{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:06:55Z","timestamp":1648598815396},"reference-count":15,"publisher":"Akademiai Kiado Zrt.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2010,12,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>K\u00f6zlem\u00e9ny\u00fcnkben pectus excavatum miatt 86 fiatal feln\u0151tt\u00f6n Nuss-technik\u00e1val v\u00e9gzett el\u00fcls\u0151 mellkasfali korrekci\u00f3s m\u0171t\u00e9tek retrospekt\u00edv elemz\u00e9s\u00e9t v\u00e9gezt\u00fck el. \u00c1ttekintj\u00fck az eredm\u00e9nyeket, az el\u0151fordul\u00f3 sz\u00f6v\u0151dm\u00e9nyeket \u00e9s azon m\u00f3dszereket, melyekkel a sz\u00f6v\u0151dm\u00e9nyek val\u00f3sz\u00edn\u0171s\u00e9ge cs\u00f6kkenthet\u0151, a m\u0171t\u00e9ttechnikai r\u00e9szleteket is \u00e9rintve. A betegek \u00e9letkor\u00e1t figyelembe v\u00e9ve \u00e9rt\u00e9kelj\u00fck a Nuss-m\u0171t\u00e9t feln\u0151ttkori alkalmazhat\u00f3s\u00e1g\u00e1t. Az elm\u00falt 7 \u00e9v alatt oszt\u00e1lyunkon 86 betegen v\u00e9gezt\u00fcnk minim\u00e1lisan invaz\u00edv el\u00fcls\u0151 mellkasfali korrekci\u00f3t. A betegek \u00e1tlag\u00e9letkora 21,4 \u00e9v volt. S\u00falyos intraoperat\u00edv sz\u00f6v\u0151dm\u00e9nyt nem tapasztaltunk. F\u00e9melmozdul\u00e1st n\u00e9gy betegn\u00e9l \u00e9szlelt\u00fcnk, a 12, illetve 53 nappal a m\u0171t\u00e9t ut\u00e1n kialakul\u00f3 elmozdul\u00e1s ism\u00e9telt Nuss-m\u0171t\u00e9ttel megoldhat\u00f3 volt. Egy lemezt a 13. posztoperat\u00edv napon helyi septicus sz\u00f6v\u0151dm\u00e9ny miatt, egyet pedig 14 h\u00f3nappal a m\u0171t\u00e9t ut\u00e1n sterilen bek\u00f6vetkez\u0151 jelent\u0151s dislocatio miatt t\u00e1vol\u00edtottunk el. Egy beteg f\u00e1jdalom miatt k\u00e9rte a f\u00e9m kiv\u00e9tel\u00e9t. Egy, az arteria mammaria oldal\u00e1g\u00e1b\u00f3l sz\u00e1rmaz\u00f3 intraoperat\u00edv v\u00e9rz\u00e9st VATS technik\u00e1val, egy t\u00fcd\u0151s\u00e9r\u00fcl\u00e9s okozta l\u00e9gmellet mellkasi drainage-zsal oldottunk meg. A rekonstrukci\u00f3 eredm\u00e9nye tart\u00f3s, a betegek t\u00f6bb mint 90%-a el\u00e9gedett \u00e9s panaszmentes. Az \u00e9vek folyam\u00e1n a m\u0171t\u00e9ti id\u0151tartamunk \u00e9s az \u00e1pol\u00e1si id\u0151 cs\u00f6kkent. A Nuss-m\u0171t\u00e9tek biztons\u00e1ggal \u00e9s j\u00f3 hossz\u00fa t\u00e1v\u00fa eredm\u00e9nnyel alkalmazhat\u00f3k fiatal feln\u0151ttek pectus excavatum korrekci\u00f3j\u00e1ra. A r\u00f6vid hospitaliz\u00e1ci\u00f3, kisebb m\u0171t\u00e9ti f\u00e1jdalom, a minim\u00e1lisan invaz\u00edv m\u0171t\u00e9t cs\u00f6kkent id\u0151tartama jelenti a beavatkoz\u00e1s el\u0151nyeit. Fokozottabb rizik\u00f3t a 30 \u00e9v feletti \u00e9letkor \u00e9s a megel\u0151z\u0151 mellkasfali korrekci\u00f3 jelent.<\/jats:p>","DOI":"10.1556\/maseb.63.2010.6.2","type":"journal-article","created":{"date-parts":[[2010,12,9]],"date-time":"2010-12-09T13:05:03Z","timestamp":1291899903000},"page":"364-368","source":"Crossref","is-referenced-by-count":0,"title":["El\u00fcls\u0151 mellkasfali deformit\u00e1s Nuss szerinti rekonstrukci\u00f3ja fiatal feln\u0151tteken \u00e9s id\u0151sebb kamaszokon"],"prefix":"10.1556","volume":"63","author":[{"given":"Attila","family":"V\u00e1gv\u00f6lgyi","sequence":"first","affiliation":[{"name":"1 Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Kor\u00e1nyi Tbc \u00e9s Pulmonol\u00f3giai Int\u00e9zet, 1529, Budapest, Pihen\u0151 \u00fat 1."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1kos","family":"Kocsis","sequence":"additional","affiliation":[{"name":"1 Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Kor\u00e1nyi Tbc \u00e9s Pulmonol\u00f3giai Int\u00e9zet, 1529, Budapest, Pihen\u0151 \u00fat 1."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Ag\u00f3cs","sequence":"additional","affiliation":[{"name":"1 Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Kor\u00e1nyi Tbc \u00e9s Pulmonol\u00f3giai Int\u00e9zet, 1529, Budapest, Pihen\u0151 \u00fat 1."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n","family":"Heiler","sequence":"additional","affiliation":[{"name":"1 Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Kor\u00e1nyi Tbc \u00e9s Pulmonol\u00f3giai Int\u00e9zet, 1529, Budapest, Pihen\u0151 \u00fat 1."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e1l","family":"Vad\u00e1sz","sequence":"additional","affiliation":[{"name":"1 Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Kor\u00e1nyi Tbc \u00e9s Pulmonol\u00f3giai Int\u00e9zet, 1529, Budapest, Pihen\u0151 \u00fat 1."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Cseke\u0151","sequence":"additional","affiliation":[{"name":"1 Mellkasseb\u00e9szeti Oszt\u00e1ly, Orsz\u00e1gos Kor\u00e1nyi Tbc \u00e9s Pulmonol\u00f3giai Int\u00e9zet, 1529, Budapest, Pihen\u0151 \u00fat 1."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/S0022-3468(98)90314-1","article-title":"A 10-year review of a minimally invasive technique for the correction of pectus excavatum","volume":"33","author":"Nuss D","year":"1998","journal-title":"J Pediatr Surg"},{"key":"2","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1007\/s11748-005-0047-1","article-title":"Recent experiences with minimally invasive pectus excavatum repair \u201cNuss procedure\u201d","volume":"53","author":"Nuss D","year":"2005","journal-title":"Jpn J Thorac Cardiovasc Surg"},{"key":"3","doi-asserted-by":"crossref","unstructured":"<i>Cheng YL, Lee SC, Huang TW, Wu CT:<\/i> Efficacy and safety of modified bilateral thoracoscopy-assisted Nuss procedure in adult patients with pectus excavatum. 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