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001-es BibID:	BIBFORM135064
Első szerző:	Kolozsi Péter (sebész szakorvos)
Cím:	Primary closure versus the "Volcano" technique (PRIVEVO) : a prospective observational study of purse-string wound closure for stoma reversal / Kolozsi Péter, Nagy Kitti, Felföldi Tamás, Varga Zsolt, Kovács Sándor, Kovács Dávid Ágoston, Tóth Dezső
Dátum:	2026
ISSN:	1471-2482
Megjegyzések:	Background Stoma creation is an essential part of general surgery, used in procedures such as protective loop ileostomy formed during low rectal resection or coloanal anastomosis, and in Hartmann's procedures, often performed in emergency settings. Despite its clinical importance, the optimal wound closure technique following stoma reversal remains controversial. This study aims to identify a more effective wound closure method following stoma takedown. Methods Between June 1, 2017, and January 31, 2020, we prospectively observed 75 patients at the University of Debrecen, Hungary, who underwent stoma closure (29 colostomies and 46 ileostomies). Among these patients, 37 underwent purse-string "Volcano" suture closure (VSC), while 38 underwent primary suture closure (PSC). We recorded demographic data, operative times, and postoperative outcomes, including wound infections. The primary endpoint was the rate of surgical site infection (SSI) in the short-term and the occurrence of postoperative hernia in the long-term period. Secondary endpoints included operative time, duration of wound dressing, and surgical complications according to the Clavien?Dindo classification. The planned follow-up period for long-term complications was 5 years. In this study, Surgical Site Infection (SSI) was defined and classified strictly according to the Centers for Disease Control and Prevention (CDC) Guideline for the Prevention of Surgical Site Infection (2017). Results No significant differences were observed between the VSC and PSC groups in age, sex, BMI, comorbidities, ASA classification, time from primary surgery to stoma closure, or length of hospital stay. However, the operative time was significantly shorter in the VSC group (59 min) compared to the PSC group (87 min; p?=?0.034). Notably, the incidence of postoperative wound infection was 0% in the VSC group and 18.4% in the PSC group respectively (p?=?0.012). Conclusion Our prospective observational study demonstrates that the "Volcano" (purse-string) wound closure technique provides significant advantages over conventional primary closure, notably lowering surgical site infection rates and operative time. Based on these results, we recommend the Volcano technique for stoma reversal following both ileostomy and colostomy.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	BMC Surgery. - [Epub ahead of print] (2026). -
További szerzők:	Nagy Kitti (1995-) (sebész) Felföldi Tamás (1982-) (sebész) Varga Zsolt József (1987-) (orvos) Kovács Sándor (1978-) (matematika tanár) Kovács Dávid Ágoston (1982-) (sebész) Tóth Dezső (1972-) (sebész, onkológus)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM106544
035-os BibID:	(scopus)85146174588 (WoS)000910090800001
Első szerző:	Varga Zsolt József (orvos)
Cím:	Optimal extent of lymph node dissection in gastric cancer / Varga Zsolt, Kolozsi Péter, Nagy Kitti, Tóth Dezső
Dátum:	2022
ISSN:	2296-875X
Megjegyzések:	Gastric cancer still remains a major cause of cancer-related deaths globally. Stage-adapted, individualized treatment is crucial to achieving optimal oncological outcomes. Postoperative morbidity and accurate nodal staging are heavily influenced by the extent of lymph node dissection. On one hand, insufficient lymphadenectomy may result in understaging and undertreatment of a patient, on the other hand, unnecessary lymph node dissection may result in a higher rate of postoperative complications. Approximately one-third of patients with gastric cancer undergoes an avoidable lymph node dissection. Many of the recent treatment updates in the management of gastric cancer have a major influence on both surgical and oncological approaches. Currently, a wide range of endoscopic, minimally invasive, and hybrid surgical techniques are available. The concept of sentinel node biopsy and utilization of the Maruyama Computer Program are significant components of stage-adapted gastric cancer surgery. Likewise, centralization and application of national guidelines, widespread use of neoadjuvant therapy, and the stage migration phenomenon are serious concerns to be discussed. Our goal is to review the available surgical strategies for gastric cancer, with a primary focus on lymphadenectomy.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk gyomorrák nyirokcsomó D1D2 laparoszkópia
Megjelenés:	Frontiers in Surgery. - 9 (2022), p. 1-8. -
További szerzők:	Kolozsi Péter (1985-) (sebész szakorvos) Nagy Kitti (1995-) (sebész) Tóth Dezső (1972-) (sebész, onkológus)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM101359
Első szerző:	Varga Zsolt József (orvos)
Cím:	Gyomorsebészet 100 év tükrében a debreceni Sebészeti Klinikán / Varga Zsolt, Nagy Kitti, Tóth Dezső
Dátum:	2022
ISSN:	0025-0295 1789-4301
Tárgyszavak:	Orvostudományok Klinikai orvostudományok magyar nyelvű folyóiratközlemény hazai lapban folyóiratcikk
Megjelenés:	Magyar Sebészet. - 75 : 1 (2022), p. 36-42. -
További szerzők:	Nagy Kitti (1995-) (sebész) Tóth Dezső (1972-) (sebész, onkológus)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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