{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T10:28:35Z","timestamp":1676975315715},"reference-count":16,"publisher":"Akademiai Kiado Zrt.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2011,8,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>\n          <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A szerz\u0151k bemutatj\u00e1k a klinikai gyakorlatukba bevezetett, jobb mell\u00fcreg fel\u0151l, minim\u00e1lisan invaz\u00edv m\u00f3don elv\u00e9gzett csecsem\u0151mirigy-elt\u00e1vol\u00edt\u00e1s m\u0171t\u00e9ti technik\u00e1j\u00e1t \u00e9s eredm\u00e9nyeit. <jats:italic>Anyag \u00e9s m\u00f3dszerek:<\/jats:italic> 2009. j\u00fanius 1. \u00e9s 2011. m\u00e1rcius 31. k\u00f6z\u00f6tt a Szegedi Tudom\u00e1nyegyetem Seb\u00e9szeti Klinika Mellkasseb\u00e9szeti Oszt\u00e1ly\u00e1n 27 betegn\u00e9l (22 n\u0151 \u00e9s 5 f\u00e9rfi; \u00e1tlag\u00e9letkor 35,1 [17\u201384] \u00e9v) t\u00f6rt\u00e9nt csecsem\u0151mirigy-elt\u00e1vol\u00edt\u00e1s minim\u00e1lisan invaz\u00edv m\u00f3dszerrel. A m\u0171t\u00e9ti indik\u00e1ci\u00f3 24 betegn\u00e9l myasthenia gravis, h\u00e1rom alkalommal csecsem\u0151mirigy-daganat volt. A behatol\u00e1s a jobb mell \u00e1thajl\u00e1si red\u0151j\u00e9ben egy-egy 1,5 cm-es \u00e9s a h\u00f3nalji ter\u00fcleten egy 3 cm-es metsz\u00e9sb\u0151l t\u00f6rt\u00e9nt, nyaki felt\u00e1r\u00e1s \u00e9s a szegycsont \u00e1tv\u00e1g\u00e1sa n\u00e9lk\u00fcl. A csecsem\u0151mirigy mobiliz\u00e1l\u00e1sa \u00e9s elt\u00e1vol\u00edt\u00e1sa hagyom\u00e1nyos \u00e9s endoscopos eszk\u00f6z\u00f6kkel t\u00f6rt\u00e9nt, majd a m\u0171t\u00e9ti ter\u00fclet a jobb mell\u00fcreg fel\u0151l ker\u00fclt becs\u00f6vez\u00e9sre. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Az \u00e1tlagos m\u0171t\u00e9ti id\u0151 119 perc (45\u2013285) volt, konverzi\u00f3 \u00e9s v\u00e9r\u00e1t\u00f6mleszt\u00e9s nem t\u00f6rt\u00e9nt. M\u0171t\u00e9ti hal\u00e1loz\u00e1s nem volt, seb\u00e9szi sz\u00f6v\u0151dm\u00e9ny nem alakult ki. A mell\u00fcregi cs\u0151 \u00e1tlagosan 2,1 (1\u20133) nap ut\u00e1n ker\u00fclt elt\u00e1vol\u00edt\u00e1sra, \u00e9s a betegek \u00e1tlagosan 4,6 (4\u20137) nappal a m\u0171t\u00e9t ut\u00e1n t\u00e1voztak a klinik\u00e1r\u00f3l. K\u00e9t beteg ker\u00fclt intenz\u00edv oszt\u00e1lyra a myasthenia gravis t\u00fcnetei miatt. A myastheni\u00e1s betegek 91,6%-\u00e1n\u00e1l \u00e9szlelt\u00e9k az alapbetegs\u00e9g javul\u00e1s\u00e1t. <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic> A szerz\u0151k gyakorlat\u00e1ban a minim\u00e1lisan invaz\u00edv csecsem\u0151mirigy-elt\u00e1vol\u00edt\u00e1s biztons\u00e1gosan elv\u00e9gezhet\u0151 \u00e9s j\u00f3 kozmetikai eredm\u00e9nyt ny\u00fajt\u00f3 beavatkoz\u00e1snak bizonyult, ami a myastheni\u00e1s betegek t\u00fcneteinek cs\u00f6kken\u00e9s\u00e9t az irodalomban jelzetteknek megfelel\u0151en biztos\u00edtotta.<\/jats:p>","DOI":"10.1556\/maseb.64.2011.4.4","type":"journal-article","created":{"date-parts":[[2011,8,13]],"date-time":"2011-08-13T01:10:43Z","timestamp":1313197843000},"page":"202-206","source":"Crossref","is-referenced-by-count":1,"title":["Videothoracoscopos m\u00f3don, a jobb mell\u00fcreg fel\u0151l elv\u00e9gzett csecsem\u0151mirigy-elt\u00e1vol\u00edt\u00e1s \u2013 \u00faj m\u0171t\u00e9ti elj\u00e1r\u00e1s klinik\u00e1nk gyakorlat\u00e1ban"],"prefix":"10.1556","volume":"64","author":[{"given":"J\u00f3zsef","family":"Fur\u00e1k","sequence":"first","affiliation":[{"name":"1 Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, 6701, Szeged, P\u00e9csi u. 6."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tibor","family":"G\u00e9czi","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, 6701, Szeged, P\u00e9csi u. 6."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antal","family":"Wolf\u00e1rd","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, 6701, Szeged, P\u00e9csi u. 6."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judit","family":"Lantos","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, 6701, Szeged, P\u00e9csi u. 6."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6rgy","family":"L\u00e1z\u00e1r","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, 6701, Szeged, P\u00e9csi u. 6."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","unstructured":"<i>Ferguson M, Mineo T:<\/i> Technical advances in mediastinal surgery. 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