{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T12:39:57Z","timestamp":1648989597029},"reference-count":29,"publisher":"Akademiai Kiado Zrt.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2013,12,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title><jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic>A daganatos hal\u00e1loki statisztik\u00e1t vezet\u0151 malignus h\u00f6rg\u0151tumorok eseteiben hossz\u00fa t\u00fal\u00e9l\u00e9sre csak a radik\u00e1lisan oper\u00e1lt betegek sz\u00e1m\u00edthatnak. M\u00e9gis, j\u00f3l lokaliz\u00e1lt, centr\u00e1lis \u00e9s low grade malignom\u00e1k kezel\u00e9s\u00e9ben a t\u00fcd\u0151megtart\u00f3 centr\u00e1lis bronchusplasztik\u00e1knak is helye lehet.<jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>A parenchymakonzerv\u00e1l\u00f3 m\u0171t\u00e9tek az egyik oldali teljes t\u00fcd\u0151 elt\u00e1vol\u00edt\u00e1s\u00e1nak vagy az inoperabilit\u00e1snak a pozit\u00edv alternat\u00edv\u00e1i lehetnek. \u00c9rt\u00e9k\u00e9t a mortalit\u00e1s, a sz\u00f6v\u0151dm\u00e9nyek \u00e9s a t\u00fal\u00e9l\u00e9s alapj\u00e1n lehet meg\u00edt\u00e9lni.<jats:italic>Beteganyag \u00e9s m\u00f3dszer:<\/jats:italic>1985\u20132012 k\u00f6z\u00f6tt 7130 h\u00f6rg\u0151carcinom\u00e1s beteget oper\u00e1ltunk. 80 centr\u00e1lis bronchoplasztikai m\u0171t\u00e9tb\u0151l<jats:italic>7 esetben a jobb vagy bal f\u0151h\u00f6rg\u0151 izol\u00e1lt vagy az eg\u00e9sz bifurcati\u00f3s carina resecti\u00f3ja \u00e9s a t\u00fcd\u0151 autotranszplant\u00e1ci\u00f3ja r\u00e9v\u00e9n teljes t\u00fcd\u0151megtart\u00e1st \u00e9rt\u00fcnk el.<\/jats:italic>A 4 n\u0151 \u00e9s 3 f\u00e9rfi \u00e1tlag\u00e9letkora 28,5 (14\u201358) \u00e9v volt. 4 beteg carcinoid, 1 laph\u00e1mr\u00e1k, 1 mucoepidermoid carcinoma miatt, 1 beteg kissejtes t\u00fcd\u0151r\u00e1k (SCLC) miatti kemo-radioter\u00e1pia (KRT) ut\u00e1n ker\u00fclt m\u0171t\u00e9tre. 1 esetben izol\u00e1lt carina-, 1 betegn\u00e9l balf\u0151h\u00f6rg\u0151-, 5 betegn\u00e9l jobbf\u0151h\u00f6rg\u0151-resectio t\u00f6rt\u00e9nt. Az anastomosist csom\u00f3s PDS \u00f6lt\u00e9sekkel a m\u0171t\u00e9ti ter\u00fcleten \u00e1t bevezetett steril tubus (6 beteg), illetve jet-kat\u00e9ter (1 beteg) felett varrtuk. A betegeket m\u0171t\u00e9t ut\u00e1n extub\u00e1ltuk.<jats:italic>Eredm\u00e9nyek:<\/jats:italic><jats:italic>M\u0171t\u00e9ti mortalit\u00e1s nem volt<\/jats:italic>. A korai posztoperat\u00edv szakban ism\u00e9telt bronchoscopos lesz\u00edv\u00e1sokat alkalmaztunk. A SCLC miatt oper\u00e1lt betegn\u00e9l subacut anastomosisstenosis miatt k\u00e9toldali ideiglenes stentimplant\u00e1ci\u00f3t alkalmaztunk. 174 h\u00f3napja \u00e9l, Karnofsky-index 90%. 5 m\u00e1sik beteg is tumorrecid\u00edva, metastasis n\u00e9lk\u00fcl \u00e9l. A laph\u00e1mr\u00e1k miatti izol\u00e1lt jobbf\u0151h\u00f6rg\u0151-resec\u00e1lt beteg 83 h\u00f3nap ut\u00e1n bal oldali dissemin\u00e1lt kissejtes t\u00fcd\u0151r\u00e1k miatt exit\u00e1lt.<jats:italic>\u00c1tlagos t\u00fal\u00e9l\u00e9s: 118 h\u00f3nap (7\u2013233)<\/jats:italic>.<jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic>Fiatal betegekn\u00e9l, lokaliz\u00e1lt centr\u00e1lis f\u0151h\u00f6rg\u0151 rosszindulat\u00fa daganatok szelekt\u00e1lt eseteiben, izol\u00e1lt carina-f\u0151h\u00f6rg\u0151 resecti\u00f3val nemcsak teljes t\u00fcd\u0151megtart\u00e1s, hanem hossz\u00fa t\u00fal\u00e9l\u00e9s is el\u00e9rhet\u0151. Az irodalomban vannak hasonl\u00f3an sikeres, kisebb sz\u00e9ri\u00e1k \u00e9s esetbemutat\u00e1sok (\u00f6sszes esetsz\u00e1m 200 alatt), de hossz\u00fa t\u00e1v\u00fa eredm\u00e9nyekr\u0151l kev\u00e9s az adat. Haz\u00e1nkban ez a legnagyobb sz\u00e9ria, eredm\u00e9nyeink nemzetk\u00f6zi kitekint\u00e9ssel m\u00e9rve is helyt\u00e1ll\u00f3ak.<\/jats:p>","DOI":"10.1556\/maseb.66.2013.6.6","type":"journal-article","created":{"date-parts":[[2013,12,12]],"date-time":"2013-12-12T02:03:25Z","timestamp":1386813805000},"page":"338-347","source":"Crossref","is-referenced-by-count":0,"title":["Hossz\u00fa t\u00fal\u00e9l\u00e9ssel j\u00e1r\u00f3 malignus tumor miatti t\u00fcd\u0151megtart\u00f3 centr\u00e1lis f\u0151h\u00f6rg\u0151plasztik\u00e1ink"],"prefix":"10.1556","volume":"66","author":[{"given":"L\u00e1szl\u00f3 Istv\u00e1n","family":"Kecsk\u00e9s","sequence":"first","affiliation":[{"name":"1 Mellkasseb\u00e9szeti Oszt\u00e1ly, Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, 9700, Szombathely, Markusovszky u. 5."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u0151z\u0151","family":"B\u00e1tor","sequence":"additional","affiliation":[{"name":"1 Mellkasseb\u00e9szeti Oszt\u00e1ly, Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, 9700, Szombathely, Markusovszky u. 5."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1rp\u00e1d","family":"F\u00fcredi","sequence":"additional","affiliation":[{"name":"1 Mellkasseb\u00e9szeti Oszt\u00e1ly, Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, 9700, Szombathely, Markusovszky u. 5."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e1l","family":"Geh\u00e9r","sequence":"additional","affiliation":[{"name":"1 Mellkasseb\u00e9szeti Oszt\u00e1ly, Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, 9700, Szombathely, Markusovszky u. 5."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e9la","family":"Kiss","sequence":"additional","affiliation":[{"name":"1 Mellkasseb\u00e9szeti Oszt\u00e1ly, Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, 9700, Szombathely, Markusovszky u. 5."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"Stankovics","sequence":"additional","affiliation":[{"name":"1 Mellkasseb\u00e9szeti Oszt\u00e1ly, Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, 9700, Szombathely, Markusovszky u. 5."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","first-page":"20","article-title":"Vit\u00e1s k\u00e9rd\u00e9sek a primer t\u00fcd\u0151r\u00e1k seb\u00e9szi kezel\u00e9s\u00e9ben","volume":"5","author":"Kecsk\u00e9s L","year":"1995","journal-title":"Lege Artis Medicinae"},{"key":"2","first-page":"2559","article-title":"Centralis h\u00f6rg\u0151plasztikai megold\u00e1sok \u00e9s eredm\u00e9nyeik Magyarorsz\u00e1gon","volume":"137","author":"Hr\u00edv\u00f3 \u00c1","year":"1996","journal-title":"OHL"},{"key":"3","first-page":"18","article-title":"Tracheal-Karina Resektionen wegen Bronchialkarzinom \u2013 Erfahrungen \u00fcber 41 Patienten (Indikationen, Technik, \u00dcberlebenswahrscheinlichkeit)","author":"Kecsk\u00e9s L","year":"1996","journal-title":"Acta Chirurgica Austriaca"},{"key":"4","first-page":"30","article-title":"Long-term survival after central bronchoplastic operations for malignancies of the main carina","volume":"38","author":"Kecsk\u00e9s LI","year":"2006","journal-title":"European Surgery Acta Chirurgica Austriaca"},{"key":"5","first-page":"510","article-title":"Sleeve resection for lung cancer: a report of 82 cases","volume":"27","author":"Chen PC","year":"2008","journal-title":"AI Zheng"},{"key":"6","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/S0022-5223(19)36892-8","article-title":"Resection of tracheal carina for lung cancer. 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