Ulusal cerrahi dergisi最新文献_第3页

The effect of the use of the Gail model on breast cancer diagnosis in BIRADs 4a cases. Gail模型对BIRADs 4a病例乳腺癌诊断的影响。

Ulusal cerrahi dergisi Pub Date : 2021-12-01 DOI: 10.47717/turkjsurg.2021.5436

E. Karakaya, Murathan Erkent, Hale Turnaoğlu, Tuğçe Şirinoğlu, A. Akdur, Lara Kavasoğlu

{"title":"The effect of the use of the Gail model on breast cancer diagnosis in BIRADs 4a cases.","authors":"E. Karakaya, Murathan Erkent, Hale Turnaoğlu, Tuğçe Şirinoğlu, A. Akdur, Lara Kavasoğlu","doi":"10.47717/turkjsurg.2021.5436","DOIUrl":"https://doi.org/10.47717/turkjsurg.2021.5436","url":null,"abstract":"Objectives\u0000The BI-RADS classification system and the Gail Model are the scoring systems that contribute to the diagnosis of breast cancer. The aim of the study was to determine the contribution of Gail Model to the diagnosis of breast lesions that were radiologically categorized as BI-RADS 4A.\u0000\u0000\u0000Material and Methods\u0000We retrospectively examined the medical records of 320 patients between January 2011 and December 2020 whose lesions had been categorized as BI-RADS 4A. Radiological parameters of breast lesions and clinical parameters according to the Gail Model were collected. The relationship between malignant BI-RADS 4A lesions and radiological and clinical parameters was evaluated. In addition, the effect of the Gail Model on diagnosis in malignant BI-RADS 4A lesions was evaluated.\u0000\u0000\u0000Results\u0000Among radiological features, there were significant differences between lesion size, contour, microcalcification content, echogenicity, and presence of ectasia with respect to the pathological diagnosis (p <0.05). No significant difference was found between the lesions' pathological diagnosis and the patients' Gail score (p> 0.05). An analysis of the features of the Gail model revealed that there was no significant difference between the age of menarche, age at first live birth, presence of a first-degree relative with breast cancer, and a history of breast biopsy and the pathological diagnosis (p> 0.05).\u0000\u0000\u0000Conclusion\u0000As a conclusion Gail Model does not contribute to the diagnosis of BC, especially in patients with BI-RADS 4A lesions.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"37 4 1","pages":"394-399"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48176148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter to: Risk factors for conversion to open surgery in laparoscopic cholecystectomy: A single center experience. 致:腹腔镜胆囊切除术转为开放手术的危险因素:单中心经验。

Ulusal cerrahi dergisi Pub Date : 2021-12-01 DOI: 10.47717/turkjsurg.2021.5392

Surenthiran Theva Darshini, Marianne Jia Jiah Wong, Syed Sharizman Syed Abdul Rahim, F. Hayati

引用次数: 0

Video game experience affects performance, cognitive load, and brain activity in laparoscopic surgery training 视频游戏体验影响腹腔镜手术训练中的表现、认知负荷和大脑活动

Ulusal cerrahi dergisi Pub Date : 2021-09-17 DOI: 10.21203/rs.3.rs-904919/v1

H. O. Keles, Ahmet Omurtag

{"title":"Video game experience affects performance, cognitive load, and brain activity in laparoscopic surgery training","authors":"H. O. Keles, Ahmet Omurtag","doi":"10.21203/rs.3.rs-904919/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-904919/v1","url":null,"abstract":"\u0000 BACKGROUND\u0000\u0000Video games can be a valuable tool for surgery training. Individuals who interact or play video games, tend to have a better visuospatial ability when compared to non-gamers. Numerous studies suggest that video game experience is associated with faster acquisition, greater sharpening, and longer retention of laparoscopic skills. Given the neurocognitive complexity of surgery skill, multimodal approaches are required to understand how video game playing enhances laparoscopy skill.\u0000\u0000METHODS\u0000\u0000Data from thirteen surgeons with varying levels of laparoscopy experience and no video game experience, and 27 students with no laparoscopy experience and varying levels of video game experience performed standard laparoscopic training tasks. Their performance, subjective cognitive loading, and prefrontal cortical activity were recorded and analyzed.\u0000\u0000RESULTS\u0000\u0000The surgeons performed the tasks significantly faster, had significantly lower cognitive load as well as less left prefrontal activation, relative to the non-gamer novices. In gamer novices, the task completion time decreased significantly with increasing game experience. The cognitive load decreased significantly with increasing gaming experience in gamer novices and with laparoscopy experience in surgeons.\u0000\u0000CONCLUSION\u0000\u0000Our results suggest that along the dimensions of performance, cognitive load, and brain activity, the effects of video gaming experience on novice laparoscopy trainees are similar to those of real-world laparoscopy experience on surgeons. We believe that the neural underpinnings of surgery skill and its links with gaming experience need to be investigated further using wearable functional brain imaging.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46875443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development of a local model for measuring the work of surgeons. 发展衡量外科医生工作的本地模式。

Ulusal cerrahi dergisi Pub Date : 2021-08-10 DOI: 10.21203/rs.3.rs-764251/v1

S. Forootan, S. Hajebrahimi, A. Janati, Behzad Najafi, M. Asghari-Jafarabadi

{"title":"Development of a local model for measuring the work of surgeons.","authors":"S. Forootan, S. Hajebrahimi, A. Janati, Behzad Najafi, M. Asghari-Jafarabadi","doi":"10.21203/rs.3.rs-764251/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-764251/v1","url":null,"abstract":"Objectives\u0000The Relative Value Unit (RVU) is the main method of calculating surgeons' reimbursements and a tool for measuring the work of surgeons. Existing evidence shows that the work Relative Value Unit (wRVU) does not accurately represent surgeon's work. Therefore, the current study attempted to develop a local model to measure surgeons' work.\u0000\u0000\u0000Material and Methods\u0000This study was conducted in two main phases of determining the metrics and model development using quantitative and qualitative approaches from December 2019 to April 2021. Literature review, focused group discussions, and interviews were used to collect data. Con- tent analysis and Exploratory Data Analysis techniques were applied to analyze data.\u0000\u0000\u0000Results\u0000The findings demonstrated that patient's conditions (age, severity of disease at referring time, and comorbidities), disease specifications (time, complexity, physical effort, and risk), and provider characteristic (surgeon's willingness, imposed stress, and surgeon's skill) were important by 17, 51, and 32%, respectively, in determining surgeons' work.\u0000\u0000\u0000Conclusion\u0000Determining a fixed value for each procedure does not accurately estimate the amount of required surgeon's work for any procedure. Many factors, such as the patient's condition, surgeon's characteristics, and disease specification affect surgeons' work in the operation room. Proper measurement of the surgeon's work is an important step towards establishing equity in payment in the health system.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"37 4 1","pages":"371-378"},"PeriodicalIF":0.0,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44586874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Rare Case of Multiple Gastric Duplication Cysts in an Adult 成人多发胃重复囊肿1例

Ulusal cerrahi dergisi Pub Date : 2020-12-08 DOI: 10.47717/turkjsurg.2020.4933

Baris Zulfikaroglu, O. Akgul, M. Ozmen

引用次数: 0

COVID-19’lu Hastalarda Genel Cerrahi Ameliyathane Uygulamaları 新冠肺炎医院普通外科应用

Ulusal cerrahi dergisi Pub Date : 2020-03-18 DOI: 10.5578/turkjsurg.202002

Ahmet Karaca, M. Ozmen, A. Uçar, A. C. Yasti, Seher Demirer

引用次数: 12

Single-stage treatment with ERCP and laparoscopic cholecystectomy versus two-stage treatment with ERCP followed by laparoscopic cholecystectomy within six to eight weeks: a retrospective study ERCP和腹腔镜胆囊切除术单阶段治疗与6至8周内ERCP和胆囊切除术两阶段治疗的回顾性研究

Ulusal cerrahi dergisi Pub Date : 2019-09-23 DOI: 10.5578/turkjsurg.4204

Bahtiyar Muhammedoğlu