Ulusal cerrahi dergisi最新文献_第5页

Different shoes walking the same path: implant migration. 不同的鞋子走同一条路:植入物迁移。

Ulusal cerrahi dergisi Pub Date : 2016-01-01 DOI: 10.5152/UCD.2016.3697

M. Gachabayov

引用次数: 0

Endoscopic stenting for laparoscopic sleeve gastrectomy leaks. 内镜下支架置入术治疗腹腔镜套筒胃切除术渗漏。

Ulusal cerrahi dergisi Pub Date : 2016-01-01 DOI: 10.5152/UCD.2016.3122

M. T. Aydın, Y. Alahdab, O. Aras, B. Karip, E. Onur, Y. Iscan, K. Memişoğlu

{"title":"Endoscopic stenting for laparoscopic sleeve gastrectomy leaks.","authors":"M. T. Aydın, Y. Alahdab, O. Aras, B. Karip, E. Onur, Y. Iscan, K. Memişoğlu","doi":"10.5152/UCD.2016.3122","DOIUrl":"https://doi.org/10.5152/UCD.2016.3122","url":null,"abstract":"OBJECTIVE Laparoscopic sleeve gastrectomy is a widely accepted and effective bariatric surgery method. The rate of leakage at the staple-line has been reported to be between 1.5 and 5%. Aside from the use of percutaneous drainage, re-laparoscopy, or abdominal sepsis control by laparotomy, endoscopic esophagogastric stent placement is increasingly preferred as a treatment method. Because laparoscopic sleeve gastrectomy is a widely used modality in our hospital, we aimed to evaluate the rate of leaks and the results of stent placements in our patients. MATERIAL AND METHODS Between January 1st 2010 and August 31st 2014, laparoscopic sleeve gastrectomy was performed on 236 patients by three surgeons. The demographic information and postoperative discharge summaries were collected and analyzed with the permission of the hospital ethics committee. Information about leak treatment management was also collected. RESULTS Leaks after laparoscopic sleeve gastrectomy in four patients were stented in the first postoperative month. Short (12 cm) Hanora® (M.I.Tech, Gyeonggi-do, Korea) self-expandable coated stents were placed in two patients, and long (24 cm) Hanora® self-expandable coated stents were placed in the other two. The stents were removed after one month in two patients, two and a half months later in one, and five months later in another patient. The leaks were demonstrated to be healed in all patients after stent removal. Endoscopic stent revision was performed in one patient due to migration of the stent and in another for stent breakage. CONCLUSION The success rate of treatment of leaks after laparoscopic sleeve gastrectomy by stent placement has been variable in the literature. The success in early stent placement has been shown to be related to physician expertise. According to the results of our patients, we suggest that endoscopic stent placement in the early stage after controlling sepsis is an effective method in the management of leaks.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"51 1","pages":"275-280"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80765129","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: 9

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement. 腹腔镜胆囊切除术中胆道损伤的预防和急性处理:专家共识声明。

Ulusal cerrahi dergisi Pub Date : 2016-01-01 DOI: 10.5152/UCD.2016.3683

O. Abbasoğlu, Y. Tekant, A. Alper, Ünal Aydın, A. Balik, B. Bostancı, A. Çoker, M. Doganay, Haldun Gündoğdu, E. Hamaloğlu, M. Kapan, S. Karademir, K. Karayalçın, S. Kılıçturgay, M. Şare, A. R. Tümer, G. Yagci

{"title":"Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement.","authors":"O. Abbasoğlu, Y. Tekant, A. Alper, Ünal Aydın, A. Balik, B. Bostancı, A. Çoker, M. Doganay, Haldun Gündoğdu, E. Hamaloğlu, M. Kapan, S. Karademir, K. Karayalçın, S. Kılıçturgay, M. Şare, A. R. Tümer, G. Yagci","doi":"10.5152/UCD.2016.3683","DOIUrl":"https://doi.org/10.5152/UCD.2016.3683","url":null,"abstract":"Gallstone disease is very common and laparoscopic cholecystectomy is one of the most common surgical procedures all over the world. Parallel to the increase in the number of laparoscopic cholecystectomies, bile duct injuries also increased. The reported incidence of bile duct injuries ranges from 0.3% to 1.4%. Many of the bile duct injuries during laparoscopic cholecystectomy are not due to inexperience, but are the result of basic technical failures and misinterpretations. A working group of expert hepatopancreatobiliary surgeons, an endoscopist, and a specialist of forensic medicine study searched and analyzed the publications on safe cholecystectomy and biliary injuries complicating laparoscopic cholecystectomy under the organization of Turkish Hepatopancreatobiliary Surgery Association. After a series of e-mail communications and two conferences, the expert panel developed consensus statements for safe cholecystectomy, management of biliary injuries and medicolegal issues. The panel concluded that iatrogenic biliary injury is an overwhelming complication of laparoscopic cholecystectomy and an important issue in malpractice claims. Misidentification of the biliary system is the major cause of biliary injuries. To avoid this, the \"critical view of safety\" technique should be employed in all the cases. If biliary injury is identified intraoperatively, reconstruction should only be performed by experienced hepatobiliary surgeons. In the postoperative period, any deviation from the expected clinical course of recovery should alert the surgeon about the possibility of biliary injury.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"45 1","pages":"300-305"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86980856","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: 23

Missed retrosternal ectopic thyroid tissue in a patient operated for multinodular goiter. 一例因多结节性甲状腺肿手术而遗漏的胸骨后异位甲状腺组织。

Ulusal cerrahi dergisi Pub Date : 2016-01-01 DOI: 10.5152/UCD.2015.2916

U. Kesici, Ö. Koral, S. Karyağar, S. Kesi̇ci̇, A. Yilbas, S. Karyagar, Emine Mataraci, I. Mataracı

{"title":"Missed retrosternal ectopic thyroid tissue in a patient operated for multinodular goiter.","authors":"U. Kesici, Ö. Koral, S. Karyağar, S. Kesi̇ci̇, A. Yilbas, S. Karyagar, Emine Mataraci, I. Mataracı","doi":"10.5152/UCD.2015.2916","DOIUrl":"https://doi.org/10.5152/UCD.2015.2916","url":null,"abstract":"Ectopic thyroid tissue has been found from the tongue to the diaphragm. The most common ectopic thyroid tissue has been found in the tongue, submandibular region, cervical lymph nodes, larynx, trachea, oesophagus, mediastinum, diaphragm and heart respectively. \"Forgotten goiter\" is an extremely rare disease which is defined as a mediastinal thyroid mass found after total thyroidectomy. In this case report, we discussed a 49 year-old female patient whose retrosternal ectopic thyroid tissue was detected by thyroid scintigraphy taken in postoperative period after total thyroidectomy performed with diagnosis of multinodular goiter. Papillary carcinoma was determined by the histopathological examination. Ectopic thyroid tissue was removed by performing sternotomy. We did not observe any postoperative surgical complications. 100 mCi dose of radioactive iodine was administered to the patient. Retrosternal ectopic thyroid tissue detected after total thyroidectomy is a rarely encountered condition. Therefore, retrosternal ectopic thyroid tissue existence should be definitely kept in mind in patients with no increase in thyroid stimulating hormone level after total thyroidectomy.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"634 1","pages":"67-70"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78113580","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: 3

Report of a rare case: Double recurrent laryngeal nerve. 报告一罕见病例:双喉返神经。

Ulusal cerrahi dergisi Pub Date : 2016-01-01 DOI: 10.5152/UCD.2015.2910

B. Manoğlu, E. Yılmaz, A. Erdoğan, M. Özkan, Vedat Menderes Özçiftci

引用次数: 2

Co-existence of idiopathic cecal ulcer and incidental appendix carcinoid tumor. 特发性盲肠溃疡与偶发阑尾类癌并存。

Ulusal cerrahi dergisi Pub Date : 2016-01-01 DOI: 10.5152/UCD.2015.2861

V. Ince, B. Barut, S. Karakas

引用次数: 2

Akut apandisit cerrahisinde intraoperatif saptanan çekum divertiküliti: Olgu serisi 激进主义手术术中障碍：Oil系列

Ulusal cerrahi dergisi Pub Date : 2016-01-01 DOI: 10.5152/UCD.2015.2765

Süleyman Kalcan, Fatih Başak, Mustafa Hasbahçeci, A. Kiliç, Tolga Canbak, İlyas Kudaş, G. Baş, O. Alimoğlu

引用次数: 0

Extralevator abdominoperineal excision versus conventional surgery for low rectal cancer: a single surgeon experience. 腹会阴外提手术与传统手术治疗低位直肠癌:单个外科医生的经验。

Ulusal cerrahi dergisi Pub Date : 2016-01-01 DOI: 10.5152/UCD.2016.3251

G. Nessar, A. Demirbağ, B. Celep, O. Elbir, C. Kayaalp

{"title":"Extralevator abdominoperineal excision versus conventional surgery for low rectal cancer: a single surgeon experience.","authors":"G. Nessar, A. Demirbağ, B. Celep, O. Elbir, C. Kayaalp","doi":"10.5152/UCD.2016.3251","DOIUrl":"https://doi.org/10.5152/UCD.2016.3251","url":null,"abstract":"OBJECTIVE Extralevator abdominoperineal excision (ELAPE) reduces the risk of positive circumferential resection margin (CRM) and of intraoperative perforation (IOP), both of which are associated with high local recurrence rates and poor survival outcomes for rectal cancer. The aim of this study was to compare the results of ELAPE with conventional abdominoperineal excision (APE) for low rectal cancer. MATERIAL AND METHODS A total of 25 consecutive patients underwent ELAPE for low rectal cancer between November 2008 and September 2011. Fifty-six patients treated by conventional APE prior to 2008 were selected from our rectal cancer database for comparison as a historical cohort. RESULTS The mean follow-up was 44.7 months in the ELAPE group, and 70.6 months in the APE group. Patients undergoing ELAPE had a lower CRM positivity and IOP rate than APE (12% vs. 20%, p=0,531; 4% vs. 8,9%, p=0,826; respectively). The ELAPE group was associated with higher perineal wound complications than the APE group (16.0% vs. 1.8%, p=0.030). Local recurrence rates for patients in both groups did not differ significantly (4.0% vs. 3.6%, p=1.0). CONCLUSION The results of this study suggest that ELAPE technique was associated with less CRM involvement and reduced rates of IOP but markedly higher rates of postoperative perineal complications occurred as compared to conventional surgery. ELAPE must be reserved for advanced low rectal cancers.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"5 1","pages":"244-247"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89745837","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: 5

Sister Mary Joseph nodule in colorectal cancer. 结直肠癌中的玛丽约瑟夫修女结节。

Ulusal cerrahi dergisi Pub Date : 2016-01-01 DOI: 10.5152/UCD.2014.2686

Y. Iscan, B. Karip, E. Onur, N. Özbay, Sinan Tezer, K. Memişoğlu

引用次数: 3

Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study. 科尼亚急诊手术能力评估:9年多中心研究

Ulusal cerrahi dergisi Pub Date : 2016-01-01 DOI: 10.5152/UCD.2016.2797

T. Küçükkartallar, M. Çakır, A. Tekin, M. Balasar, A. Kartal, H. Köksal, Bülent Erengül, E. Türk

{"title":"Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study.","authors":"T. Küçükkartallar, M. Çakır, A. Tekin, M. Balasar, A. Kartal, H. Köksal, Bülent Erengül, E. Türk","doi":"10.5152/UCD.2016.2797","DOIUrl":"https://doi.org/10.5152/UCD.2016.2797","url":null,"abstract":"OBJECTIVE Although the number of surgical emergencies continues to increase, comprehensive data on emergency surgical admissions are scarce. The aim of this multicenter study was to evaluate the causes, management, and outcomes of the general surgical emergencies in the city of Konya, Turkey. MATERIAL AND METHODS The relevant details of the cases admitted and considered to be general surgical emergencies in Konya over a nine-year period (January 2003-January 2012) were analyzed. All demographic data were analyzed statistically. RESULTS The study group comprised 21954 cases from 4 hospitals in Konya: 7154 from Konya Numune Hospital, 6,654 from Konya Education and Research Hospital, 6,400 from Necmettin Erbakan University Meram Medical Faculty, and 1,390 from Başkent University Konya Education and Research Hospital. Their mean age was 59.6 years, and the average hospitalization time was 3.3 days. The diagnoses of the admitted patients were as follows: acute appendicitis (59.57%), bowel obstruction (11.12%), trauma (7.97%), strangulated inguinal hernia (5.46%), acute cholecystitis (4.87%), peptic ulcer perforation (4.09%), mesenteric ischemia (2.73%), necrotizing fasciitis (2.73%), gastrointestinal system bleeding (1.79%), and others (1.1%). CONCLUSION The findings of the study indicate a steady increase in surgical admissions to emergency units. Non-traumatic acute abdomen was the most common reason for general surgical emergencies. Although the number of elderly patients increased, the hospital stay and mortality rates decreased over the study period.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"10 1","pages":"252-255"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79665543","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