@article{MTMT:34833010,
	title = {Assessment of Surgeons’ Stress Levels with Digital Sensors during Robot-Assisted Surgery: An Experimental Study},
	url = {https://m2.mtmt.hu/api/publication/34833010},
	author = {Takács, Kristóf and Lukács, Eszter and Levendovics, Renáta and Pekli, Damján and Szijártó, Attila and Haidegger, Tamás},
	doi = {10.3390/s24092915},
	journal-iso = {SENSORS-BASEL},
	journal = {SENSORS},
	volume = {24},
	unique-id = {34833010},
	abstract = {Robot-Assisted Minimally Invasive Surgery (RAMIS) marks a paradigm shift in surgical procedures, enhancing precision and ergonomics. Concurrently it introduces complex stress dynamics and ergonomic challenges regarding the human–robot interface and interaction. This study explores the stress-related aspects of RAMIS, using the da Vinci XI Surgical System and the Sea Spikes model as a standard skill training phantom to establish a link between technological advancement and human factors in RAMIS environments. By employing different physiological and kinematic sensors for heart rate variability, hand movement tracking, and posture analysis, this research aims to develop a framework for quantifying the stress and ergonomic loads applied to surgeons. Preliminary findings reveal significant correlations between stress levels and several of the skill-related metrics measured by external sensors or the SURG-TLX questionnaire. Furthermore, early analysis of this preliminary dataset suggests the potential benefits of applying machine learning for surgeon skill classification and stress analysis. This paper presents the initial findings, identified correlations, and the lessons learned from the clinical setup, aiming to lay down the cornerstones for wider studies in the fields of clinical situation awareness and attention computing.},
	year = {2024},
	eissn = {1424-8220},
	orcid-numbers = {Takács, Kristóf/0000-0001-5417-6026; Lukács, Eszter/0009-0001-7585-281X; Levendovics, Renáta/0000-0002-3030-254X; Haidegger, Tamás/0000-0003-1402-1139}
}

@article{MTMT:34828410,
	title = {Insights into treatment of complex Crohn's perianal fistulas},
	url = {https://m2.mtmt.hu/api/publication/34828410},
	author = {Norčič, Gregor and Smrekar, Nataša and Marković, Srđan and Barišić, Goran and Kiudelis, Gediminas and Paužas, Henrikas and Molnár, Tamás and Szijártó, Attila and Šerclová, Zuzana and Roblek, Tina and Uršič, Viktor and White, Ian},
	doi = {10.1186/s12919-024-00291-4},
	journal-iso = {BMC PROCEEDINGS},
	journal = {BMC PROCEEDINGS},
	volume = {18},
	unique-id = {34828410},
	abstract = {Complex perianal fistula is a common complication of Crohn's disease (CD) which leads to negative impact on patient's quality of life. Successful management of the disease requires a multidisciplinary approach, including a gastroenterologist and a colorectal surgeon, applying combined surgical and medical therapy. One of frequently practiced surgical procedures is seton placement in the fistula tract, which is used to control perianal sepsis and drain the fistula, while preventing recurrent abscess formation.Darvadstrocel, a suspension of expanded, allogeneic, adipose-derived, mesenchymal stem cells, is safe and effective for treatment-refractory complex perianal fistulas in patients with Crohn's disease. Following approval of darvadstrocel, the INSPIRE registry is being conducted in order to evaluate long-term safety and effectiveness of the drug on a large, heterogenous population.An online expert meeting was held from March 20 to March 30, 2023, which provided relevant insights into the decision-making process regarding seton use and obtained feedback on the first experiences with darvadstrocel. The aim of this article is to present the perspectives from gastroenterologists and colorectal surgeons practicing in Czechia, Hungary, Israel, Lithuania, Serbia, and Slovenia in topics such as diagnosis and treatment options for patients with complex Crohn's perianal fistulas (CPF), specifically focusing on the use of setons and darvadstrocel.During this virtual session, unavailability of comprehensive data on safety and efficacy of available treatment procedures was emphasized as an important obstacle towards development of standardized recommendations and improvement of outcomes in treatment of (CPF). Furthermore, achieving consensus in seton use, duration of its placement, and frequency of change is recognized as one of CPF treatments major challenges. Despite these issues, it is important to promote better understanding and treatment of complex perianal fistulas in order to improve the quality of life of those affected by this condition.},
	keywords = {Crohn's disease; Multidisciplinary management; Surgical procedures; Perianal fistulas; long-term safety evaluation; treatment challenges; Darvadstrocel Therapy},
	year = {2024},
	eissn = {1753-6561},
	orcid-numbers = {Molnár, Tamás/0000-0002-4913-7599}
}

@article{MTMT:34734652,
	title = {Systematic review and quality assessment of clinical and economic evidence for superabsorbent wound dressings in a population with chronic ulcers},
	url = {https://m2.mtmt.hu/api/publication/34734652},
	author = {M Veličković, Vladica and Macmillan, Tom and Lones, Emma and Arlouskaya, Yana and Prieto, Pablo Arija and Webb, Neil and Crompton, Amy and Munro, Isobel and Carvalho, Viviane Fernandes and Szijártó, Attila and Bárdos, Dávid and Lin, YunNan and Chiao, HaoYu and Probst, Sebastian},
	doi = {10.1111/iwj.14750},
	journal-iso = {INT WOUND J},
	journal = {INTERNATIONAL WOUND JOURNAL},
	volume = {21},
	unique-id = {34734652},
	issn = {1742-4801},
	abstract = {Effective exudate management is key for optimal ulcer healing. Superabsorbent dressings are designed to have high fluid handling capacity, reduced risk of exudate leakage, fluid retention under compression, and to sequester harmful exudate components. This study aimed to systematically identify existing evidence for the clinical efficacy and cost-effectiveness of superabsorbent dressings for the treatment of moderate-to-highly exudating chronic ulcers of various etiologies. The aim is focused on examining the 'class' effect of all superabsorbers, not any particular dressing. Clinical and cost effectiveness systematic reviews were conducted, searching Embase, MEDLINE, the Cochrane Library, and the Cumulative Index to Nursing and Allied Health Literature. The Cost Effectiveness Analysis Registry and Econ papers were also searched for the economic review. Outcomes of interest included ulcer closure, dressing properties, hospital- and infection-related outcomes, safety, and economic outcomes. Fourteen studies were included in the clinical systematic review. Eleven were case series, with one randomised controlled trial, one retrospective matched observational study, and one retrospective cohort study. The studies investigated eight superabsorbent dressings and were heterogeneous in their patient population and outcomes. Superabsorbent dressings may result in favourable outcomes, including reductions in frequency of dressing change and pain scores. As most studies were case series, drawing firm conclusions was difficult due to absence of a comparator arm. The economic systematic review identified seven studies, five of which were cost-utility analyses. These suggested superabsorbent dressings are a more cost-effective option for the treatment of chronic ulcers compared with standard dressings. However, the small number and low quality of studies identified in both reviews highlights the need for future research.},
	keywords = {systematic review; clinical effectiveness; Cost-effectiveness; chronic ulcers; superabsorbent wound dressings},
	year = {2024},
	eissn = {1742-481X}
}

@article{MTMT:34571957,
	title = {Változások a felső gastrointestinalis tumorok kezelésében. A nyelőcső- és gyomortumorok ellátása a sebész szemszögéből},
	url = {https://m2.mtmt.hu/api/publication/34571957},
	author = {Vass, Tamás and Bán, Kinga and Bennemann, Stephan and Balázs, Ákos and Szijártó, Attila},
	doi = {10.1556/650.2024.32983},
	journal-iso = {ORV HETIL},
	journal = {ORVOSI HETILAP},
	volume = {165},
	unique-id = {34571957},
	issn = {0030-6002},
	abstract = {A felső gastrointestinalis traktus daganatai nagy mortalitású betegségek. Az elmúlt évtizedekben bekövetkezett technikai fejlődésnek köszönhetően a betegek túlélése jelentősen javult, de az átlagos 5 éves túlélés sem gyomor-, sem nyelőcsőtumorok esetén nem haladja meg a 35%-ot. A szűrőprogramot bevezető országokban a betegek gyakran korai stádiumban kerülnek felfedezésre, és ellátásuk endoszkópos úton is lehetséges. Az onkológia fejlődésével a tumorok terápiájának a multimodális megközelítés lett az alapja, ezzel mód nyílt az előrehaladott állapotú betegek mind nagyobb arányú kuratív célú kezelésére. A minimálisan invazív technikák térhódítása megfelelő onkológiai radikalitás mellett csökkentette a műtéti megterhelést és javította a posztoperatív felépülést. Az utóbbi években egyre nagyobb hangsúlyt kapott a betegek komplex előkészítése, így tovább javultak a műtéttel kapcsolatos morbiditási mutatók. Írásunkban összefoglaljuk a felső tápcsatorna daganatainak ellátásában az utóbbi évtizedekben bekövetkezett változásokat. Orv Hetil. 2024; 165(6): 203–210.},
	year = {2024},
	eissn = {1788-6120},
	pages = {203-210}
}

@article{MTMT:34501891,
	title = {Innovációk a colorectalis sebészetben},
	url = {https://m2.mtmt.hu/api/publication/34501891},
	author = {Bánky, Balázs and Fülöp, András and Bencze, Viktória and Lakatos, Lóránd and Rozman, Petra and Szijártó, Attila},
	doi = {10.1556/650.2024.32959},
	journal-iso = {ORV HETIL},
	journal = {ORVOSI HETILAP},
	volume = {165},
	unique-id = {34501891},
	issn = {0030-6002},
	abstract = {Összefoglaló cikkünkben a colon- és rectumcarcinomák sebészeti kezelésében az elmúlt években megjelent új elveket, új ötleteket és technológiákat tekintjük át. A tanulmány narratív összefoglalás, mely tematikusan kiemelt colorectalis sebészeti irodalmi ismeretek gyűjteményét adja két, a colorectalis sebészetben jártas sebész független válogatása alapján. A coloncarcinomák esetében a komplett mesocolon-excisiót (CME), illetve a radikális lymphadenectomiát, a jobb és bal colonfél tumorainak biológiai eltéréseit, valamint a tumorbiológiai jellemzők alapján a neoadjuváns gyógyszeres kezelés lehetőségeit értékeljük. A rectumcarcinomák sebészeti megoldásai közül a transanalis teljes mesorectum-excisio (TaTME), a robotsebészet, az intersphinctericus reszekciók, illetve a lymphadenectomia radikalitásának kérdései, végül a szervkímélő rectumsebészet kerül tárgyalásra. A colon- és a rectumcarcinoma sebészete mára jelentősen eltérő utakra jutott. A technikai, technológiai innováció nyújtotta lehetőségeket a patológiai, onkológiai ismeretekkel összhangban személyre szabott terápiás lehetőségekként indokolt a mindennapokban multidiszciplináris döntés alapján alkalmazni. Orv Hetil. 2024; 165(2): 43–50.},
	keywords = {innovation; surgery; innováció; SEBÉSZET; CME; Colorectal; TaTME; Colorectalis},
	year = {2024},
	eissn = {1788-6120},
	pages = {43-50},
	orcid-numbers = {Bánky, Balázs/0000-0002-4297-9072}
}

@article{MTMT:34501723,
	title = {Low-Dose vs Standard-Dose Valganciclovir for Cytomegalovirus Prophylaxis After Kidney Transplantation: A Single-Center Retrospective Analysis},
	url = {https://m2.mtmt.hu/api/publication/34501723},
	author = {Farkas, Katalin and Varga, Marina and Dinnyes, Izabella and Rem, Lili and Telkes, Gábor and Wágner, László József and Remport, Ádám and Piros, László and Szijártó, Attila and Huszty, Gergely},
	doi = {10.1016/j.transproceed.2023.11.021},
	journal-iso = {TRANSPLANT PROC},
	journal = {TRANSPLANTATION PROCEEDINGS},
	volume = {56},
	unique-id = {34501723},
	issn = {0041-1345},
	abstract = {Prophylactic administration of valganciclovir (VG) is an accepted method for the prevention of cytomegalovirus (CMV) infection after kidney transplantation (KTx). The standard dosage of oral VG is 900 mg/day, adjusted to renal function. There is growing evidence that low-dose 450 mg/day VG might be safe and effective. We compared low-dose vs standard-dose prophylaxis after KTx in a single-center follow-up study.Data from 603 renal transplantations at a single center were retrospectively analyzed (2011-2014, 12-month follow-up). Recipients with donor IgG positive-recipient IgG positive (D+/R+), (D+/R-), and (D-/R+) CMV serostatus were routinely treated with 450 mg/day VG for 3 months. Based on the same prophylactic dose, patients could be categorized into two groups according to their postoperative renal function: those receiving standard-dose VG due to a lower estimated glomerular filtration rate (eGFR) (average eGFR<60 mL/min/1.73 m2) and those receiving low-dose VG due to higher eGFR (average eGFR>60 mL/min/1.73 m2).Estimated glomerular filtration rate-based VG serum alterations significantly affected the risk of CMV infection with a higher incidence in higher VG levels (standard-dose: 357 patients, CMV: 33 cases (9.2 %); low-dose: 246 patients, CMV: 10 cases (4.1%). The occurrence of known risk factors: serologic risk distribution and rate of induction therapy were not statistically different between the 2 groups. Treatment of an acute rejection episode influenced the infection rate significantly in the standard-dose group. As a side effect of prophylaxis, leucopenia (<3G/L) was 2.46 times higher in standard-dose vs low-dose group.Low-dose VG administration is safe and non-inferior to the standard dose in the prophylaxis of CMV infection after KTx.},
	year = {2024},
	eissn = {1873-2623},
	pages = {105-110},
	orcid-numbers = {Varga, Marina/0000-0002-6192-8940; Telkes, Gábor/0000-0002-1551-5029; Wágner, László József/0000-0001-6806-4076; Piros, László/0000-0003-4841-220X}
}

@article{MTMT:34806299,
	title = {Az mRNS-alapú COVID-19 oltások hatékonysága májcirrhosisban szenvedő betegekben Magyarországon: multicentrikus összehasonlító kohorsz tanulmány},
	url = {https://m2.mtmt.hu/api/publication/34806299},
	author = {Drácz, Bálint and Müller, V. and Takács, I. and Hagymási, Krisztina and Dinya, E. and Miheller, Pál and Szijártó, Attila and Werling, Klára},
	journal-iso = {CENT EUR J GASTRO HEPATOL},
	journal = {CENTRAL EUROPEAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY / GASZTROENTEROLÓGIAI ÉS HEPATOLÓGIAI SZEMLE},
	volume = {9},
	unique-id = {34806299},
	keywords = {koronavírus; járvány},
	year = {2023},
	eissn = {2415-9107},
	pages = {74-74},
	orcid-numbers = {Drácz, Bálint/0000-0001-6034-6669; Hagymási, Krisztina/0000-0002-5859-1320; Miheller, Pál/0000-0003-3448-4333; Werling, Klára/0000-0002-8567-7947}
}

@article{MTMT:34806298,
	title = {Management of patients with pancreas divisum requiring endoscopic treatment - a single center experience},
	url = {https://m2.mtmt.hu/api/publication/34806298},
	author = {Gellért, Bálint and Szabó, A. and Cseh, Á. and Horváth, Miklós and Szijártó, Attila and Hritz, István},
	journal-iso = {CENT EUR J GASTRO HEPATOL},
	journal = {CENTRAL EUROPEAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY / GASZTROENTEROLÓGIAI ÉS HEPATOLÓGIAI SZEMLE},
	volume = {9},
	unique-id = {34806298},
	year = {2023},
	eissn = {2415-9107},
	pages = {79-79},
	orcid-numbers = {Gellért, Bálint/0000-0003-2356-6464; Horváth, Miklós/0000-0003-0661-3388; Hritz, István/0000-0002-8763-6006}
}

@article{MTMT:34806239,
	title = {Management of difficult biliary stone in a critically ill patient - a case report of a step-up approach},
	url = {https://m2.mtmt.hu/api/publication/34806239},
	author = {Gellért, Bálint and Vilmos, F. and Szijártó, Attila and Hritz, István},
	journal-iso = {CENT EUR J GASTRO HEPATOL},
	journal = {CENTRAL EUROPEAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY / GASZTROENTEROLÓGIAI ÉS HEPATOLÓGIAI SZEMLE},
	volume = {9},
	unique-id = {34806239},
	year = {2023},
	eissn = {2415-9107},
	pages = {80-80},
	orcid-numbers = {Gellért, Bálint/0000-0003-2356-6464; Hritz, István/0000-0002-8763-6006}
}

@article{MTMT:34806238,
	title = {Endoszkópos extraluminális vákuum terápia szerepe a felső tápcsatornai sebészeti beavatkozásokat követően kialakuló defektusok kezelésében - egyetemi centrum tapasztalatai},
	url = {https://m2.mtmt.hu/api/publication/34806238},
	author = {Papp, Veronika and Horváth, Miklós and Vass, Tamás and Bennemann, Stephan and Bán, K. and Balázs, Ákos and Puskás, L. and Dakó, Sarolta and Szijártó, Attila and Hritz, István},
	journal-iso = {CENT EUR J GASTRO HEPATOL},
	journal = {CENTRAL EUROPEAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY / GASZTROENTEROLÓGIAI ÉS HEPATOLÓGIAI SZEMLE},
	volume = {9},
	unique-id = {34806238},
	year = {2023},
	eissn = {2415-9107},
	pages = {96-97},
	orcid-numbers = {Horváth, Miklós/0000-0003-0661-3388; Hritz, István/0000-0002-8763-6006}
}