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    Is lesser curvature resection for GIST can be associated with delayed gastric emptying?
    (2020) Donder, Yunus; Baykan, Mehmet; Sevim, Yusuf; Ertan, Tamer; Karagoz Eren, Saliha
    Aim: Patients who performed wedge resection of the lesser curvature of the stomach due to GIST were evaluated for delayed gastric emptying. Material and Methods: Thirty patients who underwent wedge gastric resection for GIST in stomach between 2009-2019 were evaluated retrospectively. In Seven patients it is located in lesser curvature. Results: Fifty-five patients were operated between 2009 and 2019 for GIST.In 7 patients, GIST was found to be located in the lesser curvature of the stomach. Of the 7 patients, 2 (%28) were male and 5 (%72) were female. Laparoscopy was performed in 4 patients and conventional procedure was performed in 3 patients. The average age was 56±10.5 (46-67) years in the conventional procedure group, and 61.5±10.4 (50-73) in the laparoscopic group. Average hospital stay was 4.67±1.5 (3-6) days for conventional procedure and, 2.75±0.9 (2-4) days for the laparoscopic group. Age and length of hospital stay were not different between the two groups (p=0.522 and p=0.094, respectively).All patients had normal radiological findings. Stool discharge was observed on postoperative day 3 at the latest. Conclusion: In conclusion, resection of lesser curvature (with laparoscopic or conventional procedure) GISTs with a tumor free surgical margin staying near to the gastric wall to prevent vagal nerve injury is feasible without gastric emptying problems.
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    Minimally invasive parathyroidectomy in a community based teaching hospital: The role of dual-phase parathyroid scintigraphy and surgeon experience
    (2019) Sarigoz, Talha; Topuz, Omer; Ertan, Tamer; Aydemir, Ugur
    Aim: In a community based teaching hospital setting, to explore role of dual-phase parathyroid scintigraphy and surgeon experience in minimally invasive parathyroidectomy.Material and Methods: During 4-year period, from January 2013 to December 2016, 136 of 170 patients those were diagnosed with primary hyperparathyroidism were selected for this retrospective study. For detection of hyper-functioning parathyroid tissue, routine neck ultrasound and 99mTc-MIBI dual phase parathyroid scintigraphy were performed. All scintigraphy scans were evaluated by nuclear medicine physicians and surgeons together. Patients with suspected multiglandular diseases and familial cases were excluded. Enlarged glands were identified by surgeons intraoperatively. Specimens were sent for frozen section analysis.Results: Without using intraoperative parathormone monitoring or gamma probe, combination of neck ultrasound, surgeon-nuclear physician evaluated parathyroid scintigraphy scan and resection of surgeon-identified diseased gland resulted in 100% cure rate for this group of patients. Conclusion: Operative experience of surgeon and review of preoperative parathyroid scintigraphy scan had remarkable impact on outcomes. Minimally invasive parathyroidectomy can be held successfully at community-based hospitals under specific conditions without using intraoperative parathormone or gamma probe.