Turkish Journal of Surgery最新文献_第7页

The results of the same day and appointment colonoscopy in inadequate bowel cleansing; a randomized controlled trial. 当天和预约结肠镜检查结果在肠道清洁不足；一项随机对照试验。

IF 0.5

Turkish Journal of Surgery Pub Date : 2025-02-27 DOI: 10.47717/turkjsurg.2025.6541

Uğur Özsoy, Murat Yıldırım, Emin Daldal, Bülent Koca, Ali İhsan Sağlam, Sinan Cem Gül, Namık Özkan, Salih Yılmaz, İsmail Okan

{"title":"The results of the same day and appointment colonoscopy in inadequate bowel cleansing; a randomized controlled trial.","authors":"Uğur Özsoy, Murat Yıldırım, Emin Daldal, Bülent Koca, Ali İhsan Sağlam, Sinan Cem Gül, Namık Özkan, Salih Yılmaz, İsmail Okan","doi":"10.47717/turkjsurg.2025.6541","DOIUrl":"10.47717/turkjsurg.2025.6541","url":null,"abstract":"Objective: The aim of this study is to compare the results of repeat colonoscopies performed on the same day and by appointment in patients with inadequate bowel cleansing.Material and methods: The study was designed as a prospective randomized controlled study. Eighty patients with inadequate bowel cleansing detected in elective colonoscopies were included in the study. Patients were randomly divided into 2 groups: Group I: Same day group and Group II: Appointment day group. Same day colonoscopy group was given day hospitalization, sennoside A+B calcium was given and colonoscopy procedure was repeated. Patients in Group II were rescheduled and standard colonoscopy preparation protocol was applied. Boston bowel preparation scale (BBPS) was used for bowel preparation quality. Cecal intubation time, cecal intubation rate, procedure time, BBPS score and polyp detection rate were compared between the groups.Results: In the same-day group, 52.5% of the patients were female while 45.9% were female in the appointment group. There was no significant difference between the two groups in terms of age or gender (p>0.05). The rate of cecum intubation was higher in the same-day group than it was in the appointment group (p=0.022). The total BBPS score was 7.9±1.79 in the same-day group and 6.89±2.23 in the appointment group, and the difference was statistically significant (p=0.03). When the two groups were compared in terms of tolerability of the procedure, no difference was detected (p>0.05).Conclusion: Same-day colonoscopy is an effective method and can be performed safely in patients with inadequate bowel cleansing.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"41 1","pages":"61-68"},"PeriodicalIF":0.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516851","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

Massive intestinal mesenteric portal vein ischemia: Percutaneous endovascular thrombolysis as minimally invasive step-up approach. 大面积肠系膜门静脉缺血：经皮血管内溶栓作为微创强化方法。

IF 0.5

Turkish Journal of Surgery Pub Date : 2025-02-27 DOI: 10.47717/turkjsurg.2021.5209

Carlos Augusto Gomes, Thaiza de Souza Filgueiras, Alice M Carvalho, Massimo Sartelli, Belinda De Simone, Fausto Catena

{"title":"Massive intestinal mesenteric portal vein ischemia: Percutaneous endovascular thrombolysis as minimally invasive step-up approach.","authors":"Carlos Augusto Gomes, Thaiza de Souza Filgueiras, Alice M Carvalho, Massimo Sartelli, Belinda De Simone, Fausto Catena","doi":"10.47717/turkjsurg.2021.5209","DOIUrl":"10.47717/turkjsurg.2021.5209","url":null,"abstract":"Acute mesenteric ischemia represents a group of diseases, which lead to an abrupt interruption of blood flow to the small intestine resulting in intestinal necrosis. Its first symptoms are vague and in the majority of cases nonspecific, so the diagnostic suspicion is of the utmost importance to establish the correct diagnostic and prompt treatment. It is a complex and difficult event, that needs a multidisciplinary approach involving different specialties such as gastrointestinal and vascular surgeons, interventional radiologists, and expertise from the acute care unit team. The fundamental aspect is the precocity of diagnostic based on abdominal computed angio-tomography and the immediate re-establishment of blood supply to the affected areas. In this report, we introduce a case of a patient with mesenteric venous thrombosis, who has beenundergone a percutaneous endovascular treatment (portal-mesenteric mechanical thrombectomy, besides an intravenous thrombolytic infusion), due to poor clinical response after anticoagulation approach that needed mechanical ventilation.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"41 1","pages":"98-101"},"PeriodicalIF":0.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516785","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

Self-confidence, communication skills, and a solution-focused approach in organ transplantation coordinators: Descriptive study. 器官移植协调员的自信、沟通技巧和解决方案：描述性研究。

IF 0.5

Turkish Journal of Surgery Pub Date : 2025-02-27 DOI: 10.47717/turkjsurg.2025.6606

Dilek Soylu

{"title":"Self-confidence, communication skills, and a solution-focused approach in organ transplantation coordinators: Descriptive study.","authors":"Dilek Soylu","doi":"10.47717/turkjsurg.2025.6606","DOIUrl":"10.47717/turkjsurg.2025.6606","url":null,"abstract":"Objective: The acquisition of communication skills, which form the basis of solution-focused thinking, also develops self-confidence in organ transplantation coordinators, enabling them to plan appropriate care in the organ donation process. The aim of this study was to determine the levels of self-confidence, communication skills, and solution-focused approaches in organ transplantation coordinators.Material and methods: A descriptive and correlational study. The study was conducted with 203 organ transplantation coordinators in Türkiye between August and September 2023. The data were collected using a personal information form, the self-confidence scale, the communication skills scale, and the solution-focused inventory.Results: A positive, weak correlation was determined between the solution-focused inventory and communication skills (r=0.261, p<0.001) and self-confidence (r=0.269, p<0.001), and a positive high-level correlation was determined between communication skills and self-confidence (r=0.811, p<0.001). Self-confidence (β=0.614) and the solution-focused approach inventory (β=0.076) explained 65.6% of the communication skills (corrected R2=0.656).Conclusion: The solution-focused approach and self-confidence were found to increase the communication skills of the organ transplantation coordinator.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"41 1","pages":"47-55"},"PeriodicalIF":0.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516789","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

Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) for pediatric mesenchymal hamartoma: A case report. 联合肝分区和门静脉结扎用于分阶段肝切除术（ALPPS）治疗儿童间充质错构瘤：1例报告。

IF 0.5

Turkish Journal of Surgery Pub Date : 2025-02-27 DOI: 10.47717/turkjsurg.2025.6696

Alvin Caballes, Kristian Alexis De Lara

引用次数: 0

Diagnostic value of vascular endothelial growth factor (VEGF) levels in gastrointestinal cancers with ascites - A cross sectional study. 血管内皮生长因子（VEGF）水平在伴有腹水的胃肠道肿瘤中的诊断价值-横断面研究。

IF 0.5

Turkish Journal of Surgery Pub Date : 2025-02-27 DOI: 10.47717/turkjsurg.2025.6592

Evangeline Mary Kiruba Samuel, Sudharsanan Sundaramurthi, Nandeesha Hanumanthappa, Vishnu Prasad Nelamangalaramakrishnaiah

{"title":"Diagnostic value of vascular endothelial growth factor (VEGF) levels in gastrointestinal cancers with ascites - A cross sectional study.","authors":"Evangeline Mary Kiruba Samuel, Sudharsanan Sundaramurthi, Nandeesha Hanumanthappa, Vishnu Prasad Nelamangalaramakrishnaiah","doi":"10.47717/turkjsurg.2025.6592","DOIUrl":"10.47717/turkjsurg.2025.6592","url":null,"abstract":"Objective: Malignant ascites is suggestive of peritoneal carcinomatosis. The distinction between malignant and non-malignant ascites in a patient with malignancy is important, as it alters the management and prognosis. Current diagnostic methods are imaging, cytology, and diagnostic laparoscopy, all of which have low sensitivities. The vascular endothelial growth factor (VEGF) is essential for tumour growth and, hence, ascitic VEGF levels can be a diagnostic method for malignant ascites.Material and methods: This cross-sectional study was conducted in patients with gastrointestinal malignancies and ascites. The calculated sample size was 68 patients, who were divided into those who were truly positive or negative for malignant ascites based on a composite gold standard, comprising cytology, contrast enhanced computed tomography, and laparoscopy. The ascitic VEGF levels in these patients were compared.Results: A total of 84 patients were enrolled, of whom 60.71% were found to have malignant ascites. It was found that the greater the volume of ascites, the greater the statistical likelihood of finding truly malignant ascites. The ascitic VEGF levels had a non-normal distribution, with median values of 783.64 and 41.12 pg/mL for malignant and non-malignant ascites (p<0.001). Using a receiver operating characteristics curve, a cut-off of 83.68 pg/mL was obtained, with a sensitivity of 100% and a specificity of 93.94%.Conclusion: This study demonstrates that ascitic VEGF levels are significantly elevated in patients with gastrointestinal malignancies and malignant ascites and hence can reliably be used for diagnosing malignant ascites. This study also shows that massive ascites and well-differentiated tumours have a higher rate of peritoneal carcinomatosis.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"41 1","pages":"78-84"},"PeriodicalIF":0.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516841","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 identification and ligation of the parotid duct during parotidectomy. 腮腺切除术中腮腺导管的识别和结扎。

IF 0.5

Turkish Journal of Surgery Pub Date : 2025-02-27 DOI: 10.47717/turkjsurg.2025.6339

Amr Abouzid, Mosab Shetiwy, Mohamed Hamdy, Mohamed Ezzat, Mohamed Abd Elghaffar

{"title":"The identification and ligation of the parotid duct during parotidectomy.","authors":"Amr Abouzid, Mosab Shetiwy, Mohamed Hamdy, Mohamed Ezzat, Mohamed Abd Elghaffar","doi":"10.47717/turkjsurg.2025.6339","DOIUrl":"10.47717/turkjsurg.2025.6339","url":null,"abstract":"Objective: The complication rates after parotidectomy were reported to be 13-29% and many techniques were implemented to decrease these post-parotidectomy complications.Material and methods: Between August 2016 and June 2022, one hundred and twenty-five patients with parotid tumors had parotidectomy and ligation of the main parotid duct in the Department of Surgical Oncology, Oncology Center, Mansoura University with the observation of its effect on the postoperative outcomes.Results: Superficial parotidectomy was performed in 87 (69.6%) patients, total parotidectomy in 31 (24.8%) patients, and quadrantectomy in 7 (5.6%) patients. The operative time was 130.76±51.5 min, and the blood loss was 81.32±45.02 mL. A suction drain was placed in 106 patients and a non-suction drain was used in 19 patients. Postoperative complications included facial nerve morbidity in 12% of the patients, bleeding in 1 patient, seroma in 5 patients, edema in 1 patient, wound gap in 1 patient, wound infection in 1 patient, and keloid in 1 patient.Conclusion: The identification and ligation of the main parotid duct during parotidectomy has favorable impacts on the incidence of post-parotidectomy complications such as salivary fistula, seroma, sialocele, and wound infections.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"41 1","pages":"92-97"},"PeriodicalIF":0.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516849","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

Pathologic results of laparoscopic cholecystectomy specimens with 8148 patients in a single center. 单中心8148例腹腔镜胆囊切除术标本病理分析。

IF 0.5

Turkish Journal of Surgery Pub Date : 2025-02-27 DOI: 10.47717/turkjsurg.2025.6529

Hikmet Pehlevan Özel, Tolga Dinç

{"title":"Pathologic results of laparoscopic cholecystectomy specimens with 8148 patients in a single center.","authors":"Hikmet Pehlevan Özel, Tolga Dinç","doi":"10.47717/turkjsurg.2025.6529","DOIUrl":"10.47717/turkjsurg.2025.6529","url":null,"abstract":"Objective: The aim of this study was to investigate the frequency of incidental pathologies detected in the surgical specimens of patients who underwent laparoscopic cholecystectomy in high-volume referral center, which accepts patients from different regions of our country, and to contribute to epidemiological studies.Material and methods: Male and female patients over 18 years of age who underwent laparoscopic cholecystectomy between July 2010 and May 2019 were included in the study. All surgical specimens were taken for pathologic examination. The pathology results were classified into three categories: Benign pathologies (including cholecystitis, non-neoplastic lesions and benign tumors), premalignant pathologies and malignant pathologies.Results: The study included a total of 8148 patients. The mean age was 49.74±14.51 years (minimum 18, maximum 94) and 72.2% of the patients were female. Benign pathologies included cholecystitis in 1742 (21.4%), non-neoplastic lesions in 6203 (76.1%) and benign tumors in 12 (0.1%), premalignant pathologies in 173 (2.1%) and malignant pathologies in 18 (0.2%). Although no statistically significant gender difference was observed between benign, premalignant and malignant pathologies, the incidence of premalignant and malignant pathologies increased with age (p=0.273, p<0.001, respectively).Conclusion: In this study of 8148 patients, incidental premalignant and malignant pathologies were identified in 2.1% and 0.2% of cases, respectively, which is consistent with the findings of literature. These results may be instructive for epidemiologic studies.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"41 1","pages":"42-46"},"PeriodicalIF":0.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516786","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

Double jeopardy: The aortic-diaphragmatic injury complex. 双重危险：主动脉-膈肌损伤复合体。

IF 0.5

Turkish Journal of Surgery Pub Date : 2025-02-27 DOI: 10.47717/turkjsurg.2025.6720

Vitor Favali Kruger, Murilo Luciano Langoni, Cristhian Jaillita Meneses, Thiago A R Calderan, Elcio S Hirano, Gustavo Pereira Fraga

{"title":"Double jeopardy: The aortic-diaphragmatic injury complex.","authors":"Vitor Favali Kruger, Murilo Luciano Langoni, Cristhian Jaillita Meneses, Thiago A R Calderan, Elcio S Hirano, Gustavo Pereira Fraga","doi":"10.47717/turkjsurg.2025.6720","DOIUrl":"10.47717/turkjsurg.2025.6720","url":null,"abstract":"Objective: Concurrent traumatic diaphragmatic hernia (TDH) and blunt thoracic aortic injury (BTAI) are rare but critical injury complexes that result from high-energy trauma mechanisms. This study analyzed the epidemiology, diagnostic approaches, risk factors, and outcomes of concurrent TDH and BTAI and proposed a structured treatment algorithm.Material and methods: A retrospective analysis was performed using trauma records from a level 1 trauma center (2004-2024). Four male patients with confirmed concurrent TDH and BTAI were included in the study. Data on demographics, injury characteristics, diagnostic methods, treatment, and outcomes were collected. Statistical analyses were conducted using appropriate tests.Results: All injuries were caused by high-energy traumas. Mean injury severity score was 38 and the revised trauma score was 6.58. A massive transfusion protocol was activated in 75.0% of cases. Diagnostic imaging showed varying accuracies, with computed tomography demonstrating superior sensitivity for both injuries. All TDH were left-sided posterolateral and BTAI predominantly involved the isthmus. Management followed a sequential approach, with 75.0% of diaphragmatic repairs preceding the aortic intervention. Mean hospital stay was 33 days, with complications including infections, deep vein thrombosis, and atelectasis. Despite the high severity of the injury, all patients survived.Conclusion: Concurrent TDH and BTAI are rare, but critical injury complexes. Early recognition through structured diagnostic protocols and sequential management guided by institutional capabilities can achieve favorable outcomes despite high injury severity.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"41 1","pages":"31-41"},"PeriodicalIF":0.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516843","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

A global journal with deep local roots: Turkish Journal of Surgery. 具有深厚本地根基的全球期刊：土耳其外科杂志。

IF 0.5

Turkish Journal of Surgery Pub Date : 2024-12-27 eCollection Date: 2024-12-01 DOI: 10.47717/turkjsurg.2024.20240401

Kaya Saribeyoğlu

引用次数: 0

Surgical results of liver metastases of tumors other than colorectal-neuroendocrine: Is it really worth it or is it necessary? 非结直肠-神经内分泌肿瘤肝转移的手术结果：真的值得还是必要？

IF 0.5

Turkish Journal of Surgery Pub Date : 2024-12-27 eCollection Date: 2024-12-01 DOI: 10.47717/turkjsurg.2024.6474

Fuat Aksoy, Erhan Gökçe, Eyüp Anıl Balkan, Halit Ziya Dündar, Ekrem Kaya

{"title":"Surgical results of liver metastases of tumors other than colorectal-neuroendocrine: Is it really worth it or is it necessary?","authors":"Fuat Aksoy, Erhan Gökçe, Eyüp Anıl Balkan, Halit Ziya Dündar, Ekrem Kaya","doi":"10.47717/turkjsurg.2024.6474","DOIUrl":"10.47717/turkjsurg.2024.6474","url":null,"abstract":"Objectives: It is known that surgical treatment is advantageous in terms of efficacy and survival in colorectal cancer and neuroendocrine tumor liver metastases. Our aim in this study was to determine the results of surgical treatment of non-colorectal (NCR), non-neuroendocrine tumor (NNET) liver metastases (LM).Material and methods: A total of 125 patients having NCR and NNET were included in the study. Demographic characteristics of the patients, histological features of the tumor, time from resection of the primary tumor to the first diagnosis of liver metastases, synchronous and metachronous presentations of hepatic metastases with primary malignancy, type of resection, postoperative complications, length of hospital stay, and survival were analyzed retrosepctively.Results: Median follow-up time was 21 (1-132) months. Mean overall survival (OS) and mean proression free survival (PFS) were 29.86 ± 2.4 and 21.23 ± 2.1 months respectively. Most of the cases were LM of breast (n= 33, 26.4%), gastric (n= 25, 20.0%) and gastrointestinal stromal tumors (GIST) (n= 16, 12.8%). Interval from resection of primary tumor to the diagnosis of LM was 20.90 ± 28.9 (0-144) months. OS and DFS rates were found respectively as; 78% and 69% at one year, 45% and 38% at three years, 32% and 21% at five years and 3.2% and 1.6% at 10 years. Breast cancer liver metastases had the longest OS and PFS. Pancreatic cancer and gastric cancer group significantly have shorter OS than the other groups.Conclusion: According to our data, the results are better in breast and GIST liver metastases, and the place of surgical treatment in pancreatic and malignant melanoma liver metastases is controversial.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"267-274"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469109","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