{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T06:21:07Z","timestamp":1648880467156},"reference-count":25,"publisher":"Akademiai Kiado Zrt.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2013,10,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>\n          <jats:italic>Bevezet\u00e9s:<\/jats:italic> A megfelel\u0151 seb\u00e9szi kezel\u00e9si m\u00f3dszer vitatott a benignus multinodularis golyv\u00e1k kezel\u00e9s\u00e9ben. Klinikai tapasztalatainkr\u00f3l sz\u00e1molunk be, amelyeket a multinodularis golyv\u00e1k total thyreoidectomi\u00e1val t\u00f6rt\u00e9n\u0151 kezel\u00e9s\u00e9ben a m\u0171t\u00e9tek kimenetel\u00e9re, sz\u00f6v\u0151dm\u00e9nyeire f\u00f3kusz\u00e1lva szerezt\u00fcnk, majd \u00e9rt\u00e9kelj\u00fck a m\u00f3dszer hat\u00e1soss\u00e1g\u00e1t \u00e9s biztons\u00e1goss\u00e1g\u00e1t. <jats:italic>Anyag \u00e9s m\u00f3dszer:<\/jats:italic> Retrospekt\u00edve elemezt\u00fck 264, 2000 \u00e9s 2006 k\u00f6z\u00f6tt multinodularis golyva miatt total thyreoidectomi\u00e1val kezelt beteg adatait. Vizsg\u00e1ltuk a m\u0171t\u00e9ti indik\u00e1ci\u00f3kat, az \u00e1tlagos k\u00f3rh\u00e1zi \u00e1pol\u00e1si id\u0151t, a korai \u00e9s k\u00e9s\u0151i sz\u00f6v\u0151dm\u00e9nyeket, a sz\u00f6vettani vizsg\u00e1lat eredm\u00e9nyeit k\u00fcl\u00f6n\u00f6s tekintettel az incident\u00e1lis pajzsmirigyr\u00e1kok gyakoris\u00e1g\u00e1ra \u00e9s \u00e1tlagosan 6,2 \u00e9vvel a beavatkoz\u00e1st k\u00f6vet\u0151en a rekurrencia el\u0151fordul\u00e1s\u00e1t. Az eredm\u00e9nyeket az irodalmi adatokhoz hasonl\u00edtottuk. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A seb\u00e9szeti beavatkoz\u00e1st 174 betegn\u00e9l (65,9%) kompresszi\u00f3s \u00e9s\/vagy dislocati\u00f3s t\u00fcnetek, 74-n\u00e9l (28%) hyperthyreosis, a t\u00f6bbin\u00e9l kozmetikai probl\u00e9ma indokolta. Az \u00e1tlagos k\u00f3rh\u00e1zi \u00e1pol\u00e1si id\u0151 4 nap volt. Harmincegy betegn\u00e9l (11,7%) alakult ki \u00e1tmeneti hypocalcaemia, azonban ez csak 1-n\u00e9l (0,3%) okozott klinikai t\u00fcneteket, \u00e9s csup\u00e1n 4 betegn\u00e9l (1,5%) v\u00e1lt permanenss\u00e9. Egy\u00e9b sz\u00f6v\u0151dm\u00e9nyek a 4 esetben (1,5%) kialakult haematoma, 7 esetben (2,6%) \u00e1tmeneti egyoldali n. recurrens paresis \u2013 melyb\u0151l 2 (0,75%) v\u00e1lt permanenss\u00e9 \u2013 \u00e9s a 8 (3%) betegn\u00e9l \u00e9szlelt seroma voltak. A sz\u00f6vettani vizsg\u00e1lat 9 esetben (3,5%) fedezett fel incident\u00e1lis pajzsmirigyr\u00e1kot. Az ut\u00e1nk\u00f6vet\u00e9s sor\u00e1n rekurrenci\u00e1t nem \u00e9szlelt\u00fcnk. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A multinodularis golyv\u00e1k seb\u00e9szi kezel\u00e9s\u00e9ben a total thyreoidectomia lehet a v\u00e1lasztand\u00f3 m\u0171t\u00e9ti elj\u00e1r\u00e1s.<\/jats:p>","DOI":"10.1556\/maseb.66.2013.5.3","type":"journal-article","created":{"date-parts":[[2013,10,22]],"date-time":"2013-10-22T01:31:29Z","timestamp":1382405489000},"page":"245-249","source":"Crossref","is-referenced-by-count":2,"title":["A total thyreoidectomia hat\u00e1soss\u00e1ga \u00e9s biztons\u00e1goss\u00e1ga a j\u00f3indulat\u00fa multinodularis golyv\u00e1k kezel\u00e9s\u00e9ben"],"prefix":"10.1556","volume":"66","author":[{"given":"Istv\u00e1n","family":"G\u00e1l","sequence":"first","affiliation":[{"name":"1 Seb\u00e9szet, R\u00f3bert K\u00e1roly Mag\u00e1nklinika, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Solymosi","sequence":"additional","affiliation":[{"name":"2 Pajzsmirigy Szakrendel\u00e9s, Bug\u00e1t P\u00e1l K\u00f3rh\u00e1z, Gy\u00f6ngy\u00f6s"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gyula","family":"Luk\u00e1cs-T\u00f3th","sequence":"additional","affiliation":[{"name":"3 Pathol\u00f3giai Oszt\u00e1ly, Bug\u00e1t P\u00e1l K\u00f3rh\u00e1z, Gy\u00f6ngy\u00f6s"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6rgy","family":"W\u00e9ber","sequence":"additional","affiliation":[{"name":"4 K\u00eds\u00e9rletes \u00e9s Seb\u00e9szeti M\u0171t\u00e9ttani Int\u00e9zet, Semmelweis Egyetem, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1046\/j.1445-2197.2003.02756.x","article-title":"Total thyreoidectomy: the evolution of surgical technique","volume":"73","author":"Delbridge L","year":"2003","journal-title":"Aust N Z J"},{"key":"2","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1385\/ENDO:27:3:245","article-title":"Surgical treatment of multinodular goiter in young patients","volume":"27","author":"R\u00edos A","year":"2005","journal-title":"Endocrine"},{"key":"3","first-page":"3511526","article-title":"Total thyroidectomy for benign thyroid disease","volume":"23","author":"Wheeler MH","year":"1998","journal-title":"Lancet"},{"key":"4","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1097\/00000658-198305000-00007","article-title":"Total thyroidectomy. A review of 213 patients","volume":"197","author":"Jacobs JK","year":"1983","journal-title":"Ann Surg"},{"key":"5","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1007\/s002680010221","article-title":"Multivariate analysis of risk factors for postoperative complications in benign goiter surgery: prospective multicenter study in Germany","volume":"24","author":"Thomusch O","year":"2000","journal-title":"World J Surg"},{"key":"6","first-page":"268","article-title":"Benignus, g\u00f6b\u00f6s strum\u00e1k minim\u00e1lisan lebenyelt\u00e1vol\u00edt\u00e1ssal v\u00e9gzett m\u0171t\u00e9teinek korai eredm\u00e9nyei","volume":"55","author":"Cs\u00e1ky G","year":"2002","journal-title":"Magy Seb"},{"key":"7","first-page":"219","article-title":"Szeml\u00e9letv\u00e1ltoz\u00e1s a g\u00f6b\u00f6s golyva m\u0171t\u00e9ti kezel\u00e9s\u00e9ben \u2013 saj\u00e1t tapasztalataink","volume":"56","author":"Berecz J","year":"2003","journal-title":"Magy Seb"},{"key":"8","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1556\/OH.2009.28600","article-title":"A radikalit\u00e1s helye a benignus pajzsmirigybetegs\u00e9gek seb\u00e9szi kezel\u00e9s\u00e9ben a nervus rekurrens anat\u00f3miai saj\u00e1ts\u00e1gainak t\u00fckr\u00e9ben","volume":"150","author":"Altorjay A","year":"2009","journal-title":"Orv Hetil"},{"key":"9","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1080\/110241598750005840","article-title":"Total compared with subtotal thyreoidectomy in benign nodular disease: personal series and review of published reports","volume":"164","author":"Pappalardo G","year":"1998","journal-title":"Eur J Surg"},{"key":"10","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1007\/s00268-008-9579-8","article-title":"Is total thyroidectomy the surgical procedure of choice for benign multinodular goiter? An evidence-based review","volume":"32","author":"Agarwal G","year":"2008","journal-title":"World J Surg"},{"key":"11","first-page":"391","article-title":"Nodular goiter. Retrospective analysis of 608 cases","volume":"130","author":"Gamma A","year":"1993","journal-title":"J Chir (Paris)"},{"key":"12","doi-asserted-by":"crossref","first-page":"1820","DOI":"10.1097\/00005537-200310000-00030","article-title":"Total thyreoidectomy for benign thyroid disease","volume":"113","author":"Friguglietti CU","year":"2003","journal-title":"Laryngoscope"},{"key":"13","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1002\/bjs.4507","article-title":"Total thyroidectomy for clinically benign disease of the thyroid gland","volume":"91","author":"Bron LP","year":"2004","journal-title":"Br J Surg"},{"key":"14","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1001\/archsurg.140.1.49","article-title":"Surgical management of multinodular goiter with compression symptoms","volume":"140","author":"Rios A","year":"2005","journal-title":"Arch Surg"},{"key":"15","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1001\/archsurg.139.2.179","article-title":"The advantage of total thyroidectomy to avoid reoperation for incidental thyroid cancer in multinodular goiter","volume":"139","author":"Giles Y","year":"2004","journal-title":"Arch Surg"},{"key":"16","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1007\/s00268-005-7767-3","article-title":"Comparison of surgical technique for treatment of benign toxic multinodular goiter","volume":"29","author":"Alimoglu O","year":"2005","journal-title":"World J Surg"},{"key":"17","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1111\/j.1445-1433.2004.03139.x","article-title":"Total versus subtotal thyroidectomy for the management of benigne multinodular goiter","volume":"74","author":"Colak T","year":"2004","journal-title":"Aust N Z J Surg"},{"key":"18","first-page":"373","article-title":"Total thyroidectomy in the treatment of multinodular toxic goiter","volume":"16","author":"Toma G","year":"1995","journal-title":"G Chir"},{"key":"19","first-page":"202","article-title":"Total versus subtotal thyroidectomy in the management of multinodular goiter","volume":"83","author":"Marchesi M","year":"1998","journal-title":"Int Surg"},{"key":"20","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/S0889-8529(05)70315-7","article-title":"Surgical considerations and approach to thyroid cancer","volume":"25","author":"Soh EY","year":"1996","journal-title":"Endocrinol Metab Clin North Am"},{"key":"21","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1007\/s00595-004-2857-7","article-title":"A randomized prospective study of complications between general surgery residents and attending surgeons in near total thyroidectomies","volume":"34","author":"Acun Z","year":"2004","journal-title":"Surg Today"},{"key":"22","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1001\/archsurg.1994.01420320060011","article-title":"Can total thyroidectomy be performed as safely by general surgeons in provincial center as by surgeons in specialized endocrine surgical units? Making the case for surgical training","volume":"129","author":"Reeve TS","year":"1994","journal-title":"Arch Surg"},{"key":"23","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1507\/endocrj.52.199","article-title":"Comparison of the complications of subtotal, near total and total thyroidectomy in the surgical management of multinodular goitre","volume":"52","author":"Ozbas S","year":"2005","journal-title":"Endocr J"},{"key":"24","first-page":"437","article-title":"Is primary total thyroidectomy justified in benign multinodular goiter? Results of a postoperative quality assurance study of 45 hospitals offering different levels of care","volume":"74","author":"Thomush O","year":"2003","journal-title":"Chirurg"},{"key":"25","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1507\/endocrj.50.723","article-title":"Comparison of different thyroidectomy techniques for benign thyroid disease","volume":"50","author":"Koyuncu A","year":"2003","journal-title":"Endocr J"}],"container-title":["Magyar Seb\u00e9szet"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/66\/5\/article-p245.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akademiai.com\/doi\/pdf\/10.1556\/maseb.66.2013.5.3","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,22]],"date-time":"2020-05-22T09:34:02Z","timestamp":1590140042000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/doi\/10.1556\/maseb.66.2013.5.3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10,1]]},"references-count":25,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.1556\/maseb.66.2013.5.3","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"value":"0025-0295","type":"print"},{"value":"1789-4301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,10,1]]}}}