Turkish Journal of Surgery最新文献

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Primary pancreatic hydatid disease: A rare presentation of echinococcosis. 原发性胰腺包虫病:棘球蚴病的一种罕见表现。
IF 0.6
Turkish Journal of Surgery Pub Date : 2023-12-29 eCollection Date: 2023-12-01 DOI: 10.47717/turkjsurg.2023.4768
Mehmet Köstek, Özgür Bostancı, Muharrem Battal, Hüseyin Alkım
{"title":"Primary pancreatic hydatid disease: A rare presentation of echinococcosis.","authors":"Mehmet Köstek, Özgür Bostancı, Muharrem Battal, Hüseyin Alkım","doi":"10.47717/turkjsurg.2023.4768","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.4768","url":null,"abstract":"<p><p>Hydatid disease is a zoonotic parasitic disease which rarely involves pancreas primarily. Diagnosis of pancreatic hydatid cyst is a challenge and operative skills are important to avoid spillage of cyst's content. A 19-year-old male patient was admitted to hospital with recurrent abdominal pain which was on epigastrium and left upper quadrant of abdomen. Pain was not associated with nausea, vomiting or fever. An abdominal computed tomography (CT) scan was ordered. As a result of abdominal CT scan, there was a cystic area in tail of pancreas with a diameter of 5.6 cm which includes septa and there was calcification on borders of the cyst. Possible diagnosis were either pancreatic hydatid disease, pancreatic cyst adenoma or cystadenocarcinoma or pseudocyst of autoimmune pancreatitis. Whole body positron emission tomography (PET-CT) scan showed no other cyst or lesion other than pancreatic cyst. Hydatid disease indirect hemagglutination test has been studied and it was positive. Imaging studies and laboratory results were suggested hydatid disease and laparoscopic distal pancreatectomy has been applied. Primary pancreatic hydatid disease should be in differential diagnosis when newly appearing pancreatic cyst has been diagnosed, especially in endemic areas. Appropriate surgical technique has to be applied to avoid dissemination of cyst's content.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 4","pages":"383-386"},"PeriodicalIF":0.6,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Questionnaire survey of virtual reality experiences of digestive surgery at a rural academic institute: A pilot study for pre-surgical education. 农村学术机构消化外科虚拟现实体验问卷调查:手术前教育试点研究。
IF 0.6
Turkish Journal of Surgery Pub Date : 2023-12-29 eCollection Date: 2023-12-01 DOI: 10.47717/turkjsurg.2023.6202
Atsushi Nanashima, Kengo Kai, Takeomi Hamada, Shun Munakata, Naoya İmamura, Masahide Hiyoshi, Kiyoaki Hamada, Ikko Shimizu, Yuki Tsuchimochi, Isao Tsuneyoshi
{"title":"Questionnaire survey of virtual reality experiences of digestive surgery at a rural academic institute: A pilot study for pre-surgical education.","authors":"Atsushi Nanashima, Kengo Kai, Takeomi Hamada, Shun Munakata, Naoya İmamura, Masahide Hiyoshi, Kiyoaki Hamada, Ikko Shimizu, Yuki Tsuchimochi, Isao Tsuneyoshi","doi":"10.47717/turkjsurg.2023.6202","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.6202","url":null,"abstract":"<p><p>We developed a prototype VR platform, VECTORS L&M (VLM), aiming to enhance the understanding of digestive surgery for students, interns, and young surgeons by limiting costs. Its efficacy was assessed via questionnaires before implementation in surgical education. The VLM provides nine-minute VR views of surgeries, from both 180- and 360-degree angles. It was created with L.A.B. Co., Ltd. and incorporates surgery videos from biliary malignancy patients. Following VLM development, a survey was conducted among surgeons who had experienced it. Twenty-eight participants (32% of observers) responded to the survey. A majority (81%) reported positive experiences with the VR content and showed interest in VR video production, though some reported sickness. Most respondents were experienced surgeons, and nearly all believed VR was important for medical education with a mean score of 4.14 on a scale of up to 5. VR was preferred over 3D printed models due to its application versatility. Participants expressed the desire for future VR improvements, such as increased mobility, cloud connectivity, cost reduction, and better resolution. The VLM platform, coupled with this innovative teaching approach, offers experiential learning in intraabdominal surgery, effectively enriching the knowledge of students and surgeons ahead of surgical education and training.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 4","pages":"328-335"},"PeriodicalIF":0.6,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safe postoperative outcomes following early cholecystectomy for acute calculus cholecystitis regardless of symptom onset. 急性结石性胆囊炎早期胆囊切除术后,无论症状出现与否,均可获得安全的术后效果。
IF 0.6
Turkish Journal of Surgery Pub Date : 2023-12-29 eCollection Date: 2023-12-01 DOI: 10.47717/turkjsurg.2023.6165
Joseph Do Woong Choi, Matthew John Fong, Aswin Shanmugalingam, Anoosha Aslam, Syed Aqeel Abbas Kazmi, Rukmini Kulkarni, Richard James Curran
{"title":"Safe postoperative outcomes following early cholecystectomy for acute calculus cholecystitis regardless of symptom onset.","authors":"Joseph Do Woong Choi, Matthew John Fong, Aswin Shanmugalingam, Anoosha Aslam, Syed Aqeel Abbas Kazmi, Rukmini Kulkarni, Richard James Curran","doi":"10.47717/turkjsurg.2023.6165","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.6165","url":null,"abstract":"<p><strong>Objectives: </strong>There is growing evidence for reduced post-operative complications, and lower hospital costs associated with early cholecystectomy for acute calculus cholecystitis (AC) compared to delayed surgery. Limited high-quality evidence exists for how early, if at all, should surgeons be operating emergently for AC based on symptom onset.</p><p><strong>Material and methods: </strong>Seven hundred seventy-four patients who had cholecystectomy performed by a single surgeon between January 2015-October 2022 were retrospectively reviewed. Five hundred fourty-one patients were analysed. Patients were divided into three groups based on symptom onset: Group 1: 0-72 hours (n= 305), Group 2: 72 hrs-1 week (n= 154) and Group 3: >1 week (n= 82).</p><p><strong>Results: </strong>Median operative time was most prolonged in Group 2 (96.5 minutes), and had the greatest proportion of reconstituting 95% cholecystectomies (n= 22/154, 14.29%) compared to Group 1 (p> 0.05). The conversion to open was between 0.65-1.64% in all groups. The greatest proportion of bile leak occurred in Group 1 (n= 7/305, 2.3%) followed by Group 3 (n= 1/82, 1.22%) (p> 0.05). All were successfully managed with ERCP and biliary stent. Median hospital stay was significantly prolonged in Group 2 (2.3 days) compared to Group 1 (2 days) (p= 0.03). The proportion of 95% cholecystectomies in Group 2 and 3 were not significant compared to Group 1.</p><p><strong>Conclusion: </strong>Early cholecystectomy for calculus cholecystitis, irrespective of the timing of symptoms appears to have safe postoperative outcomes. Surgeons do not necessarily need to limit early cholecystectomy for within 72 hours of symptom onset.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 4","pages":"321-327"},"PeriodicalIF":0.6,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adult idiopathic hypertrophic pyloric stenosis presenting with gastroduodenal intussusception: A rare case report. 成人特发性肥厚性幽门狭窄伴有胃十二指肠肠套叠:罕见病例报告。
IF 0.6
Turkish Journal of Surgery Pub Date : 2023-12-29 eCollection Date: 2023-12-01 DOI: 10.47717/turkjsurg.2023.4552
Loo Guo Hou, Baharudin Nadia Nafasha, Hameed Sultan Mohamed Arif, Rajan Reynu, Ritza Kosai Nik, Rasul Hamidi Lizawati
{"title":"Adult idiopathic hypertrophic pyloric stenosis presenting with gastroduodenal intussusception: A rare case report.","authors":"Loo Guo Hou, Baharudin Nadia Nafasha, Hameed Sultan Mohamed Arif, Rajan Reynu, Ritza Kosai Nik, Rasul Hamidi Lizawati","doi":"10.47717/turkjsurg.2023.4552","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.4552","url":null,"abstract":"<p><p>Adult idiopathic hypertrophic pyloric stenosis (AIHPS) is a rare entity first described by Cruveilhier in 1835. There are only approximately 200 cases reported in the English literature to date. Histologically, it may be mistaken for spindle cell neoplasms such as gastrointestinal stromal tumour (GIST). Patients with AIHPS usually present with early satiety, abdominal fullness, postprandial vomiting, epigastric pain, and eructations. Adult intussusception is rare and only accounts for 5% of all intussusceptions. Gastroduodenal intussusception is one of the rare types of adult intussusception. This is more likely to occur when a benign or malignant stomach lesion acts as a lead point. We report a case of AIHPS in a 70-year-old lady presenting with gastroduodenal intussusception. An oesophagogastroduodenoscopy (OGDS) was performed, and it revealed a diffusely thickened and narrowed pyloric antrum. A contrasted computed tomography (CECT) of the thorax and abdomen showed a distended stomach with circumferential thickening of the pylorus. The pre-pyloric antrum was intussuscepting into the pylorus, and the apex is seen within the first part of duodenum. She underwent distal gastrectomy with a Roux-en-y reconstruction via laparoscopic approach and was discharged well. AIHPS is a rare condition and should be a differential in adults presenting with gastric outlet obstruction. We believe in cases of AIHPS presenting with gastroduodenal intussusception, a distal gastrectomy with reconstruction is a reasonable approach. A multidisciplinary approach is essential to obtain the best outcome.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 4","pages":"377-382"},"PeriodicalIF":0.6,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The silent threat: A retrospective study of right-sided traumatic diaphragmatic hernias in a university hospital. 无声的威胁一家大学医院对右侧外伤性膈疝的回顾性研究。
IF 0.6
Turkish Journal of Surgery Pub Date : 2023-12-29 eCollection Date: 2023-12-01 DOI: 10.47717/turkjsurg.2023.6271
Vitor F Kruger, Thiago A R Calderan, Elcio S Hirano, Gustavo P Fraga
{"title":"The silent threat: A retrospective study of right-sided traumatic diaphragmatic hernias in a university hospital.","authors":"Vitor F Kruger, Thiago A R Calderan, Elcio S Hirano, Gustavo P Fraga","doi":"10.47717/turkjsurg.2023.6271","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.6271","url":null,"abstract":"<p><strong>Objectives: </strong>In hospital attendance, 75% of diaphragmatic hernias occur on left as opposed to 25% on the right side. Right side hernias are associated with abdominal injuries, mainly the liver. However, right-side injuries are frequently underdiagnosed due to the complexity of associated injuries and high mortality rates. The aim of this study was to perform a retrospective analysis of records from our clinical experience to investigate demographics, TM, diagnosis, morbidity, and mortality associated with right sided TDH. These findings may provide insights into improving the clinical management of patients with this serious injury, potentially reducing morbidity and mortality rates.</p><p><strong>Material and methods: </strong>Retrospective analysis of the medical records of patients from the trauma database of the Division of Trauma Surgery at University of Campinas in 32-year period was performed. Only records of patients with right sided TDH were included in the analysis.</p><p><strong>Results: </strong>Blunt trauma was the most common mechanism. Diagnoses were made by laparotomy in eight cases, all these cases were hemodynamically unstable. TDH grade III injury occurred in most cases followed by grade IV. Liver injuries were present in almost all cases, most of them high grade, followed by colon and small bowel. Extra-abdominal associated injuries with a predominance of femur fractures, pelvic fractures and hemothorax. Post-operative complications were associated with length of stay in intensive care unit. Pneumonia was the most frequent complication. The overall mortality rate was 16%.</p><p><strong>Conclusion: </strong>Most diagnoses were performed through laparotomy and not by radiologic exams, due to hemodynamic instability on admission. There is underdiagnosis of right-side TDH due to the high-energy trauma mechanism with high grade associated injuries and mortality on pre-hospital.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 4","pages":"365-372"},"PeriodicalIF":0.6,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Translation and validation of Indonesian hemorrhoidal disease symptom score (HDSS) and short health scale hemorrhoidal disease (SHSHD). 印度尼西亚痔疮疾病症状评分(HDSS)和痔疮疾病简易健康量表(SHSHD)的翻译和验证。
IF 0.6
Turkish Journal of Surgery Pub Date : 2023-12-29 eCollection Date: 2023-12-01 DOI: 10.47717/turkjsurg.2023.6148
Fadli Robby Amsriza, Rizka Fakhriani, Asmaya Aji Pangki
{"title":"Translation and validation of Indonesian hemorrhoidal disease symptom score (HDSS) and short health scale hemorrhoidal disease (SHSHD).","authors":"Fadli Robby Amsriza, Rizka Fakhriani, Asmaya Aji Pangki","doi":"10.47717/turkjsurg.2023.6148","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.6148","url":null,"abstract":"<p><strong>Objectives: </strong>Hemorrhoidal disease, which affects nearly 40% of people, is characterized by pathological alterations and distal displacement of hemorrhoidal tissue. The short health scale (SHSHD) and the hemorrhoidal disease symptom score (HDSS) are two tools that can be utilized to assess the quality of life of hemorrhoidal patients. The present study aims to translate, modify, and validate the HDSS and SHSHD questionnaires in Indonesian.</p><p><strong>Material and methods: </strong>This cross-sectional study assessed the validity and reliability of the HDSS and SHSHD Indonesian adaptation instrument in hemorrhoidal patients from April 15, 2022, and April 1, 2023.</p><p><strong>Results: </strong>There were 91 study subjects, 55 males and 36 females. The study showed that the subscale interpretations of the R-values and the full scale scored above 0.25, indicating weak to very strong correlations. These results mean that the HDSS and SHSHD questionnaires are valid for use. Based on the study's results, the R-value of each item, domain, and total score ≥0.8 (p <0.05) indicates that the HDSS and SHSHD instruments are reliable.</p><p><strong>Conclusion: </strong>The Indonesian adaptation of the HDSS and SHSHD demonstrates validity and reliability as an assessment tool for measuring the healthrelated quality of life in Indonesian patients diagnosed with hemorrhoidal disease.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 4","pages":"336-343"},"PeriodicalIF":0.6,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to do it: Splenic flexure mobilisation via medial trans-mesocolic approach. 如何操作通过经内侧结肠途径进行脾曲活动。
IF 0.6
Turkish Journal of Surgery Pub Date : 2023-12-29 eCollection Date: 2023-12-01 DOI: 10.47717/turkjsurg.2023.6258
Binura Buwaneka Wijesinghe Lekamalage, Anh Ngoc Vu, Lucinda Jane Duncan-Were, Asiri Arachchi, Andrew Bui
{"title":"How to do it: Splenic flexure mobilisation via medial trans-mesocolic approach.","authors":"Binura Buwaneka Wijesinghe Lekamalage, Anh Ngoc Vu, Lucinda Jane Duncan-Were, Asiri Arachchi, Andrew Bui","doi":"10.47717/turkjsurg.2023.6258","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.6258","url":null,"abstract":"<p><p>Complete splenic flexure mobilization is a critical step in left-sided colorectal resections. Surgeons use three approaches-anterior, medial, and lateral-to divide peritoneal ligaments connecting the left colon. The decision to perform mobilization varies, with minimal impact on post-operative outcomes but longer surgery times and rare complications. Pancreatic injury risk is low, though other structures, like arteries and the duodenum, may be at risk. Our video outlines the medial trans-mesocolic approach, with the patient positioned in lithotomy. We expose the duodenal-jejunal flexure, ligate the inferior mesenteric vein, and perform medial to lateral dissection, completing splenic flexure mobilization. This video vignette outlines how to perform this technique for left sided colorectal resections.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 4","pages":"387-388"},"PeriodicalIF":0.6,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does mechanical bowel preparation really prevent complications after colorectal surgery depending on the lesion localization? A myth or fact? 机械肠道准备真的能根据病变定位预防结直肠手术后并发症吗?神话还是事实?
IF 0.6
Turkish Journal of Surgery Pub Date : 2023-09-27 eCollection Date: 2023-09-01 DOI: 10.47717/turkjsurg.2023.6059
Sami Benli, Deniz Tikici, Caner Baysan, Mehmet Özgür Türkmenoğlu, Tahsin Çolak
{"title":"Does mechanical bowel preparation really prevent complications after colorectal surgery depending on the lesion localization? A myth or fact?","authors":"Sami Benli, Deniz Tikici, Caner Baysan, Mehmet Özgür Türkmenoğlu, Tahsin Çolak","doi":"10.47717/turkjsurg.2023.6059","DOIUrl":"10.47717/turkjsurg.2023.6059","url":null,"abstract":"<p><strong>Objectives: </strong>Despite being routinely used before elective colorectal surgery in most surgical clinics, mechanical bowel preparation (MBP) remains controversial. This study aimed to investigate postoperative complications and outcomes of right, left, or rectosigmoid resection without MBP.</p><p><strong>Material and methods: </strong>Patients who underwent elective colorectal surgery without mechanical bowel preparation and oral antibiotics between January 2011 and December 2021 were included in the study. Patients were categorized according to the side of resection, and these subgroups were compared for anastomotic leakage, surgical site infections (SSI), and overall morbidity measured using the Clavien-Dindo complication grade.</p><p><strong>Results: </strong>Data of 422 patients were analyzed. Overall anastomotic leakage was found in 14 patients (3.3%), SSI in 46 (10.9%), collection in 14 (3.3%), mortality in 18 (4.3%), and reoperation in 17 (%4) patients. Anastomotic leakage was observed in six (3.9%) in right colectomy, two (1.9%) in left colectomy, and in six (3.7%) patients in the rectosigmoid resection group when the groups were evaluated separately. There was no statistical difference between the groups (p= 0.630). Furthermore, there was no statistical difference between the groups regarding collection and reoperation (p values were p= 0.31, and p= 0.251, respectively).</p><p><strong>Conclusion: </strong>Study results showed that anastomotic leakage, surgical site infection, intra-abdominal collection, reoperation, and mortality rates were similar to the current literature obtained from the studies with mechanical bowel preparation. In addition, these results were found to be similar according to the resection site.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 3","pages":"222-230"},"PeriodicalIF":0.6,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How good is lobectomy for the Turkish population with papillary thyroid cancer? A clinicopathological evaluation. 对于患有甲状腺乳头状癌的土耳其人来说,肺叶切除术有多好?临床病理评价。
IF 0.6
Turkish Journal of Surgery Pub Date : 2023-09-27 eCollection Date: 2023-09-01 DOI: 10.47717/turkjsurg.2023.6210
Can Konca
{"title":"How good is lobectomy for the Turkish population with papillary thyroid cancer? A clinicopathological evaluation.","authors":"Can Konca","doi":"10.47717/turkjsurg.2023.6210","DOIUrl":"10.47717/turkjsurg.2023.6210","url":null,"abstract":"<p><strong>Objectives: </strong>In modern practice, there is an increasing recommendation for higher utilization of lobectomy in the management of papillary thyroid cancer (PTC). However, in this decision where the optimal balance of locoregional recurrence and complication burden should be achieved, there are still conflicting results in the literature. The aim of this study was to evaluate the effect of high-risk factors in the Turkish population with PTC on the decision of hypothetical lobectomy.</p><p><strong>Material and methods: </strong>In this study, 96 PTC patients undergoing total thyroidectomy were retrospectively analyzed. Preoperative and postoperative evaluation differences and the impact of high-risk factors (tumor size, multifocality, extrathyroidal extension and central lymph node metastasis) on the decision for hypothetical lobectomy were investigated.</p><p><strong>Results: </strong>In all patients and lobectomy-eligible patients, postoperative evaluations of multifocality, contralateral multifocality, and central lymph node metastases were significantly higher than preoperative evaluations. Consequently, postoperative evaluation revealed that completion thyroidectomy would be required in 52.9% of 51 patients who were hypothetically suitable for lobectomy. Furthermore, comparisons of tumor size-based grouping in lobectomy and total thyroidectomy suitable patients showed similar high-risk factor distribution except for central lymph node metastasis for tumors <10 mm and contralateral multifocality between 11-20 mm.</p><p><strong>Conclusion: </strong>Completion thyroidectomy will be required in approximately half of the patients evaluated as suitable for lobectomy in the treatment of PTC in the Turkish population. In the treatment decision, in which many patient- and surgeon-related factors are influential, each patient should be considered separately.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 3","pages":"249-257"},"PeriodicalIF":0.6,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coexisting of small bowel perforation and abdominal cocoon syndrome: A case report. 小肠穿孔并发腹茧综合征1例。
IF 0.6
Turkish Journal of Surgery Pub Date : 2023-09-27 eCollection Date: 2023-09-01 DOI: 10.47717/turkjsurg.2022.4687
Emrah Akın, Fatih Altıntoprak, Emre Gönüllü, Fahri Yılmaz, Yasin Alper Yıldız
{"title":"Coexisting of small bowel perforation and abdominal cocoon syndrome: A case report.","authors":"Emrah Akın, Fatih Altıntoprak, Emre Gönüllü, Fahri Yılmaz, Yasin Alper Yıldız","doi":"10.47717/turkjsurg.2022.4687","DOIUrl":"10.47717/turkjsurg.2022.4687","url":null,"abstract":"<p><p>Abdominal cocoon syndrome (ACS) is a rare situation and has an unknown etiology. Patients are characterized by the development of intraabdominal fibrotic tissue surrounding the small intestine as a result of chronic inflammation of the peritoneum. Small bowel perforations due to foreign bodies are not frequent in clinical practice. The coexistence of these two rare situations are extremely uncommon. In this article, the radiological findings and treatment process of the patient who presented with acute abdomen syndrome findings and the association of these two rare conditions are presented.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 3","pages":"274-277"},"PeriodicalIF":0.6,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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