Yazar "Cengiz, Emrah" seçeneğine göre listele

Listeleniyor 1 - 4 / 4
  • Küçük Resim Yok
    Öğe
    Early term results of the left colic artery preservation in colorectal cancer surgery
    (2022) Kaplan, Kuntay; Gökler, Cihan; Bağ, Yusuf Murat; Cengiz, Emrah; Sümer, Fatih; Aydın, Cemalettin; Kayaalp, Cüneyt
    Introduction: Colorectal cancer is a common type of cancer that causes significant morbidity and mortality. Post-resection anastomosis safety is important. The most important factor affecting anastomosis safety is blood accumulation in the anastomosis. In this study, we aimed to examine the early-term results of the preservation of the left colic artery (LCA) during laparoscopic anterior and low anterior resection (LAR) for the treatment of rectum and sigmoid colon cancers based on our clinical experience. Materials and Methods: A total of 192 archive files that were operated for rectum and sigmoid colon cancer in our center between April 2019 and October 2022 were reviewed retrospectively. The patients were diagnosed using colonoscopy and biopsy during the pre-operative period. The patients and their results were discussed in the oncology council, and the patients’ treatment plans were formed based on the council’s decision. Results: The patients’ mean age was 65.4±9.33 years and nearly half of them were males (n=8, 53.3%). Of the patients, 12 (80%) of them underwent LAR, while three patients (20%) underwent AR. The mean duration of surgery was 322.66±101.8 min, while the median bleeding amount was 50 (20–150) cc. One patient (6.7%) required reoperation due to an anastomotic leak, and abscess drainage was performed using the transanal method. No mortality was observed in patients at 30 days. Conclusion: In our study, the low ligation (LL) and LCA were preserved during laparoscopic AR and LARs for rectum and sigmoid colon cancers, preserving blood accumulation in the anastomosis. However, multi-center prospective randomized controlled studies are required to demonstrate whether LL significantly reduces anastomotic leaks.
  • Küçük Resim Yok
    Öğe
    Laparoscopic Sleeve Gastrectomy in Situs Inversus Totalis: a Case Report and Comprehensive Literature Review
    (Springer India, 2016) Yazar, Fatih Mehmet; Emre, Arif; Akbulut, Sami; Urfalioglu, Aykut; Cengiz, Emrah; Sertkaya, Mehmet; Yildiz, Huseyin
    The aim of this study is to review the reliability of laparoscopic obesity operations in patients with situs inversus totalis(SIT). A new case of SIT was presented together with a literature review of published English language studies on laparoscopic gastric banding (LAGB), laparoscopic gastric bypass (LRYGB), laparoscopic sleeve gastrectomy (LSG), laparoscopic obesity surgery (LOS), and SIT, accessed via PubMed and Google Scholar databases. The case is presented of a 21-year-old female patient who underwent LSG due to SIT. A total of 12 publications in literature matched the search criteria for LAGB, LRYGB, LSG, LOS, and SIT, which reported LAGB in five cases, LRYGB in four cases, and LSG in four cases. In the rare event of SIT, LOS can be safely used following good evaluation.
  • Küçük Resim Yok
    Öğe
    A new model for prediction of bowel gangrene in sigmoid volvulus
    (Turkish Assoc Trauma Emergency Surgery, 2023) Ceylan, Cengiz; Baran, Necip Tolga; Kocaaslan, Huseyin; Gungorur, Omer; Cengiz, Emrah; Guzel, Mehmet; Angin, Yavuz Selim
    BACKGROUND: Sigmoid volvulus is a pathology that can be mortal because it is frequently encountered in elderly patients. In case of bowel gangrene, mortality and morbidity increase further. We planned a retrospective study, in which the effectiveness of the model was evaluated by creating a model that aims to predict whether intestinal gangrene is present in patients with sigmoid volvulus only by blood tests and thus to quickly guide treatment methods.METHODS: In addition to demographic data such as age and gender, laboratory values such as white blood cell, C-reactive protein (CRP), lactate dehydrogenase (LDH), potassium, and colonoscopic findings and whether there was gangrene in the colon during the operation were evaluated retrospectively. In the analysis of the data, independent risk factors were determined by univariate and multivariate logistic regression analyzes as well as Mann-Whitney U and Chi-square tests. Receiver operating characteristic (ROC) analysis was performed for statistically significant continuous numerical data, and cutoff values were determined and Malatya Volvulus Gangrene Model (MVGM) was created. The effectiveness of the created model was again evaluated by ROC analysis.RESULTS: Of the 74 patients included in the study, 59 (79.7%) were male. The median age of the population was 74 (19-88), and gangrene was detected in 21 (28.37%) patients at surgery. In univariate analyzes, leukocytes <4000/mm3 and >12000/mm3 (OR: 10.737; CI 95%: 2.797-41.211, p=0.001), CRP >= 0.71 mg/dl (OR: 8.107 CI 95%: 2.520-26.082, p<0.0001), potassium >= 3.85 mmoL/L (OR: 3.889; 95% CI): 1.333-11.345, p=0.013), and LDH >= 288 U/L (OR: 3.889; CI 95%: 1.333-11.345, p=0.013), whereas, in multivariate analyzes, only CRP >= 0.71 mg/dL (OR: 3.965; CI 95%: 1.071-15.462, p=0.047) was found to be an independent risk factor for bowel gangrene. The strength of MVGM was AUC 0.836 (0.737-0.936). In addition, it was observed that the probability of bowel gangrene increased approximately 10 times if MVGM was >= 7 (OR: 9.846; 95% CI: 3.016-32.145, p<0.0001).CONCLUSION: Besides being non-invasive compared to the colonoscopic procedure, MVGM is a useful method for detecting bowel gangrene. In addition, it will guide the clinician in taking the patients with intestinal loop gangrene to emergency surgery without wasting time in the treatment steps, as well as avoiding complications that may occur during colonoscopy. In this way, we think that morbidity and mortality rates can be reduced.
  • Küçük Resim
    Öğe
    Ten years single center bariatric surgery experience
    (2021) Turgut, Emre; Kaplan, Kuntay; Okut, Gokalp; Cengiz, Emrah; Kocaaslan, Hüseyin; Baran, Necip Tolga; Karahan, Mehmet; Kayaalp, Cuneyt
    Introduction: Various surgical modalities have been developed to reduce the amount and absorption of nutrients in the fight against obesity. We aimed to share how the single-center experience was affected by the developments in the world and its change over time with the literature. Materials and Methods: The records of patients who underwent laparoscopic bariatric surgery between May 2010 and December 2020 were reviewed retrospectively. Demographic characteristics of the patients, indications for surgery, preparation for surgery, surgical technique, and post-operative follow-up stages were examined in detail. Results: A total of 1422 patients underwent bariatric surgery over a 10-year period. Laparoscopic Roux-n-Y Gastric Bypass (LRYGB) was performed in 946 patients and Laparoscopic Sleeve Gastrectomy (LSG) was performed in 476 patients. The operation time (p<0.001) and the intraoperative blood loss (p<0.001) in LRYGB were significantly higher than LSG. The difference was not significant in terms of length of hospital stay (p=0.149) and drain usage (p=0.782). While intraoperative complications occurred in 49 (5.1%) patients in LRYGB, this number was 5 (1%) in LSG (p<0.001). There was no significant difference in Clavien Dindo class 3 and higher complication rates between the groups (p=0.782). Mortality was seen in only 7 (0.5%) patients. Conclusion: Today, standard techniques are applied in both procedures and the choice is left to the patient. Regardless of the technique applied, laparoscopic bariatric surgery can be applied as an effective and safe method in the treatment of morbid obesity until an alternative treatment is found.