{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T19:41:42Z","timestamp":1725738102759},"reference-count":18,"publisher":"Akademiai Kiado Zrt.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2013,2,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>\n          <jats:italic>Bevezet\u00e9s\/C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A hagyom\u00e1nyos m\u0171t\u00e9ti elj\u00e1r\u00e1sokat a minim\u00e1lisan invaz\u00edv seb\u00e9szeti m\u00f3dszerek fokozatosan felv\u00e1ltj\u00e1k a l\u00e9p seb\u00e9szet\u00e9ben is. A SZTE Seb\u00e9szeti Klinik\u00e1n a laparoscopos splenectomia bevezet\u00e9s\u00e9t k\u00f6vet\u0151 t\u00edz \u00e9vben szerzett tapasztalatainkat \u00f6sszegezz\u00fck, \u00f6sszehasonl\u00edtva a nyitott \u00e9s a minim\u00e1lisan invaz\u00edv technik\u00e1t. <jats:italic>Betegek \u00e9s m\u00f3dszerek:<\/jats:italic> 2002. janu\u00e1r 1. \u00e9s 2011. december 1. k\u00f6z\u00f6tt klinik\u00e1nkon 141 splenectomi\u00e1t v\u00e9gezt\u00fcnk, melyek k\u00f6z\u00fcl 17 acut m\u0171t\u00e9t volt. A 124 elekt\u00edv m\u0171t\u00e9tb\u0151l 54 laparoscopos, 70 nyitott m\u0171t\u00e9tet v\u00e9gezt\u00fcnk. A nyitott m\u0171t\u00e9tek k\u00f6z\u00fcl 40 esetben multivisceralis m\u0171t\u00e9t sor\u00e1n t\u00e1vol\u00edtottuk el a l\u00e9pet, mely eseteket a k\u00e9s\u0151bbi anal\u00edzisb\u0151l kiz\u00e1rtunk. A vizsg\u00e1lat sor\u00e1n a laparoscopos, illetve az elekt\u00edv nyitott m\u0171t\u00e9ten \u00e1tesett betegek csoportjait hasonl\u00edtottuk \u00f6ssze retrospekt\u00edv m\u00f3don. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A laparoscopos m\u0171t\u00e9tek \u00e1tlagos hossza kiss\u00e9 meghaladta a nyitott m\u0171t\u00e9tek\u00e9t (133 vs. 122 perc, <jats:italic>p<\/jats:italic> = 0,074). A tanul\u00e1si peri\u00f3dust k\u00f6vet\u0151en a laparoscopos m\u0171t\u00e9tek hossza cs\u00f6kkent (az els\u0151 \u00f6t \u00e9vben 147 vs. a m\u00e1sodik \u00f6t \u00e9vben 118 perc, <jats:italic>p<\/jats:italic> = 0,003), nagyobb l\u00e9peket (220 vs. 450 gramm, <jats:italic>p<\/jats:italic> = 0,063) t\u00e1vol\u00edtottunk el, valamint kevesebb konverzi\u00f3t v\u00e9gezt\u00fcnk. A laparoscopos csoportban kevesebb reoper\u00e1ci\u00f3 (1,5% vs. 6%, <jats:italic>p<\/jats:italic> = 0,718), kor\u00e1bbi passage-megindul\u00e1s (2 vs. 3 nap, <jats:italic>p<\/jats:italic> = 0,002) \u00e9s r\u00f6videbb hospitaliz\u00e1ci\u00f3 (5 vs. 8 nap, <jats:italic>p<\/jats:italic> \u2264 0,001) volt jellemz\u0151 a nyitott csoporthoz k\u00e9pest. <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic> Vizsg\u00e1latunk al\u00e1t\u00e1masztja, hogy a laparoscopos l\u00e9pelt\u00e1vol\u00edt\u00e1s biztons\u00e1gos, \u00e9s sz\u00e1mos el\u0151nnyel j\u00e1r. Eredm\u00e9nyeink korrel\u00e1lnak a nemzetk\u00f6zi irodalmi adatokkal.<\/jats:p>","DOI":"10.1556\/maseb.66.2013.1.2","type":"journal-article","created":{"date-parts":[[2013,2,22]],"date-time":"2013-02-22T02:15:28Z","timestamp":1361499328000},"page":"14-20","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopos \u00e9s nyitott splenectomia \u00f6sszehasonl\u00edt\u00e1sa"],"prefix":"10.1556","volume":"66","author":[{"given":"\u00c1ron","family":"Nyilas","sequence":"first","affiliation":[{"name":"1 Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Paszt","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, 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