{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T18:40:15Z","timestamp":1710355215868},"reference-count":37,"publisher":"Akademiai Kiado Zrt.","issue":"20","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,5,1]]},"abstract":"<jats:p>El\u0151fordul, hogy m\u00e9g szubtot\u00e1lis pajzsmirigy-reszekci\u00f3t k\u00f6vet\u0151en is az indirekt laringoszk\u00f3pia rekurrens paresist igazol. Szinte minden seb\u00e9sz kidolgozott m\u00e1r valamilyen egy\u00e9ni technik\u00e1t a nervus rekurrens v\u00e9delm\u00e9ben. A szerz\u0151k arra kerestek v\u00e1laszt, hogy az idegtapint\u00e1si elj\u00e1r\u00e1s kell\u0151en hat\u00e9kony-e a mindennapi, radikalit\u00e1sra t\u00f6rekv\u0151 seb\u00e9szi gyakorlatban.<jats:italic>Anyag \u00e9s m\u00f3dszer:<\/jats:italic>2001. janu\u00e1r 1. \u00e9s 2008. december 31. k\u00f6z\u00f6tt 1228 nervus laryngeus rekurrenst prepar\u00e1ltak ki 702 pajzsmirigym\u0171t\u00e9t sor\u00e1n. Minden betegn\u00e9l megtal\u00e1lt\u00e1k \u00e9s a g\u00e9g\u00e9be l\u00e9p\u00e9sig k\u00f6vett\u00e9k azokat. A golyva a betegek 38,6%-\u00e1ban (271\/702) substernalis terjed\u00e9st mutatott, m\u00edg tracheakompresszi\u00f3t \u00e9s diszlok\u00e1ci\u00f3t 19,5%-ban (137\/702) \u00e9szleltek. 8,4%-ban recid\u00edv pajzsmirigy-elv\u00e1ltoz\u00e1s miatt t\u00f6rt\u00e9nt a beavatkoz\u00e1s. Lobectomi\u00e1ra 82,2%-ban ker\u00fclt sor (1009\/1228), near tot\u00e1lis reszekci\u00f3t 15,5%-ban (191\/1228), m\u00edg szubtot\u00e1lis reszekci\u00f3t mind\u00f6ssze 2,3%-ban (28\/1228) v\u00e9geztek.<jats:italic>Eredm\u00e9nyek:<\/jats:italic>Az idegtapint\u00e1si elj\u00e1r\u00e1s 80,7%-ban seg\u00edtette a rekurrens megtal\u00e1l\u00e1s\u00e1t (991\/1228), 8,7%-ban azonban fals pozit\u00edvnak bizonyult (107\/1228), m\u00edg 10,6%-ban (130\/1228) egy\u00e1ltal\u00e1n nem seg\u00edtett hely\u00e9nek pontos tiszt\u00e1z\u00e1s\u00e1ban. A m\u00f3dszer a jobb \u00e9s bal oldal vonatkoz\u00e1s\u00e1ban mark\u00e1ns k\u00fcl\u00f6nbs\u00e9get mutatott. M\u00edg jobb oldalon mind\u00f6ssze 3,4%-ban \u00e9szleltek fals pozitivit\u00e1st, addig bal oldalon ez 14,3%-nak bizonyult. Ugyanakkor viszont, m\u00edg bal oldalon csak 4,8%-ban volt sikertelen a tapint\u00e1si k\u00eds\u00e9rlet, jobb oldalon ez 16,2%-nak ad\u00f3dott. Definit\u00edv rekurrens paresist 0,8%-ban \u00e9szleltek (10\/1228), m\u00edg tranziens paresissel 1,4%-ban (17\/1228) szembes\u00fcltek. Okkult malignit\u00e1st 5,6%-ban tal\u00e1ltak (39\/702).<jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic>V\u00e9lem\u00e9ny\u00fck szerint napjainkban m\u00e1r nem maradt indik\u00e1ci\u00f3ja a szubtot\u00e1lis reszekci\u00f3nak m\u00e9g benignus multiplex g\u00f6b\u00f6s golyva eset\u00e9ben sem, mivel klinikai \u00e9s patofiziol\u00f3giai evidenci\u00e1k vannak arra vonatkoz\u00f3an, hogy a marad\u00e9k \u00e1llom\u00e1ny a recid\u00edva b\u00f6lcs\u0151je, annak \u00f6sszes potenci\u00e1lis vesz\u00e9lyforr\u00e1s\u00e1val egy\u00fctt. Az idegtapint\u00e1si m\u00f3dszer hasznos eleme a radik\u00e1lis pajzsmirigym\u0171t\u00e9teknek, de csak az orient\u00e1ci\u00f3 szempontj\u00e1b\u00f3l, a vizualiz\u00e1l\u00e1st nem helyettes\u00edti.<\/jats:p>","DOI":"10.1556\/oh.2009.28600","type":"journal-article","created":{"date-parts":[[2009,5,21]],"date-time":"2009-05-21T01:18:20Z","timestamp":1242868700000},"page":"925-933","source":"Crossref","is-referenced-by-count":1,"title":["The place of radical surgical approach in the treatment of benign multinodular goitre from the aspect of the anatomical variations of the recurrent laryngeal nerve"],"prefix":"10.1556","volume":"150","author":[{"given":"\u00c1ron","family":"Altorjay","sequence":"first","affiliation":[{"name":"1 Fej\u00e9r Megyei Szent Gy\u00f6rgy K\u00f3rh\u00e1z Seb\u00e9szeti Oszt\u00e1ly Sz\u00e9kesfeh\u00e9rv\u00e1r Sereg\u00e9lyesi \u00fat 3. 8000"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mih\u00e1ly","family":"Mucs","sequence":"additional","affiliation":[{"name":"1 Fej\u00e9r Megyei Szent Gy\u00f6rgy K\u00f3rh\u00e1z Seb\u00e9szeti Oszt\u00e1ly Sz\u00e9kesfeh\u00e9rv\u00e1r Sereg\u00e9lyesi \u00fat 3. 8000"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bal\u00e1zs","family":"Hamvas","sequence":"additional","affiliation":[{"name":"1 Fej\u00e9r Megyei Szent Gy\u00f6rgy K\u00f3rh\u00e1z Seb\u00e9szeti Oszt\u00e1ly Sz\u00e9kesfeh\u00e9rv\u00e1r Sereg\u00e9lyesi \u00fat 3. 8000"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"F\u00fcredi","sequence":"additional","affiliation":[{"name":"1 Fej\u00e9r Megyei Szent Gy\u00f6rgy K\u00f3rh\u00e1z Seb\u00e9szeti Oszt\u00e1ly Sz\u00e9kesfeh\u00e9rv\u00e1r Sereg\u00e9lyesi \u00fat 3. 8000"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bal\u00e1zs","family":"Botos","sequence":"additional","affiliation":[{"name":"1 Fej\u00e9r Megyei Szent Gy\u00f6rgy K\u00f3rh\u00e1z Seb\u00e9szeti Oszt\u00e1ly Sz\u00e9kesfeh\u00e9rv\u00e1r Sereg\u00e9lyesi \u00fat 3. 8000"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u00f3bert","family":"Jask\u00f3","sequence":"additional","affiliation":[{"name":"1 Fej\u00e9r Megyei Szent Gy\u00f6rgy K\u00f3rh\u00e1z Seb\u00e9szeti Oszt\u00e1ly Sz\u00e9kesfeh\u00e9rv\u00e1r Sereg\u00e9lyesi \u00fat 3. 8000"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsuzsanna","family":"Bencsik","sequence":"additional","affiliation":[{"name":"2 Fej\u00e9r Megyei Szent Gy\u00f6rgy K\u00f3rh\u00e1z Endokrinol\u00f3giai Oszt\u00e1ly Sz\u00e9kesfeh\u00e9rv\u00e1r"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikl\u00f3s","family":"R\u00fcll","sequence":"additional","affiliation":[{"name":"3 Fej\u00e9r Megyei Szent Gy\u00f6rgy K\u00f3rh\u00e1z F\u00fcl-Orr-G\u00e9g\u00e9szeti Oszt\u00e1ly Sz\u00e9kesfeh\u00e9rv\u00e1r"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Szil\u00e1gyi","sequence":"additional","affiliation":[{"name":"4 Fej\u00e9r Megyei Szent Gy\u00f6rgy K\u00f3rh\u00e1z Patol\u00f3giai Oszt\u00e1ly Sz\u00e9kesfeh\u00e9rv\u00e1r"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e9za","family":"Cs\u00e1ti","sequence":"additional","affiliation":[{"name":"5 Fej\u00e9r Megyei Szent Gy\u00f6rgy K\u00f3rh\u00e1z Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly Sz\u00e9kesfeh\u00e9rv\u00e1r"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","volume-title":"Chirurgische Operationslehre","year":"1902"},{"key":"atypb2","volume-title":"Debates in Clinical Surgery","year":"1990"},{"key":"atypb3","volume-title":"Debates in Clinical Surgery","year":"1990"},{"key":"atypb4","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1007\/PL00002540","volume":"67","year":"1996","journal-title":"Chirurg."},{"key":"atypb5","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1007\/s002680010160","volume":"24","year":"2000","journal-title":"World. J. Surg."},{"key":"atypb6","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1507\/endocrj.52.199","volume":"52","year":"2005","journal-title":"Endocrine Journal"},{"key":"atypb7","volume-title":"Textbook of Endocrine Surgery","year":"1997"},{"key":"atypb8","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1097\/00000658-199605000-00003","volume":"223","year":"1996","journal-title":"Ann. Surg."},{"key":"atypb9","first-page":"S10","volume":"21","year":"1998","journal-title":"Asian J. Surg."},{"key":"atypb10","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1097\/00005537-200201000-00022","volume":"112","year":"2002","journal-title":"Laryngoscope"},{"key":"atypb11","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/S0002-9610(02)00856-5","volume":"183","year":"2002","journal-title":"Am. J. Surg."},{"key":"atypb12","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1007\/s00268-004-7348-x","volume":"28","year":"2004","journal-title":"World J. Surg."},{"key":"atypb13","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1007\/s00268-005-0355-8","volume":"30","year":"2006","journal-title":"World J. Surg."},{"key":"atypb14","doi-asserted-by":"crossref","first-page":"1230","DOI":"10.1007\/s00268-005-0351-z","volume":"30","year":"2006","journal-title":"World J.\u00a0Surg."},{"key":"atypb15","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1007\/s002680010173","volume":"24","year":"2000","journal-title":"World J. Surg."},{"key":"atypb16","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1288\/00005537-199110000-00011","volume":"101","year":"1991","journal-title":"Laryngoscope"},{"key":"atypb17","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1007\/s002689910093","volume":"24","year":"2000","journal-title":"World J. Surg."},{"key":"atypb18","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1016\/S0002-9610(99)00101-4","volume":"177","year":"1999","journal-title":"Am. J. Surg."},{"key":"atypb19","volume-title":"Seb\u00e9szet","year":"2007"},{"key":"atypb20","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1007\/s00104-002-0605-3","volume":"74","year":"2003","journal-title":"Chirurg."},{"key":"atypb21","unstructured":"Luka F.The place and value of the recurrent laryngeal nerve (RLN) palpatory method in preventing RLN palsy during thyroid surgeryHead & Neck2008"},{"key":"atypb22","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1288\/00005537-195203000-00001","volume":"62","year":"1952","journal-title":"Laryngoscope"},{"key":"atypb23","first-page":"638","volume":"2","year":"1956","journal-title":"Lancet"},{"key":"atypb24","volume-title":"Trattato di Technica Chirurgica, vol. 1.","year":"1983"},{"key":"atypb25","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1097\/01.mlg.0000154745.78808.02","volume":"115","year":"2005","journal-title":"Laryngoscope"},{"key":"atypb26","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1007\/BF03350774","volume":"21","year":"1998","journal-title":"J.\u00a0Endocrinol. Invest."},{"key":"atypb27","first-page":"351","volume":"160","year":"1994","journal-title":"Eur. J. Surg."},{"key":"atypb28","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1001\/archsurg.134.12.1389","volume":"134","year":"1999","journal-title":"Arch. Surg."},{"key":"atypb29","first-page":"725","volume":"161","year":"1995","journal-title":"Eur. J. Surg."},{"key":"atypb30","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1007\/BF01655417","volume":"12","year":"1988","journal-title":"World J. Surg."},{"key":"atypb31","first-page":"202","volume":"83","year":"1998","journal-title":"Int. Surg."},{"key":"atypb32","volume-title":"Textbook of Endocrine Surgery","year":"1997"},{"key":"atypb33","doi-asserted-by":"crossref","first-page":"1526","DOI":"10.1016\/S0140-6736(05)61116-6","volume":"351","year":"1998","journal-title":"Lancet"},{"key":"atypb34","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1002\/bjs.1800790328","volume":"79","year":"1992","journal-title":"Br. J. Surg."},{"key":"atypb35","first-page":"403","volume":"167","year":"2001","journal-title":"Eur. J.\u00a0Surg."},{"key":"atypb36","first-page":"435","volume":"43","year":"1958","journal-title":"Surgery"},{"key":"atypb37","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1111\/j.1085-9489.2005.10307.x","volume":"10","year":"2005","journal-title":"Journal Peripheral Nervous System"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/150\/20\/article-p925.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/150\/20\/article-p925.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T18:22:27Z","timestamp":1710354147000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/150\/20\/article-p925.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,5,1]]},"references-count":37,"journal-issue":{"issue":"20"},"URL":"https:\/\/doi.org\/10.1556\/oh.2009.28600","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,5,1]]}}}