Turkish Journal of Surgery最新文献

{"title":"Clinical significances of liver fibrotic markers in patients with cholangiocarcinoma after radical resections.","authors":"Atsushi Nanashima, Masahide Hiyoshi, Naoya Imamura, Takeomi Hamada, Yuki Tsuchimochi, Takashi Wada, Ikko Shimizu, Takahiro Ochiai","doi":"10.47717/turkjsurg.2024.6486","DOIUrl":"10.47717/turkjsurg.2024.6486","url":null,"abstract":"<p><strong>Objectives: </strong>We examined the relation between several fibrotic markers reflecting liver parenchymal injury and conventional liver function or surgical outcomes in 67 patients with cholangiocarcinoma who underwent biliary drainage for obstructive jaundice followed by surgical resection.</p><p><strong>Material and methods: </strong>We examined conventional clinicopathological factors, six hepatic fibrosis parameters, including platelet count, hyaluronic acid, Mac-2 binding protein glycosylation isomer (M2BPGi), type IV collagen 7S, aspartate aminotransferase-to-platelet ratio index (APRI), and FIB-4 index before hepatectomy, and surgical outcomes or long-term prognosis.</p><p><strong>Results: </strong>Obstructive jaundice was observed in 57% of the patients, a history of biliary diseases in 7.5%, and chronic hepatic injuries in 17.9%. M2BPGi was significantly higher in patients with obstructive jaundice as the primary sign (p <0.05), the FIB-4 index was significantly correlated with patient age (p <0.01), and serum hyaluronic acid and T4C7 levels were significantly increased in distal cholangiocarcinoma (CC). No markers were associated with the histological hepatic fibrotic index, tumor-related factors, or postoperative morbidities. Tumor relapse was observed in 37% of patients, and cancer-related death was observed in 25%. A higher FIB-4 index was significantly associated with shorter cancer-free survival (p <0.05). Cox multivariate analysis showed that bilirubin levels, poor histological cancer differentiation, and absence of fibrotic markers were associated with cancer-free, cancer-specific overall, and overall survival.</p><p><strong>Conclusion: </strong>Although a sufficient relation exists between these markers and elastographic or histological fibrotic indexes, the clinical significance of measuring conventional fibrotic markers might no longer be necessary in future studies.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"283-295"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469143","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}

{"title":"First case of laparoscopic donor hepatectomy in Türkiye.","authors":"Aydın Alper, Cihan Karataş, Şenol Çarıllı, Nesimi Mecit, Münci Kalayoğlu, Turan Kanmaz","doi":"10.47717/turkjsurg.2022.5062","DOIUrl":"10.47717/turkjsurg.2022.5062","url":null,"abstract":"<p><p>Living donor liver transplantation is an important treatment option in countries like ours where cadaver donors are insufficient. This surgery is a major operation for the donor as well as the recipient. We should minimize the damage to donors who come for organ donation in a healthy way and minimize the risks of such a major surgery. For this purpose, we have explained the details of the first laparoscopic donor hepatectomy surgery performed in our country.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"357-360"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469104","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}

{"title":"Anal fissures in COVID-19 survivors: Incidence, risk factors, and outcomes.","authors":"Ahmad Sakr, Yousef Hesham, Hossam Elfeki, Mostafa Shalaby, Ahmed Hossam Elfallal, Amr Sameer","doi":"10.47717/turkjsurg.2024.6494","DOIUrl":"10.47717/turkjsurg.2024.6494","url":null,"abstract":"<p><strong>Objectives: </strong>In spite of COVID-19's typical presentation in the form of fever, cough, myalgia, and pneumonia, other gastrointestinal manifestations have been reported. Among the COVID-19 survivors, anal fissure has been documented. The aim of this study was to report the incidence of anal fissure among those patients, its possible risk factors and outcome.</p><p><strong>Material and methods: </strong>This is a retrospective cross-sectional study which was conducted on COVID-19 patients' who were diagnosed with anal fissure. Those who survived and were discharged home safely were contacted to pick up whether they suffered from any symptoms suggesting anal fissure, to identify the risk factors of anal fissure and their outcomes.</p><p><strong>Results: </strong>A total of 176 COVID-19 patients were enrolled in this study. The incidence of anal fissure among all patients was 36.9%. Patients were categorized into two groups; fissure and non-fissure groups. No significant difference was noted in the demographic data apart from age, which was younger in the fissure group. The majority of anal fissures resolved spontaneously after patients recovered from the COVID-19 symptoms with no specific treatment (43.1%).</p><p><strong>Conclusion: </strong>Anal fissure is quite a common problem in COVID-19 patients. Young and middle-aged patients are more vulnerable to develop anal fissure after COVID-19 infection.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"336-342"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469036","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}

{"title":"HER2 immunohistochemical expression and its association with clinicopathological features of gastric adenocarcinoma in Uganda.","authors":"Mohamed Kahiye, James Yahaya, Sam Kalungi, Hawa Nalwoga","doi":"10.47717/turkjsurg.2024.6501","DOIUrl":"10.47717/turkjsurg.2024.6501","url":null,"abstract":"<p><strong>Objectives: </strong>Despite the remarkable improvement in gastric adenocarcinoma treatment modalities, the prognosis of gastric adenocarcinoma remains poor. The purpose of this study was to determine the prevalence of HER2 immunohistochemical expression and its association with clinicopathological features of patients with gastric adenocarcinoma.</p><p><strong>Material and methods: </strong>This was a cross-sectional study which was conducted at the department of pathology. A total of 86 formalin fixed paraffin embedded tissue blocks of the patients who were confirmed histologically with gastric adenocarcinoma from January 2009 to December 2019 were included in the analysis. Laboratory requisition form and patients' files were used to extract the clinical and pathological data of the cases. Immunohistochemistry to assess HER2 overexpression was done using monoclonal (SP3 clone) rabbit anti-HER2/neu (Thermo Fisher Scientific-USA). Chi-square statistical test was used to determine the association of the clinicopathological characteristics with HER2 expression. P <0.05 was considered statistically significant.</p><p><strong>Results: </strong>Mean age of the patients included in the study was 58.5 ± 14.3 years, and over half 54.7% (n= 47) of the patients were males. Poorly cohesive non-signet ring types contributed most (47.7%) (n= 41) of the cases, and diffuse/mixed histological subtypes were more prevalent (57%) (n= 49) subtypes. Poorly differentiated cases accounted for the majority (66.3%) (n= 57) of the cases. The prevalence of HER2 immunohistochemical expression was 8.1% (n= 7). None of the clinicopathological characteristics were associated with HER2 expression.</p><p><strong>Conclusion: </strong>This study has shown almost every one in 10 patients with gastric adenocarcinoma may express HER2 when using immunohistochemistry test. However, the HER2 in this study was not associated with age, sex, tumor location, the nature of biopsy, histological subtypes, and tumor grade.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"328-335"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469105","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}

{"title":"Osteosarcoma metastatic to the thyroid gland: A rare case report.","authors":"Selen Soylu, Tülin Öztürk, İrem Onur, Lebriz Uslu, Serkan Teksöz","doi":"10.47717/turkjsurg.2022.4860","DOIUrl":"10.47717/turkjsurg.2022.4860","url":null,"abstract":"<p><p>Sarcoma is rarely seen in the thyroid gland and it is difficult to differentiate it from anaplastic thyroid carcinoma. Extraosseus osteosarcoma, a rare malignant nonepithelial neoplasia, can be seen in the thyroid gland, breast, soft tissue, and intraabdominal organs. A 31-year-old woman with a previous history of osteosarcoma of distal femur was presented with a constantly growing mass in her neck accompanied with progressive shortness of breath and worsening dysphagia. On physical examination, a 4 x 5 cm firm mass was palpated in the left lobe of her thyroid gland. Seven years ago, during her pregnancy, she was diagnosed with osteosarcoma of the distal femur and she received chemotherapy and radiotherapy after medical abortion. A year after her initial diagnosis, she underwent surgery for osteosarcoma. Two years later, pulmonary metastasis was detected incidentally in her control computed tomography. She was operated for pulmonary metastasis since there was no remission after chemotherapy. When she presented to the clinic with a neck mass, her thyroid function tests were within the normal range. On computed tomography scan, a 2.5 cm calcified lesion in left lobe of her thyroid gland was detected. Fine-needle aspiration of the thyroid mass displayed numerous discohesive pleomorphic tumors cells identical to osteosarcoma cells seen on her previous knee biopsy specimen. On positron emission tomography, a 3 x 3 x 4.5 cm hypermetabolic lesion with pathologic 18F-FDG uptake on the left side of her neck in thyroid cartilage level was detected. A bilateral total thyroidectomy was performed. The patient was discharged without any complications.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"353-356"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469108","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}

{"title":"Effectiveness of clinical examination and radiological investigations in the success of selective non-operative management of abdominal gunshot injuries.","authors":"Salah Mansor, Naman Ziu, Ayoub Bujazia, Ahmed Eltarhoni, Jamal Alsharif","doi":"10.47717/turkjsurg.2024.6597","DOIUrl":"10.47717/turkjsurg.2024.6597","url":null,"abstract":"<p><strong>Objectives: </strong>Non-operative management of abdominal gunshot injuries has become the standard care in the selected cases of modern surgery with an acceptable success rate to reduce the incidence of unnecessary laparotomies. In this study, an assessment was conducted to determine how the success of this form of management was impacted by physical examination and radiological investigation.</p><p><strong>Material and methods: </strong>This is a retrospective study that includes all consecutive penetrating abdominal gunshot wound patients who were admitted to the emergency department between February 2011 and December 2018. All patients with superficial gunshot wounds were excluded. The decision to perform a laparotomy on injured patients was the study's primary endpoint while the discharge of patients without surgery was its secondary endpoint.</p><p><strong>Results: </strong>Of 429 torso gunshot wound patients, 411 were males. Average age was 29.5 years. Forty-one (9.5%) were initially treated by selective nonoperative management. Five selective non-operative management patients underwent delayed laparotomy within 12 hours after admission without complication. In the end, 36 (88%) of the 41 patients were successfully treated without undergoing surgery, with only one patient developing pleural effusion and no mortality attributed to it. Of all injured patients, 45 (10.5%) patients had a negative laparotomy, with two of them subsequently developing an incisional hernia.</p><p><strong>Conclusion: </strong>The success rate of non-operative management of torso gunshot injuries can be increased significantly in stable patients by adopting the strategy of repeated physical examinations alone or in conjunction with simultaneous radiological imaging.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"303-311"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469090","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}

{"title":"Comparative outcomes of blunt and penetrating diaphragmatic ruptures: A single trauma center study.","authors":"Muhammed Kadir Yıldırak, Adnan Özpek, Hanife Şeyda Ülgür, Mert Gedik, Enes Sertkaya, Emre Furkan Kırkan, Fikret Ezberci, Hüseyin Kerem Tolan, Metin Yücel, Mehmet Muzaffer İslam","doi":"10.47717/turkjsurg.2024.6514","DOIUrl":"10.47717/turkjsurg.2024.6514","url":null,"abstract":"<p><strong>Objectives: </strong>Diaphragma rupture is an insidious case following thoracoabdominal trauma with significant morbidity and mortality rates, if left untreated. Its symptoms might be masked by other associated injuries, which are often present, especially following blunt trauma. Modern imaging modalities might overlook a present diaphragmatic rupture. The real challenge, therefore, lies in diagnosis rather than treatment. To shed more light on this entity, we shared our experience in this regard.</p><p><strong>Material and methods: </strong>A total of 51 patients were enrolled in the study between January, 2008 and October, 2023, with a diagnosis of diaphragma rupture. Two groups were created, namely patients with blunt trauma (PwBT) and patients with penetrating trauma (PwPT). They were evaluated in terms of demographics, clinical and laboratory findings, trauma associated variables, mechanism of injury, accompanying injuries, imaging results, operative approaches and mortality rates.</p><p><strong>Results: </strong>Mean age was 26 (22-33). 21.6% of the patients had blunt trauma. PwBT had significantly more extraabdominal site injuries and additional abdominal organ injuries (p <0.05). Glasgow coma scale and calculated revised trauma score values were significantly lower and injury severity scores values were significantly higher in PwBT (p <0.05). Significant thorax trauma accompanied 81.8% of PwBT and 40% of PwPT. Mortality was observed in 11.8% of the patients, with hemodynamic instability being the leading cause of death.</p><p><strong>Conclusion: </strong>A trauma surgeon must exercise great caution not to overlook a diaphragma rupture following, especially, blunt thoracoabdominal trauma since it is both a consequence and reason of significantly increased mortality and morbidity rates. Future studies should focus on various aspects of both diagnosis and management of this entity, such as increasing the preoperative diagnosis accuracy and requirement of mesh usage during defect closure and optimal approach to especially right sided penetrating thoracoabdominal injuries.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"312-319"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469149","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}

{"title":"The clinical presentation of Meckel's diverticulum: Eight years experience.","authors":"Lutfi Jarboa, Ahmad Zarour, Sherif Mustafa, Salahaldeen Dawdi, Idress Suliman, Tejeswe Gutti, Salah Mansor, Mohamed Said Ghali","doi":"10.47717/turkjsurg.2024.6446","DOIUrl":"10.47717/turkjsurg.2024.6446","url":null,"abstract":"<p><strong>Objectives: </strong>Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. It is commonly encountered during surgical practice as the cause of the patient's presentation or as an incidental finding during other unrelated procedures. This study aimed to evaluate the frequency of Meckel's diverticulum in our clinical practice and to provide an adequate level of knowledge of the clinical and diagnostic features and the management of Meckel's diverticulum.</p><p><strong>Material and methods: </strong>We analyzed the medical records of all cases who were diagnosed with Meckel's diverticulum at our hospital for over eight years. Age, sex, presentation, diagnostic procedures, surgical techniques, and histopathology were reviewed and analyzed.</p><p><strong>Results: </strong>A total of 104 patients were enrolled in our study. Mean age was 28.8 years, with male predominance in 92 (88.5%) patients. Symptomatic Meckel's diverticulum was detected in 80 (77%) patients and in 24 (23%) incidental findings. The most common emergency presentation was abdominal pain with 34 patients (42.5%), then intestinal obstruction with 20 patients (25%), bleeding per rectum with 12 patients (15%), acute abdomen with nine patients (11.3%), and intussusception with five patients (6.2%). Mean length of the Meckel's diverticulum was 4.3 centimeters. Small bowel resection was performed in 41 (45.1%) cases, stapled resection in 44 (48.3%), and ligated Meckel's base in 6 (6.4%). Ectopic gastric mucosa was the most common finding in histopathology in 30 (28.8%) patients.</p><p><strong>Conclusion: </strong>Our study supports that the longer Meckel's diverticulum is, the more prone it is to developing complications, and stapler resection and small bowel resection are considered safe techniques, as well as resection of incidental Meckel's diverticulum, which does not increase the risk of morbidity.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"343-348"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469110","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}

{"title":"The effect of preoperative vitamin D values on hypocalcemia after total thyroidectomy.","authors":"Manar Mahdi Qanbar, Selen Soylu, Serkan Teksöz","doi":"10.47717/turkjsurg.2024.6219","DOIUrl":"10.47717/turkjsurg.2024.6219","url":null,"abstract":"<p><strong>Objectives: </strong>Hypocalcemia is a common complication following thyroidectomy. Vitamin D plays a critical role in calcium regulation. This study aimed to investigate the relation between preoperative vitamin D levels and postoperative hypocalcemia.</p><p><strong>Material and methods: </strong>We conducted a retrospective analysis of 899 patients who underwent total thyroidectomy at our center between 2015 and 2020 due to multinodular goiter, atypia of undetermined significance, follicular lesions, and follicular neoplasia. Patients were excluded if they had a history of thyroid surgery, Graves' disease, renal failure, incidental parathyroidectomy, or received calcium or vitamin D supplementation before surgery. The patients were divided into two groups based on their preoperative vitamin D levels: Group 1 (n= 240) with levels <10 ng/mL, and Group 2 (n= 659) with levels ≥10 ng/mL. Demographic characteristics and pre- and postoperative laboratory values were compared between the groups.</p><p><strong>Results: </strong>The female-to-male ratio was 3.22, with an average vitamin D level of 18.94 ± 13.28 ng/mL. Vitamin D levels were significantly lower in women compared to men (p= 0.001). In Group 1, the rates of asymptomatic and symptomatic postoperative hypocalcemia were 17.1% and 6.7%, respectively; while in Group 2, these rates were 11.2% and 3.2% (p= 0.020). The average preoperative vitamin D level was 14.79 ± 9.4 ng/mL in patients who developed hypocalcemia and 19.12 ± 13.4 ng/mL in those who remained normocalcemic, with this difference being statistically significant (p= 0.026).</p><p><strong>Conclusion: </strong>In our study, we found that preoperative vitamin D level below 10 ng/mL is associated with increased risk of hypocalcemia following thyroidectomy.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"296-302"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469113","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}

{"title":"The Gupta-Akami technique for percutaneous drainage of superficial liver abscess: An indigeneous economic method for low resources setups.","authors":"Shardool Vikram Gupta, Kewecho Akami, Siddharth Garg, Srishti Bishnoi, Lalit Kumar Bansal, Atul Jain, Neeti Kapur","doi":"10.47717/turkjsurg.2024.6563","DOIUrl":"10.47717/turkjsurg.2024.6563","url":null,"abstract":"<p><strong>Objectives: </strong>Liver abscesses, which are purulent cavities within the liver, pose significant health challenges, particularly in developing countries where treatment resources are limited. Despite advancements in imaging and drainage technologies, conventional methods such as pigtail catheters and surgical interventions are often financially prohibitive and inaccessible in low-resource settings. This study proposes Gupta-Akami technique, an indigenous and economically viable method for percutaneous drainage, utilizes simple, readily available materials and offers a potential solution for these settings.</p><p><strong>Material and methods: </strong>The study was conducted at a tertiary care hospital over a period of six months. It included 21 patients with liver abscesses meeting specific criteria (abscess volume >500 mL, intervening liver parenchyma <5 cm, and skin-to-abscess distance <10 cm).</p><p><strong>Results: </strong>The average age of the patients was 45.6 years and there were more men than women. Most patients presented with fever and abdominal pain; nausea/vomiting was observed in the majority, and jaundice was noted in a few. Mean abscess volume was 890 mL. The procedure effectively drained over 87% of the abscess volume and only one patient requiring additional aspiration. Post-procedural pain decreased significantly from an average of 3.15 on a visual analog scale at 0 hours to 0.84 before discharge. The average hospital stay was 2.57 days. No complications or mortality were reported.</p><p><strong>Conclusion: </strong>The Gupta-Akami technique demonstrates efficacy as a low-cost, accessible method for percutaneous drainage of liver abscesses in resource-limited settings. It offers a promising alternative to more expensive traditional methods, potentially improving patient outcomes and accessibility in low-resource environments.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"275-282"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469194","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}