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- 저자 : ( Fahrettin Acar ) (검색결과 3 건)
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Specimen index may be a predictive factor for recurrence after primary closure of pilonidal disease
Husnu Alptekin,Fahrettin Acar,Mustafa Sahin,Huseyin Yilmaz,M. Ertugrul Kafali,Sinan Beyhan 대한외과학회 2012 Annals of Surgical Treatment and Research(ASRT) Vol.83 No.6
Purpose: The aim of the present study was to evaluate the predictive value of volume of the specimen/body mass index (VS/BMI) ratio for recurrence after surgical therapy of pilonidal disease. Methods: Ninety-eight patients with primary pilonidal disease were enrolled in this study. The VS/BMI ratio was calculated for each patient. This ratio was defined as the specimen index (SI). VS, BMI and SI were evaluated to determine whether there is a relationship between these parameters and recurrence of pilonidal disease. In addition, the predictive ability of SI for recurrence was analyzed by receiver operating characteristic (ROC) curve. Results: VS and SI were found to be higher in patients with recurrence. ROC curve analysis showed that VS and SI are predictive factors for recurrence in patients treated with primary closure, nevertheless our new index had higher sensitivity and specificity than VS (sensitivity 85.7% vs 71.4% and specificity 90.7% vs 85.1%, respectively). The cut-off level for the greatest sensitivity and specificity for SI was 1.29. Conclusion: Recurrence is higher in patients with high VS regardless of the operation method. SI may be a predictive value in patients treated with primary closure.
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Effect of laparoscopic cholecystectomy techniques on postoperative pain
Huseyin Yilmaz,Oguzhan Arun,Seza Apiliogullari,Fahrettin Acar,Husnu Alptekin,Akın Calisir,Mustafa Sahin 대한외과학회 2013 Annals of Surgical Treatment and Research(ASRT) Vol.85 No.4
Purpose: Minimally invasive surgical technics have benefits such as decreased pain, reduced surgical trauma, and increased potential to perform as day case surgery, and cost benefit. The primary aim of this prospective, randomized, controlled study was to compare the effects of single incision laparoscopic cholecystectomy (SILC) and conventional laparoscopic cholecystectomy (CLC) procedures regarding postoperative pain. Methods: Ninety adult patients undergoing elective laparoscopic cholecystectomy were included in the study. Patients were randomized to either SILC or CLC. Patient characteristics, postoperative abdominal and shoulder pain scores, rescue analgesic use, and intraoperative and early postoperative complications were recorded. Results: A total of 83 patients completed the study. Patient characteristics, postoperative abdominal and shoulder pain scores and rescue analgesic requirement were similar between each group except with the lower abdominal pain score in CLC group at 30th minute (P = 0.04). Wound infection was seen in 1 patient in each group. Nausea occurred in 13 of 43 patients (30%) in the SILC group and 8 of 40 patients (20%) in the CLC group (P > 0.05). Despite ondansetron treatment, 6 patients in SILC group and 7 patients in CLC group vomited (P > 0.05). Conclusion: In conclusion, in patients undergoing laparoscopic surgery, SILC or CLC techniques does not influence the postoperative pain and analgesic medication requirements. Our results also suggest that all laparoscopy patients suffer moderate and/or severe abdominal pain and nearly half of these patients also suffer from some form of shoulder pain.
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( Ilhan Ece ),( Huseyin Yilmaz ),( Serdar Yormaz ),( Bayram Colak ),( Fahrettin Acar ),( Husnu Alptekin ),( Mustafa Sahin ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: The aim of this study was to compare the mid-term out comes of open and laparoscopic partial cystectomy (LPC). Methods: The medical records of patients who underwent conventional partial cystectomy (CPC) and LPC for liver hydatid cyst from March 2009 to January 2016 were retrospectively reviewed. Operative time, blood loss, length of hospital stay, postoperative morbidity, mortality, and follow up outcomes were evaluated. Results: Among 162 patients, 59 of patients were underwent LPC and 103 underwent CPC. Blood loss, postoperative com plications were similar in both groups. The mean operative time in the LPC and the CPC groups was respectively 91.4±11.5 and 61.5±18.1 minutes, which showed a significant difference between the both groups. The mean length of hospital stay in CPC group was significantly longer when compared the LPC group. The mean diameter of cyst in LPC group was 6.1±1.1 cm, and 7.8±2.1 cm in CPC group with significant difference. The overall complication rates were 15.2 % in LPC group and 16.5 % in CPC group without significant difference. The most common complication was biliary leakage and surgical site in fection. Conclusions: In the hands of experienced laparoscopic sur geons with appropriate technical tools; Laparoscopic drainage and partial cystectomy seem to be safe and effective techniques in carefully selected patients in the surgical treatment of liver hydatid cysts. Technical devices such as grinder aspirator and laparoscopic ultrasonography may expand the indication for laparoscopy.
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