Ulusal cerrahi dergisi最新文献

{"title":"Postoperative hemorrhage complications after the Whipple procedure","authors":"O. Dilek, O. Ozsay, T. Acar, E. O. Gür, S. C. Çelik, F. Cengiz, N. Cin, M. Hacıyanlı","doi":"10.5152/TURKJSURG.2017.3758","DOIUrl":"https://doi.org/10.5152/TURKJSURG.2017.3758","url":null,"abstract":"Case Series Turk J Surg 2018 DOI: 10.5152/turkjsurg.2017.3758 Cite this paper as: Dilek ON, Özşay O, Acar T, Gür EÖ, Çelik SC, Cengiz F, Cin N, Hacıyanlı M. Postoperative hemorrhage complications after the Whipple procedure. Turk J Surg 2018; DOI: 10.5152/ turkjsurg.2017.3758 is stopped if any hemorrhage is suspected. Angiography and embolization can be performed in daytime cases. RESULTS A total of 185 pancreticoduodenectomy surgeries, including 165 classical Whipple procedures and 20 pylorus-preserving surgeries, were performed in our hospital in the last five years (2011 to 2015) due to periampullary region tumors. Three of the patients were female, and 10 were male. The mean age was 61.6 years (ages 42 to 72). It was found that in 13 (7%) of the patients who underwent operations, a procedure was performed due to hemorrhage. Among the patients who had follow-ups due to hemorrhages, nine (77%) underwent surgeries and six (46%) died in the early period (Table 1). In our series, pancreatic fistula was detected in 46 (24.8%) patients, and 6 (13%) of these patients had complications of hemorrhage due to fistulas. It was also found that endoscopic retrograde cholangiopancreaticography (ERCP) was performed diagnostically in nine patients, a stent was placed to lower billirubin levels in six patients, and a drain was placed with percutaneous transhepatic cholangiography in two patients. In seven patients in our series, there was a combination of wide duct (4 to 7 mm) and soft pancreatic texture; the presence of fistula was detected in three of these patients as a cause of hemorrhage. In three of our cases, soft pancreatic texture and the presence of a 2 mm duct were detected. In three of our cases, normal pancreatic tissue was detected; the duct widths ranged from 2 to 5 mm (Table 1). Among our patients with hemorrhage, three of the five patients whose billirubin levels were high (direct bilirubin, range: 10.6 to 21.6 mg/dL) died as a result of hemorrhage complications. Another result we found in our patients is that serum protein levels were normal in three patients and below normal in the remaining patients. Platelet count was higher than normal in five of our patients and was normal in the remaining patients. In cases who did not develop fistulas, C-reactive protein (CRP) levels were within normal limits in the preoperative period, increased in the postoperative early period, and decreased progressively. In all the cases who developed fistula and anastomotic leakage, CRP levels continued to increase until clinical recovery was obtained. In general, it was found that in our patients who developed fistulas and had high CRP levels, blood calcium levels decreased and remained below normal. Of our two cases who developed hemorrhage in the early postoperative period, one underwent surgery due to hemorrhage from the gastric anastomosis (nasogastric tube) and the other underwent surgery due to hemorrhage from the branches of the mesenteric vein (drain); bo","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43651854","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}

{"title":"Incidental signet ring cell carcinoma of the gallbladder in routine histopathology.","authors":"Ertunç Altuntaş, C. Kocak, Z. Bayhan, S. Zeren, F. Yaylak","doi":"10.5152/UCD.2015.2932","DOIUrl":"https://doi.org/10.5152/UCD.2015.2932","url":null,"abstract":"Cholecystectomy is a common surgical procedure for various indications. Preoperative imaging is the main stay in the management of the patients. Routine and/or selective histopathological examination of the cholecystectomy materials have been discussed previously. However, incidental findings may be only observed with routine histopathological examination. Here, we report an incidental gallbladder signet cell carcinoma in a 66 years old patient. This case underlines the importance of routine histopathological examination after cholecystectomy.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"42 1","pages":"287-288"},"PeriodicalIF":0.0,"publicationDate":"2016-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85630948","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}

{"title":"19. Ulusal Cerrahi Kongresi gözlemsel çalışma sözel bildiri raporlama kalitesinin analizi: Türkçe temelli bir ulusal değerlendirme sistemi önerisi","authors":"Mustafa Hasbahçeci, Fatih Başak, Aylin Acar, Abdullah Şişik","doi":"10.5152/UCD.2016.3195","DOIUrl":"https://doi.org/10.5152/UCD.2016.3195","url":null,"abstract":"OBJECTIVE\u0000To compare the quality of oral presentations presented at the 19th National Surgical Congress with a national evaluation system with respect to the applicability of systems, and consistency between systems and reviewers.\u0000\u0000\u0000MATERIAL AND METHODS\u0000Fifty randomly selected observational studies, which were blinded for author and institute information, were evaluated by using the Strengthening the Reporting of Observational Studies (STROBE), Timmer Score, and National Evaluation System by two reviewers. Abstract scores, evaluation periods, and compatibility between reviewers were compared for each evaluation system. Abstract scores by three different evaluation systems were regarded as the main outcome. Wilcoxon matched-pairs signed rank and Friedman tests for comparison of scores and times, kappa analysis for compatibility between reviewers, and Spearman correlation for analysis of reviewers based on pairs of evaluation systems were used.\u0000\u0000\u0000RESULTS\u0000There was no significant difference between abstract scores for each system (p>0.05). A significant difference for evaluation period of reviewers was detected for each system (p<0.05). Compatibility between reviewers was the highest for the Timmer Score (medium, κ=0.523), and the compatibility for STROBE and National Evaluation System was regarded as acceptable (κ=0.394 and κ=0.354, respectively). Assessment of reviewers for pairs of evaluation systems revealed that scores increased in the same direction with each other significantly (p<0.05).\u0000\u0000\u0000CONCLUSION\u0000The National Evaluation System is an appropriate method for evaluation of conference abstracts due to the consistent results between the referees similarly with the current international evaluation systems and ease of applicability with regard to evaluation period.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"32 1","pages":"267-274"},"PeriodicalIF":0.0,"publicationDate":"2016-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70513205","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}

{"title":"Recommendations for intra-abdominal infections consensus report.","authors":"V. Avkan-Oğuz, N. Baykam, S. Sökmen, Rahmet Güner, F. Ağalar, E. Alp, A. Dogrul, Özge Turhan, C. Ağalar, B. Kurtaran, I. Gecim, Reşat Özaras, G. Yılmaz, A. Akbulut, I. Koksal","doi":"10.5152/UCD.2016.3688","DOIUrl":"https://doi.org/10.5152/UCD.2016.3688","url":null,"abstract":"Guidelines include the recommendations of experts from various specialties within a topic in consideration of data specific to each country. However, to date there has not been a guideline standardizing the nomenclature and offering recommendations for intra-abdominal infections (IAIs) in Turkey. This is mainly due to the paucity of laboratory studies regarding the clinical diagnosis and treatment of IAIs or the sensitivity of microorganisms isolated from patients with IAIs. However, due to the diversification of host characteristics and advancements in technological treatment methods, it has become imperative to 'speak a common language'. For this purpose May 2015, a group of 15 experts in intra-abdominal infections, under the leadership of the Infectious Diseases and Clinical Microbiology Specialty Society of Turkey (EKMUD) and with representatives from the Turkish Surgical Association, Turkish Society of Colon and Rectal Surgery, Hernia Society, Turkish Society of Hepato-pancreato-biliary Surgery, and the Turkish Society of Hospital Infections and Control, was formed to analyze relevant studies in the literature. Ultimately, the suggestions for adults found in this consensus report were developed using available data from Turkey, referring predominantly to the 2010 guidelines for diagnosing and managing complicated IAIs in adults and children by the Infectious Diseases Society of America (IDSA) and the Surgical Infection Society. The recommendations are presented in two sections, from the initial diagnostic evaluation of patients to the treatment approach for IAI. This Consensus Report was presented at the EKMUD 2016 Congress in Antalya and was subsequently opened for suggestions on the official websites of the Infectious Diseases and Clinical Microbiology Specialty Society of Turkey and Turkish Surgical Association for one month. The manuscript was revised according to the feedback received.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"32 1","pages":"306-321"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85387679","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}

{"title":"Why scientists perform animal experiments, scientific or personal aim?","authors":"B. Mayir, U. Doğan, T. Bilecik, Erdem Can Yardımcı, T. Çakır, A. Aslaner, Yeliz Akpinar Mayir, M. Oruç","doi":"10.5152/UCD.2016.3196","DOIUrl":"https://doi.org/10.5152/UCD.2016.3196","url":null,"abstract":"OBJECTIVE\u0000Although all animal studies are conducted in line with a specific purpose, we think that not all animal studies are performed for a scientific purpose but for personal curiosity or to fulfill a requirement. The aim of the present study is to reveal the purposes of experimental studies conducted on animals.\u0000\u0000\u0000MATHERIAL AND METHODS\u0000We searched for experimental studies performed on rats in general surgery clinics via PubMed, and obtained the e-mail addresses of the corresponding authors for each study. Afterwards, we sent a 7-item questionnaire to the authors and awaited their responses.\u0000\u0000\u0000RESULTS\u0000Seventy-three (22.2%) of 329 authors responded to the questionnaire. Within these studies, 31 (42.5%) were conducted as part of a dissertation, while the remaining 19 (26.0%) were conducted to meet the academic promotion criteria. Only 23 (31.5%) were conducted for scientific purposes. The cost of 41% of those studies was higher than 2500 $.\u0000\u0000\u0000CONCLUSION\u0000As shown in this study, the main objective of carrying out animal studies in Turkey is usually to prepare a dissertation or to be entitled to academic promotion. Animal experiments must be planned and performed as scientific studies to support related clinical studies. Additionally, animal studies must have well-defined objectives and be carried out in line with scientific purposes that may lead to useful developments in medicine, rather than personal interests.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"60 1","pages":"256-260"},"PeriodicalIF":0.0,"publicationDate":"2016-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80564976","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}

{"title":"Laparoscopic partial cholecystectomy: A safe and effective alternative surgical technique in \"difficult cholecystectomies\".","authors":"Fatih Kulen, Deniz Tihan, Uğur Duman, Emrah Bayam, Gökhan Zaim","doi":"10.5152/UCD.2015.3086","DOIUrl":"10.5152/UCD.2015.3086","url":null,"abstract":"<p><strong>Objective: </strong>Laparoscopic cholecystectomy has become the \"gold standard\" for benign gallbladder diseases due to its advantages. In the presence of inflammation or fibrosis, the risk of bleeding and bile duct injury is increased during dissection. Laparoscopic partial cholecystectomy (LPC) is a feasible and safe method to prevent bile duct injuries and decrease the conversion (to open cholecystectomy) rates in difficult cholecystectomies where anatomical structures could not be demonstrated clearly.</p><p><strong>Material and methods: </strong>The feasibility, efficiency, and safety of LPC were investigated. The data of 80 patients with cholelithiasis who underwent LPC (n=40) and conversion cholecystectomy (CC) (n=40) were retrospectively examined. Demographic characteristics, ASA scores, operating time, drain usage, requirement for intensive care, postoperative length of hospital stay, surgical site infection, antibiotic requirement and complication rates were compared.</p><p><strong>Results: </strong>The median ASA value was 1 in the CC group and 2 in the LPC group. Mean operation time was 123 minutes in the CC group, and 87.50 minutes in the LPC group. Surgical drains were used in 16 CC patients and 4 LPC patients. There was no significant difference between groups in postoperative length of intensive care unit stay (p=0.241). When surgical site infections were compared, the difference was at the limit of statistical significance (p=0.055). Early complication rates were not different (p=0.608) but none of the patients in the LPC group suffered from late complications.</p><p><strong>Conclusion: </strong>LPC is an efficient and safe way to decrease the conversion rate. LPC seems to be an alternative procedure to CC with advantages of shorter operating time, lower rates of surgical site infection, shorter postoperative hospitalization and fewer complications in high-risk patients.</p>","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"32 3","pages":"185-90"},"PeriodicalIF":0.0,"publicationDate":"2016-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4970776/pdf/ucd-32-3-185.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34666857","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":"Predictive value of fine needle aspiration biopsy of axillary lymph nodes in preoperative breast cancer staging.","authors":"Muzaffer Akıncı,&nbsp;Serap Pamak Bulut,&nbsp;Fazilet Erözgen,&nbsp;Mihriban Gürbüzel,&nbsp;Gökçe Gülşen,&nbsp;Ahmet Kocakuşak,&nbsp;Mehmet Gülen,&nbsp;Rafet Kaplan","doi":"10.5152/UCD.2015.2913","DOIUrl":"https://doi.org/10.5152/UCD.2015.2913","url":null,"abstract":"<p><strong>Objective: </strong>Diagnosis of axillary nodal involvement is significant in the management of breast cancer as well as in predicting prognosis. In this prospective study, we evaluated the efficiency of US-guided fine needle aspiration biopsy (FNAB) in preoperative axillary staging of early breast cancer.</p><p><strong>Material and methods: </strong>Between January 2011 and July 2013, 46 women were prospectively enrolled in the study. Ultrasound guided-FNABs for axillary assessment were performed preoperatively. Cytology results were compared with histopathology reports to determine its sensitivity, specificity, negative and positive predictive value and accuracy.</p><p><strong>Results: </strong>Nineteen cases that had malignant cytology on FNAB also had axillary involvement in axillary lymph node dissection (ALND) without any false-positive results. The sensitivity and specificity of US-guided FNAB were 63.3% and 100%, respectively. US-guided FNAB was accurate in predicting the status of the axilla in 76.1% of patients.</p><p><strong>Conclusion: </strong>Although this technique is favorable due to its minimally invasive nature, it is not as effective as sentinel lymph node biopsy (SLNB) in terms of detecting axillary metastasis preoperatively. The low sensitivity and low accuracy rates decrease the usefulness of the technique. Therefore, it seems that US-guided FNAB alone could not replace SLNB. Nevertheless, combining some other molecular studies may be useful in increasing the technique's sensitivity. These issues should be determined by comprehensive clinical trials.</p>","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"32 3","pages":"191-6"},"PeriodicalIF":0.0,"publicationDate":"2016-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5152/UCD.2015.2913","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34666858","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":"Laparoscopic resection for colorectal diseases: short-term outcomes of a single center.","authors":"Wafi Attaallah,&nbsp;Hayyam Babayev,&nbsp;Samet Yardımcı,&nbsp;Asım Cingi,&nbsp;Mustafa Ümit Uğurlu,&nbsp;Ömer Günal","doi":"10.5152/UCD.2015.3125","DOIUrl":"https://doi.org/10.5152/UCD.2015.3125","url":null,"abstract":"<p><strong>Objective: </strong>Even though, laparoscopy is not accepted as the current gold standard in colorectal surgery, it can be performed as safely as open surgery. It is also widely accepted that the technique has many advantages. In this study, we evaluated the results of 33 patients with laparoscopic colorectal resection.</p><p><strong>Material and methods: </strong>Thirty-three patients who underwent laparoscopic colon surgery between January 2013 and September 2014 in the General Surgery Clinic at Marmara University Hospital were included in the study. Patients were evaluated in terms of their demographic and tumor histopathologic characteristics, type of surgery and early postoperative complications.</p><p><strong>Results: </strong>Laparoscopic colorectal resection was performed for 33 patients who had malignant or benign lesions. The median age was 60 (35-70), and 18 (55%) were male patients. The majority of the patients (90%) were diagnosed with colorectal adenocarcinoma. Half of the patients were T3 and 67% had N0 stage. The median number of retrieved lymph nodes was 17 (4-28). Negative surgical margins were obtained in all patients. The postoperative hospital stay was 5 (4-16) days. Postoperative early complications were observed in only 5 patients. The majority of complications were treated without the need for surgery. No mortality was recorded in this series of patients.</p><p><strong>Conclusion: </strong>This study showed that laparoscopic colorectal surgery could be performed safely based on its low complication rate, short length of hospital stay, providing sufficient surgical resection and lymph node dissection.</p>","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"32 3","pages":"199-202"},"PeriodicalIF":0.0,"publicationDate":"2016-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4970779/pdf/ucd-32-3-199.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34666859","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":"Comment: Leiomyosarcoma of the retrohepatic vena cava: Report of a case treated with resection and reconstruction with polytetrafluoroethylene vascular graft.","authors":"Kamuran Cumhur Değer,&nbsp;Mustafa Duman,&nbsp;Erdal Polat,&nbsp;Sinan Yol","doi":"10.5152/UCD.2015.3344","DOIUrl":"https://doi.org/10.5152/UCD.2015.3344","url":null,"abstract":"To the Editor, \u0000 \u0000We read with interest the paper titled “Leiomyosarcoma of the retrohepatic vena cava: Report of a case treated with resection and reconstruction with polytetrafluoroethylene vascular graft” by Yankol et al. (1). In this case report, the authors describe a successful treatment of a retrohepatic vena cava leiomyosarcoma with resection and polytetrafluoroethylene vascular graft reconstruction. As mentioned in the manuscript surgical resection with negative margins is the gold standard treatment. But after resection, in conjunction with inferior vena cava (IVC) reconstruction options, there also stands another choice which is ligation without reconstruction, which is not discussed in the manuscript. Regarding to this case report, we aimed to present a patient (S.O,prot:806/59,F) from our clinic to whom we performed segmented IVC resection and ligation for diagnosed level 2 vena cava leiomyosarcoma. IVC was ligated above aortoiliac bifurcation and below renal veins. Because of the high graft thrombosis risk this approach was preferred instead of anastomosis. Intermittent pneumatic compression was applied and low dose fractioned heparin was given at therapeutic dosage in order to protect from deep venous thrombosis risk and lower-extremity edema. On postoperative day 3, the patient had underwent a second laparotomy because of intraabdominal bleeding. Perioperative exploration revealed an oozing type bleeding from the proximal caval stump. After hemostasis the patient sent to intensive care unit for close follow-up. On postoperative day 8, chylous drainage was encountered and oral feeding was stopped following total parenteral nutrition (TPN) support. 2 weeks after TPN treatment the drainage was turned to serous character and oral feeding was restarted with abolishment of TPN support. Finally the patient was discharged with compression stocking and 5-mg. coumadin tb./day orally one month after surgery and she did not suffer from renal failure or lower extremity edema during her hospitalization. Pathologic findings revealed a grade 2 leomyosarcoma with negative margins. Immunohistochemistry panel showed that SMA: (+), Desmin: (+), S-100: (−) CD117: (−) Ki-67 index: 30%. Six cycles of chemotherapy was given to the patient following discharge from our clinic. Now the patient is on postoperative 8th month and there is no documented recurrence or metastasis. \u0000 \u0000The proper technique following IVC resection in the literature is lacking. Caval reconstruction is associated with longer operative time and has its own morbidity and mortality rates. On the other hand in the absence of sufficient collateral venous flow or in cases of interruption of vital organ vasculature, it is necessary to make a vascular reconstruction (2). \u0000 \u0000Daylami et al. (3) claimed in their paper that reconstruction of the IVC was not necessary for resection of tumors below the level of the hepatic veins in most if not all cases. They also mentioned lower-extremity edema an","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"32 3","pages":"231-2"},"PeriodicalIF":0.0,"publicationDate":"2016-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4970789/pdf/ucd-32-3-231.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34666860","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":"Konvansiyonel 4-port laparoskopik kolesistektomi ile yeni kolaylaştırıcı manevra ile uygulanmış tek-port laparoskopik kolesistektominin prospektif randomize karşılaştırılması","authors":"Recep Aktimur, Kerim Güzel, Süleyman Çetinkünar, Kadir Yildirim, E. Çolak","doi":"10.5152/UCD.2015.3041","DOIUrl":"https://doi.org/10.5152/UCD.2015.3041","url":null,"abstract":"","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"32 1","pages":"023-029"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70513129","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}