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Öğe Anal cancers(2009) Kayaalp C.; Ölmez A.Anal cancers should be evaluated as anal canal cancers and perineal skin cancers (anal magrin cancers). The most common pathological form is epidermoid cancer (squamous cell). Human papilloma virus (HPV) is the most important risk factor for anal cancers. All kind of symptoms for anorectal diseases can be the symptom of an anal cancer. Primay treatment is chemo-radiotherapy. Malignant melanoma, adenocarcinoma and other anal margin cancers are treated mainly by surgical excision.Öğe Histopathological findings of gastric specimens of patients undergoing sleeve gastrectomy(Ondokuz Mayis Universitesi, 2021) Uylas U.; Gundogdu R.; Çi?Çek E.; Şansal M.; Aktas A.; Sumer F.; Kayaalp C.Sleeve gastrectomy is the most preferred surgical procedure in obese patients. In the literature, the necessity of pathological examination of the specimen is emphasized because of malignant case reports. In this study, we aimed to present the histopathological findings of the specimens of our patients who underwent sleeve gastrectomy due to obesity in the light of the literature. Patients who underwent sleeve gastrectomy due to obesity between 2014-2019 in our clinic were retrospectively screened. Endoscopy was not performed in patients with no symptoms. After the obesity committee, the patients were operated and the specimens were sent for routine histopathological examination. Patients' age, gender, body mass index, surgical procedure information, and histopathological features of resected gastric specimens were analyzed. A total of 411 patients were included in the study and there were 309 (75.2%) female patients. The overall mean age was 35 ± 10.3 and the mean body mass index was 44.7 ± 5.2 kg/m2. The pathology of 85 (20.7%) of the patients were reported as completely normal. Abnormal pathological findings were detected in 326 (79.3%) patients. No malignant finding was found in the specimen pathology results. The necessity of endoscopic examination before sleeve gastrectomy is controversial. Even if no malignant pathological result was detected in our study, we believe that routine pathological examination is required for medicolegal reasons. © 2021 Ondokuz Mayis Universitesi. All rights reserved.Öğe Hydatid liver cyst causing portal vein thrombosis and cavernous transformation: A case report and literature review(Research Institute for Gastroenterology and Liver Diseases, 2016) Kirmizi S.; Kayaalp C.; Yilmaz S.A 33-year-old male with abdominal distention after meals was admitted to the hospital. He had a history of surgery for hydatid liver cyst. The cyst was located at the liver hilum and there were portal venous thrombosis and cavernous transformation. It had been treated with partial cystectomy, omentoplasty and albendazole. Two years later at the admission to our center, his laboratory tests were in normal ranges. Abdominal imaging methods revealed splenomegaly, portal vein thrombosis, cavernous transformation and the previously operated hydatid liver cyst. Upper gastrointestinal endoscopy demonstrated esophageal and gastric fundal varices. Due to his young age and low risk for surgery, the patient was planned for surgical treatment of both pathologies at the same time. At laparotomy, hydatid liver cyst was obliterated with omentum and there was no sign of active viable hydatid disease. A meso-caval shunt with an 8 mm indiameter graft was created. In the postoperative period, his symptoms and endoscopic varices were regressed. There were four similar cases reported in the literature. This one was the youngest and the only one treated by a surgical shunt. Hydatid liver cysts that located around the hilum can lead to portal vein thrombosis and cavernous thrombosis. Treatment should consist of both hydatid liver cyst and portal hypertension. To the best of our knowledge, this was the first case of surgically treated portal vein thrombosis that was originated from a hydatid liver cyst. © 2016 RIGLD, Research Institute for Gastroenterology and Liver Diseases.Öğe Öğe Identification of ureter during colorectal surgery cannot always avoid ureteral injury: Duplicated collecting system(Southeastern Surgical Congress, 2015) Tardu A.; Kayaalp C.; Ertugrul I.; Yagci M.A.[No abstract available]Öğe Isolated cecal necrosis mimicking acute appendicitis: A case series(2009) Dirican A.; Unal B.; Bassulu N.; Tatl F.; Aydin C.; Kayaalp C.Introduction. Spontaneous non-occlusive ischemic colitis involving the cecum alone (isolated cecal necrosis) is a rare condition that is generally due to a low-flow state: shock. It presents with right lower quadrant abdominal pain and may resemble acute appendicitis. Little is known about postoperative ischemic necrosis of the remaining colon after surgical treatment of isolated cecal necrosis. We report four cases of isolated cecal necrosis mimicking acute appendicitis seen at our institution within a 4-year period. Case presentation. The patients were two men and two women with a mean age at diagnosis of 59 years (range 46-68). The patients were of Turkish ethnic origin. All patients presented to the emergency room with acute abdominal pain and had symptoms of nausea and vomiting. The medical histories for three of the patients revealed end-stage renal failure requiring hemodialysis. The other patient had chronic obstructive pulmonary disease. Right hemicolectomy with anastomosis was performed in three patients and cecal resection with ileocolostomy was performed in the remaining one patient. All of the patients healed without complications. Median follow-up of patients was 24.5 (range: 17-37) months. There was no recurrence of ischemia in the remaining colon during the follow-up period of the patients. Conclusion. Isolated cecal infarction should be included in the differential diagnosis of acute pain in the right lower quadrant of the abdomen, especially in those patients on chronic hemodialysis. While diffuse ischemic disease of the intestine has high morbidity, mortality and recurrence rates, patients with isolated cecal necrosis have a good prognosis with early diagnosis and surgical treatment compared to those with diffuse ischemic disease. © 2009 licensee BioMed Central Ltd.Öğe Laparoscopic Total Colectomy Combined with NOSES: Turkish Experience(Springer Singapore, 2021) Kayaalp C.Rectal resection, right hemicolectomy, and sigmoid colectomy are the most frequently performed colorectal resections. Left hemicolectomy and transverse colectomy are used less frequently. All these surgeries can be performed with minimally invasive techniques, and specimens can be removed through a natural orifice that is called natural orifice specimen extraction surgery (NOSES). These surgeries involve only a part of the large intestine and related one or two quadrants of the abdomen. Total colectomy or total proctocolectomy involves the four quadrants of the abdomen. These are one of the most extensive surgeries in colorectal surgery with huge specimen sizes, and even they can be performed by laparoscopy. The removal of the large specimen through the natural orifices following laparoscopic resection is not a well-known procedure. In this chapter, we aimed to share our experiences about removing the specimen through the natural orifices in our patients undergoing laparoscopic total colectomy or total proctocolectomy. © People’s Medical Publishing House, PR of China 2021.Öğe Letter to the editor [2] (multiple letters)(2002) Palacios-Ruiz J.A.; Ramírez-Solís M.E.; Cárdenas-Mejía A.; Maravilla P.; Flisser A.; Kayaalp C.; Akoglu M.[No abstract available]Öğe Liver transplantation from an upper midline incision(2011) Kayaalp C.; Aydin C.; Unal B.; Baskiran A.; Ozgor D.; Aydinli B.; Yilmaz S.Objectives: To evaluate the minimally invasive incision to the recipient of a liver transplant. Materials and Methods: A 55-year-old man with cirrhosis due to hepatitis B accompanied by hepatocellular carcinoma underwent a right lobe, living-donor liver transplant using an 18-cm long, upper midline incision. The recipient hepatectomy was performed from the left to the right side (from medial to lateral). Deep retractors and long surgical instruments were preferred. Results: The surgical procedure was completed without problem. Both the recipient hepatectomy and implantation of the right liver took 8 hours. Postoperative recovery of the patient was rapid, and he was discharged 8 days after surgery, uneventfully. Conclusions: An upper midline incision can be preferred for liver transplant for selected cases. Minimally invasive surgery is an option for liver transplant recipients as well. © Başkent University 2011 Printed in Turkey. All Rights Reserved.Öğe An overlooked complication after laparoscopic surgery: Trocur site hernias [1] [Laparoskopik cerrahi sonrasi gozden kacan bir komplikasyon: Trokar yeri hernileri](1998) Yilmaz S.; Kirimloglu V.; Caglikulekci M.; Kayaalp C.; Atalay F.; Akoglu M.[No abstract available]Öğe Öğe Screening of gastric cancer in liver transplantation patients: A case report and review of literature(2010) Dirican A.; Unal B.; Bassulu N.; Ozgor D.; Kayaalp C.; Yilmaz S.Liver and other solid organ transplant recipients are at an increased risk of developing several malignancies because of the immuno-suppressive treatment. Generally, patients who had a liver transplant have upper gastrointestinal tract complaints, which makes identification of gastric carcinoma symptoms in those patients difficult. A 58 years old liver transplant male patient presented to the hospital for his routine checkup and dyspeptic complaints. He had received a liver from a cadaver 18 months ago and his postoperative period had been uneventful. An esophagogastroduodenoscopy (EGD) revealed gastric cancer. A subtotal gastric resection with a D2 lymph node dissection was carried out. There was no recurrence during three years follow up. In order to make a timely identification of the occurrence of common malignancies such as gastric cancer, liver transplant recipients must be followed closely.Öğe Spleen preserving distal pancreatectomy in isolated pancreatic trauma(Edizioni Luigi Pozzi S.r.l., 2017) Barut B.; Ciftci F.; Kayaalp C.INTRODUCTION: Isolated pancreatic trauma is a rare condition and commonly come up in children or young adults.The poor initial symptoms lead to delay diagnosis and treatment. The treatment of isolated distal pancreatic trauma including the Wirsung's duct is generally distal pancreatectomy. In an emergency setting, splenectomy is a common additional organ resection requirement with the distal pancreatectomy. However, in circumstances, spleen preserving distal pancreatectomy can provide advantages in these age groups even in emergency conditions. CASE REPORT: Twenty-four-year old male was referred two days after a traffic accident. Acute abdominal findings required laparotomy and preoperative computed tomography revealed a isolated distal pancreatic trauma including the Wirsung. In the hemodynamically stable patient, a spleen preserving distal pancreatectomy (SPDP) was performed uneventfully. CONCLUSION: Spleen preserving distal pancreatectomy is a beneficial and safe surgical option in isolated distal pancreatic trauma. We propose this surgical procedure for children and young patients, who have good general condition, stable vital findings and without another intraabdominal injury.Öğe Subcutaneous hydatid cysts occurring in the palm and the thigh: Two case reports(2008) Dirican A.; Unal B.; Kayaalp C.; Kirimlioglu V.Introduction: Hydatid cyst disease is common in some regions of the world and is usually located in the liver and lungs. This report presents two cases of primary hydatid cysts located subcutaneously: one in the medial thigh and one in the left palm between the index and middle fingers. Case presentations: A 64-year-old male farmer visited our hospital because a swelling on the right medial thigh had grown during the last year. Superficial ultrasound and computed tomography revealed a lesion resembling a hydatid cyst. A germinative membrane was encountered during surgical excision. Pathological examination was compatible with a hydatid cyst. The second case involved a 67-year-old male farmer who complained of a swelling that had grown in his left palm in the last year. The preliminary diagnosis was a lipoma. However, a hydatid cyst was diagnosed during surgical excision and after the pathological examination. The patient did not have a history of hydatid cyst disease and hydatid cysts were not detected in other organs. There has been no disease recurrence after following both patients for 3 years. Conclusion: A hydatid cyst should be considered in the differential diagnosis of subcutaneous cystic lesions in regions where hydatid cysts are endemic, and should be excised totally, with an intact wall, to avoid recurrence. © 2008 Dirican et al; licensee BioMed Central Ltd.Öğe Traumatic transection of pancreatic neck in Adults(Index Copernicus International, 2017) Saydam M.; Ersan V.; Kayaalp C.[No abstract available]
