{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T00:38:58Z","timestamp":1649205538207},"reference-count":32,"publisher":"Akademiai Kiado Zrt.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2013,6,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title><jats:p>A laparoscopos (LAP) vastagb\u00e9lm\u0171t\u00e9teket egyre sz\u00e9lesebb k\u00f6rben alkalmazz\u00e1k vil\u00e1gszerte. Nagy \u00f6sszehasonl\u00edt\u00f3 tanulm\u00e1nyok r\u00e9szletezik az el\u0151ny\u00f6ket, de kevesebb az adat a h\u00e9tk\u00f6znapi gyakorlat tapasztalatair\u00f3l. A jelen k\u00f6zlem\u00e9ny az I. sz. Seb\u00e9szeti Klinika 2004\u20132011 k\u00f6z\u00f6tti, szelekci\u00f3 n\u00e9lk\u00fcli colorectalis m\u0171t\u00e9ti beteganyag\u00e1t dolgozza fel. A 393 beteg k\u00f6z\u00fcl malignus tumor miatt 333 ker\u00fclt m\u0171t\u00e9tre. A T3 daganatok ar\u00e1nya 62,7% volt. Szinkr\u00f3n m\u00e1j\u00e1tt\u00e9tet \u00e9szlelt\u00fcnk 18 esetben, k\u00f6z\u00fcl\u00fck 3 solitaer, resecabilis, 15 multiplex inoper\u00e1bilis \u00e1tt\u00e9t volt. Minden esetben sikeres b\u00e9lresecti\u00f3ra ker\u00fclt sor. A sz\u00f6v\u0151dm\u00e9nyek teljes beteganyagra vonatkoztatott ar\u00e1nya 9,9%, a k\u00f3rh\u00e1zi hal\u00e1loz\u00e1s 2,0% volt. A sz\u00f6v\u0151dm\u00e9nymentes esetek \u00e1tlagos \u00e1pol\u00e1si ideje 6,7 nap volt. 9 esetben \u201esingle incision\u201d m\u0171t\u00e9t t\u00f6rt\u00e9nt sz\u00f6v\u0151dm\u00e9nymentesen, az \u00e1pol\u00e1si id\u0151 itt 4 napot vett ig\u00e9nybe. Rectumtumorok eset\u00e9ben az abdominoperinealis exstirpati\u00f3k ar\u00e1nya 9,3%-ot, a resecti\u00f3s m\u0171t\u00e9tek\u00e9 90,7%-ot tett ki. 59 betegn\u00e9l (15%) ker\u00fclt sor konverzi\u00f3ra. A m\u0171t\u00e9ti id\u0151k a vizsg\u00e1lt id\u0151 alatt cs\u00f6kkentek, de mind a m\u0171t\u00e9ti id\u0151, mind a konverzi\u00f3k ar\u00e1nya jellemz\u0151en operat\u0151rf\u00fcgg\u0151. A laparoscopos m\u00f3dszer alkalmas minden t\u00edpus\u00fa elekt\u00edv colorectalis seb\u00e9szi k\u00f3rk\u00e9p kezel\u00e9s\u00e9re. A m\u00f3dszer elterjeszt\u00e9s\u00e9hez rendszeres, szervezett k\u00e9pz\u00e9s sz\u00fcks\u00e9ges.<\/jats:p>","DOI":"10.1556\/maseb.66.2013.3.2","type":"journal-article","created":{"date-parts":[[2013,6,20]],"date-time":"2013-06-20T01:02:09Z","timestamp":1371690129000},"page":"138-145","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopos colorectalis resecti\u00f3k \u2013 393 eset tapasztalatai"],"prefix":"10.1556","volume":"66","author":[{"given":"P\u00e9ter","family":"Kupcsulik","sequence":"first","affiliation":[{"name":"1 I. sz. 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