a medi\u00e1n \u00e1pol\u00e1si id\u0151 laparoszk\u00f3pia\n                    ut\u00e1n r\u00f6videbb: 3 (2,3) nap, m\u00edg nyitott m\u0171t\u00e9tet k\u00f6vet\u0151en hosszabb: 3 (3,5) nap\n                    volt (p&lt;0,0001). Komplik\u00e1lt esetek mellett a k\u00f3rh\u00e1zi tart\u00f3zkod\u00e1s medi\u00e1nideje\n                    laparoszk\u00f3pia ut\u00e1n 8 (6, 10), nyitott m\u0171t\u00e9t ut\u00e1n 8 (7, 10) napnak ad\u00f3dott (p =\n                    0,0202). <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> A laparoszk\u00f3pia eleinte a\n                    n\u0151gy\u00f3gy\u00e1szatban, majd a seb\u00e9szetben \u00e9s csak ezek ut\u00e1n a gyermekseb\u00e9szetben is a\n                    napi rutin r\u00e9sze lett. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Mind a nyitott, mind a\n                    laparoszk\u00f3pos appendectomia biztons\u00e1gos beavatkoz\u00e1s gyermekkorban. A k\u00e9t m\u00f3dszer\n                    k\u00f6z\u00f6tt nem \u00e9szlelt\u00fcnk k\u00fcl\u00f6nbs\u00e9get a sz\u00f6v\u0151dm\u00e9nyek tekintet\u00e9ben, de laparoszk\u00f3pos\n                    beavatkoz\u00e1s ut\u00e1n szignifik\u00e1nsan r\u00f6videbbnek tal\u00e1ltuk a k\u00f3rh\u00e1zi \u00e1pol\u00e1si id\u0151t. A\n                    gyermekkori nem komplik\u00e1lt (korai st\u00e1diumban felismert) appendicitisek m\u0171t\u00e9ti\n                    kezel\u00e9s\u00e9ben a r\u00f6videbb k\u00f3rh\u00e1zi tart\u00f3zkod\u00e1s miatt a laparoszk\u00f3pos appendectomia a\n                    v\u00e1lasztand\u00f3 m\u00f3dszer. Orv Hetil. 2024; 165(19): 742\u2013746.<\/jats:p>","DOI":"10.1556\/650.2024.33056","type":"journal-article","created":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T15:03:39Z","timestamp":1715526219000},"page":"742-746","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Appendectomia gyermekkorban: laparoszk\u00f3pia vagy nyitott m\u0171t\u00e9t?"],"prefix":"10.1556","volume":"165","author":[{"given":"Bal\u00e1zs","family":"Fadgyas","sequence":"first","affiliation":[{"name":"Heim P\u00e1l Orsz\u00e1gos Gyermekgy\u00f3gy\u00e1szati Int\u00e9zet, Seb\u00e9szeti \u00e9s Traumatol\u00f3giai Oszt\u00e1ly Budapest, \u00dcll\u0151i \u00fat 86., 1089 Magyarorsz\u00e1g"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, Manu\u00e1lis Tansz\u00e9k P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00e1bor Istv\u00e1n","family":"Garai","sequence":"additional","affiliation":[{"name":"Heim P\u00e1l Orsz\u00e1gos Gyermekgy\u00f3gy\u00e1szati Int\u00e9zet, Seb\u00e9szeti \u00e9s Traumatol\u00f3giai Oszt\u00e1ly Budapest, \u00dcll\u0151i \u00fat 86., 1089 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorottya","family":"\u0150ri","sequence":"additional","affiliation":[{"name":"Heim P\u00e1l Orsz\u00e1gos Gyermekgy\u00f3gy\u00e1szati Int\u00e9zet, Ment\u00e1lhigi\u00e9niai K\u00f6zpont Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Magatart\u00e1studom\u00e1nyi Int\u00e9zet Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgina","family":"Monostori","sequence":"additional","affiliation":[{"name":"Zala V\u00e1rmegyei Szent Rafael K\u00f3rh\u00e1z, Csecsem\u0151 \u00e9s Gyermekgy\u00f3gy\u00e1szati Oszt\u00e1ly Zalaegerszeg Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"Vajda","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, Manu\u00e1lis Tansz\u00e9k P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1016\/S0039-6109(05)70403-5","article-title":"Embryology, anatomy, and surgical applications","volume":"80","author":"1 Schumpelick","year":"2000","unstructured":"1 Schumpelick V, Dreuw B, Ophoff K, et al. 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