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    Are the concerns of surgeons about cosmetic outcomes in pilonidal disease surgery more than necessary?
    (2019) Dincer, Mursit; Citlak, Gamze
    Aim: Pilonidal disease is a chronic inflammatory process. From time to time poor cosmetic results can be obtained after surgery. In this study, it was aimed to investigate the effects of cosmetic results and the satisfaction level of the cases in patients who underwent surgery with different surgical techniques due to pilonidal disease. Material and Methods: The information about study was given to cases, which were operated due to pilonidal disease between January 2014 and December 2014 and could be contacted by phone. The questionnaire was applied to 125 cases who agreed to participate in the study. Cases were divided into two groups as primary excision with midline closure applied group and other surgical techniques applied group. The questions about the postoperative results were asked to the cases. Results: There was no statistically significant difference between the two groups in terms of pain duration, painless sitting-walking times, time to return to daily life, complications, reoperation rates and patient satisfaction of surgical scar. It was detected that there was more recurrence in the primary excision group and the results were statistically significant (p = 0.038). In the both groups, it was found that there is no statistically significant difference in the satisfaction questionnaire on surgical scar. (p> 0.05). Conclusions: The surgical scar can cause significant cosmetic problems in surgery treatment of pilonidal disease. Poor cosmetic results on cases may sometimes be more important. The results of this study showed that patients care more about the functional outcomes of treatment than the cosmetic results.
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    Clinicopathologic features of operated gastric cancer patients, single center nine years experience
    (2020) Yol, Sinan; Uzun, Orhan; Senger, Aziz Serkan; Dincer, Mursit; Polat, Erdal; Duman, Mustafa; Deger, Kamuran Cumhur; Cigiltepe, Huseyin; Gundes, Ebubekir; Cetin, Durmus Ali; Aday, Ulas
    Aim: Gastric cancer is one of most common malignancies in the world. In developed countries including Europe and United States, despite the advanced technology, advanced stages of gastric cancer are still common with a poor survival. In this study, we aimed to describe clinicopathological characteristics and outcomes of gastric cancer in patients who were operated in our clinic.Material and Methods: We respectively evaluated a total of 200 patients who underwent gastrectomy, D2 lymph node dissection due to gastric cancer between November 2006 and December 2015. Data including clinicopathologic features, postoperative complications, overall survival and prognostic factors affecting prognosis were analyzed and statistical analysis was performed. Data including clinicopathologic features, postoperative complications, overal survival and prognostic factors affecting prognosis were analyzed and statistical analysis was performed.Results: Of the patients, 134 (67%) were males and 66 (33%) were females. The mean age was 61.36±11.92 (28-91) years. Tumor localization was frequently low (57%). The most common postoperative complication, regardless of the type of gastrectomy, was the surgical site infection. The major of the patients had Stage 3 disease. The median overall survival was 24.9 (0.07-116.3) months and overall survival was 43.7%.Conclusion: Except for early stage, the chance of curative treatment is low in gastric cancer. Early diagnosis and treatment can yield improved outcomes for this patient population. Therefore, it is important to develop national programs for early diagnosis and to develop experienced endoscopists
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    Determinants of survival in gastric cancer: A single center experience
    (2019) Dogan, Fadli; Dincer, Mursit; Karabulut, Koray
    Aim: Gastric cancer is the second leading cause of cancer deaths worldwide. The effect of lymph node dissection and the extent of gastric resection on survival remains controversial, while improved survival has been reported with combined chemotherapy and radiotherapy. In this study, we aimed to present a single center experience. Material and Methods: Patients undergoing gastric resection due to gastric cancer were retrospectively assessed in order to examine the determinants of survival in gastric adenocarcinoma. Gastric malignancies other than adenocarcinoma were excluded from the study. Result of preoperative diagnostic work up, operative data, histopathology of the surgical specimen, and postoperative follow up parameters were evaluated and recorded. Results: Among a total of 139 patients operated due to gastric malignancy between January 2008 and January 2014 in our unit, 124 were diagnosed with an adenocarcinoma. The median duration of follow up was 6 months, during which 53 patients (42.7%) were found to have disease recurrence (10 local, and 43 systemic). A higher T stage was associated with shorter survival (p<0.0001), as was the N stage (p<0.0001). Parameters that emerged as having a statistical significance (p<0.05) in the univariate analysis, i.e. gender, tumor size, T stage, N stage, differentiation, and surgical margin status, were subjected to a multivariate analysis, where T stage, N stage, and proximal/distal surgical margin status maintained their significant association with the survival. Conclusion: Several factors such as tumor stage, tumor diameter, histological type, and number of metastases emerged as having significant prognostic importance in patients with gastric cancer