{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T16:34:46Z","timestamp":1762101286693},"reference-count":16,"publisher":"Akademiai Kiado Zrt.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2012,4,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>\n          <jats:italic>Bevezet\u00e9s:<\/jats:italic> A pancreasresecti\u00f3kat k\u00f6vet\u0151 seb\u00e9szi sz\u00f6v\u0151dm\u00e9nyek k\u00f6z\u00fcl a leggyakoribbak a pancreasfistula \u00e9s a meglassult gyomor\u00fcr\u00fcl\u00e9s. A szerz\u0151k c\u00e9lja e komplik\u00e1ci\u00f3k alakul\u00e1s\u00e1nak elemz\u00e9se volt saj\u00e1t gyakorlatukban. <jats:italic>Anyag \u00e9s m\u00f3d-szerek:<\/jats:italic> A 14 \u00e9ves peri\u00f3dus sor\u00e1n malignus pancreas- vagy periampullaris tumor miatt radik\u00e1lis m\u0171t\u00e9ten \u00e1tesett 287 beteg f\u0151bb klinikai adatait vizsg\u00e1lt\u00e1k. Leggyakoribb a pancreas-adenocarcinoma volt, ami a pancreas feji r\u00e9sz\u00e9re lokaliz\u00e1l\u00f3dott. Legt\u00f6bbsz\u00f6r pylorusmegtart\u00e1sos pancreatoduodenectomi\u00e1ra ker\u00fclt sor. A kezdeti id\u0151szakban a rekonstrukci\u00f3 sor\u00e1n pancreatogastrostomi\u00e1t vagy k\u00e9tr\u00e9teg\u0171 pancreatojejunostomi\u00e1t v\u00e9geztek, valamint retrocolicus duodeno-, illetve gastrojejunostomi\u00e1t. A k\u00e9s\u0151bbiekben \u00e1tt\u00e9rtek az egyr\u00e9teg\u0171 implant\u00e1ci\u00f3s pancreatojejunostomi\u00e1ra \u00e9s az antecolicus rekonstrukci\u00f3ra, az ut\u00f3bbit Braun-anastomosisszal kieg\u00e9sz\u00edtve. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A posztoperat\u00edv id\u0151szakban 39%-ban fordult el\u0151 sz\u00f6v\u0151dm\u00e9ny, 5,6%-ban t\u00f6rt\u00e9nt reoper\u00e1ci\u00f3, az operat\u00edv mortalit\u00e1s 3,8% volt. Az egyr\u00e9teg\u0171 pancreatojejunalis anastomosis alkalmaz\u00e1s\u00e1t k\u00f6vet\u0151en a pancreasfistula ar\u00e1nya 5,9%-ra cs\u00f6kkent, ami a pancreatogastrostoma ut\u00e1ni 17,6%-hoz k\u00e9pest szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9g. Az antecolicus rekonstrukci\u00f3 eredm\u00e9nyek\u00e9nt a meglassult gyomor\u00fcr\u00fcl\u00e9s gyakoris\u00e1ga 10,2%-r\u00f3l 2,1%-ra cs\u00f6kkent, az elt\u00e9r\u00e9s statisztikailag szignifik\u00e1ns. <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic> A 14 \u00e9v sor\u00e1n v\u00e9grehajtott m\u0171t\u00e9ttechnikai v\u00e1ltoztat\u00e1sok k\u00f6vetkezt\u00e9ben a pancreasfistula \u00e9s a meglassult gyomor\u00fcr\u00fcl\u00e9s el\u0151fordul\u00e1sa jelent\u0151sen cs\u00f6kkent, ami a seb\u00e9szi m\u00f3dszerek \u00e1lland\u00f3 fejleszt\u00e9s\u00e9nek sz\u00fcks\u00e9gess\u00e9g\u00e9re h\u00edvja fel a figyelmet.<\/jats:p>","DOI":"10.1556\/maseb.65.2012.2.3","type":"journal-article","created":{"date-parts":[[2012,4,19]],"date-time":"2012-04-19T01:13:24Z","timestamp":1334798004000},"page":"52-57","source":"Crossref","is-referenced-by-count":3,"title":["T\u00f6rekv\u00e9seink a pancreasresecti\u00f3kat k\u00f6vet\u0151 seb\u00e9szi sz\u00f6v\u0151dm\u00e9nyek 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