{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T20:06:39Z","timestamp":1694635599297},"reference-count":29,"publisher":"Akademiai Kiado Zrt.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2008,10,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title><jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic>A minim\u00e1lisan invaz\u00edv nyel\u0151cs\u0151-exstirpatio a nyel\u0151cs\u0151tumorok seb\u00e9szet\u00e9ben napjainkban m\u00e1r a hagyom\u00e1nyos m\u0171t\u00e9ti technika alternat\u00edv\u00e1ja.<jats:italic>Beteg \u00e9s m\u00f3dszer:<\/jats:italic>A szerz\u0151k egy 51 \u00e9ves n\u0151beteg eset\u00e9t ismertetik, akinek bizonytalan hasi panaszok miatt v\u00e9gzett endoscopia sor\u00e1n der\u00fclt f\u00e9ny a fogsort\u00f3l 32 cm magass\u00e1gban elhelyezked\u0151, kb. 2 cm-es nyel\u0151cs\u0151daganat\u00e1ra. EUS- \u00e9s CT-vizsg\u00e1lat t\u00f6rt\u00e9nt, mely szerint a tumor a submucos\u00e1t el\u00e9rte, region\u00e1lis nyirokcsom\u00f3-metastasis nem volt kimutathat\u00f3. A tumor intraluminalis endoscopos elt\u00e1vol\u00edt\u00e1sa nem j\u00f6tt sz\u00f3ba, ez\u00e9rt laparoscopos transhiatalis nyel\u0151cs\u0151-exstirpatio t\u00f6rt\u00e9nt. A nyel\u0151cs\u0151 p\u00f3tl\u00e1sa az intracorporalisan cs\u00f6ves\u00edtett gyomorral a h\u00e1ts\u00f3 mediastinumban t\u00f6rt\u00e9nt.<jats:italic>Eredm\u00e9ny:<\/jats:italic>A posztoperat\u00edv szakban a gyomor k\u00f6z\u00e9ps\u0151 harmad\u00e1ban ventriculopleuralis fistula alakult ki, mely konzervat\u00edv kezel\u00e9s mellett (mellkasi drainage, Salem-szonda) gy\u00f3gyult. Az egyik trok\u00e1r hely\u00e9n k\u00e9sz\u00fclt t\u00e1pl\u00e1l\u00f3 jejunostoma mellett kialakult phlegmone miatt felt\u00e1r\u00e1s, majd perziszt\u00e1l\u00f3 v\u00e9konyb\u00e9lnedvcsorg\u00e1s miatt a jejunostoma hely\u00e9nek sutur\u00e1ja t\u00f6rt\u00e9nt. 3 h\u00f3nappal a m\u0171t\u00e9t ut\u00e1n v\u00e9gzett kontrollvizsg\u00e1lat sor\u00e1n a beteg panaszmentes volt, \u00e9s h\u00edzott 2 kg-ot.<jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>A laparoscopos transhiatalis nyel\u0151cs\u0151-exstirpatio rendelkezik a minim\u00e1lisan invaz\u00edv m\u00f3dszer minden el\u0151ny\u00e9vel, ugyanakkor \u2013 a kifejezetten j\u00f3 l\u00e1t\u00e1si viszonyok k\u00f6vetkezt\u00e9ben \u2013 a hagyom\u00e1nyos transhiatalis m\u0171t\u00e9tn\u00e9l radik\u00e1lisabb m\u0171t\u00e9t v\u00e9gezhet\u0151 ilyen m\u00f3don. A szerz\u0151k az esetismertet\u00e9s kapcs\u00e1n egy\u00e9b minim\u00e1lisan invaz\u00edv m\u00f3dszerekr\u0151l s ezekkel kapcsolatban a nyirokcsom\u00f3-dissectio, a pylorusplasztika \u00e9s nyel\u0151cs\u0151p\u00f3tl\u00e1s k\u00e9rd\u00e9sk\u00f6r\u00e9r\u0151l is besz\u00e1molnak.<\/jats:p>","DOI":"10.1556\/maseb.61.2008.5.2","type":"journal-article","created":{"date-parts":[[2009,4,8]],"date-time":"2009-04-08T01:08:08Z","timestamp":1239152888000},"page":"263-269","source":"Crossref","is-referenced-by-count":1,"title":["Nyel\u0151cs\u0151tumor miatt v\u00e9gzett laparoscopos transhiatalis nyel\u0151cs\u0151-exstirpatior"],"prefix":"10.1556","volume":"61","author":[{"given":"P\u00e9ter","family":"Lukovich","sequence":"first","affiliation":[{"name":"1 I. sz. Seb\u00e9szeti Klinika, Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, 1082, Budapest, \u00dcll\u0151i \u00fat 78."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Papp","sequence":"additional","affiliation":[{"name":"1 I. sz. Seb\u00e9szeti Klinika, Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, 1082, Budapest, \u00dcll\u0151i \u00fat 78."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Neh\u00e9z","sequence":"additional","affiliation":[{"name":"1 I. sz. Seb\u00e9szeti Klinika, Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, 1082, Budapest, \u00dcll\u0151i \u00fat 78."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katalin","family":"Nagy","sequence":"additional","affiliation":[{"name":"1 I. sz. 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