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    Complications during laparoscopic cholecystectomy performed due to acute cholecystitis
    (28.05.2020) KANAT, Burhan Hakan
    Introduction: Today, laparoscopic cholecystectomy is essential in the treatment of acute cholecystitis, particularly in all patients who have applied in the early period and can tolerate surgery. Although the rates of complication and conversion to open surgery tend to decrease over time with the increasing experience, they are still among the important problems today. The most important complications of laparoscopic cholecystectomy in acute cholecystitis are biliary tract injuries and bleeding. In this article, we aimed to retrospectively present the complications that we encountered in laparoscopic cholecystectomy due to acute cholecystitis. Materials and Methods: The patients, who underwent laparoscopic cholecystectomy with the diagnosis of acute cholecystitis between March 2016 and December 2019, were retrospectively examined. The patients’ age, gender, symptoms–examination findings, laboratory findings, ultrasonography findings and pathology findings were analyzed. Complications and the rate of conversion to open in surgical treatment were evaluated. Results: Of 70 the patients included in this study, 22 (31%) were male and 48 (69%) were female. The ages of the patients were between 25–70 and the mean age was 46.08±11.8. Open surgery was performed in six patients (9%). Perop–postop complications developed in three (4%) patients in total. Conversion to open was required in one of these patients. Biliary tract injury occurred in one patient, cystic duct stump leak occurred in one patient, and choledochal stenosis occurred in one patient. Conclusion: As a result, early laparoscopic cholecystectomy in acute cholecystitis is an acceptable treatment option with these complications and rates of conversion to open. It should be considered that complications may occur in the interim period and patients will be at a second risk due to the postponed operation. Minimal invasive methods should be preferred as much as possible with developing complications, and if necessary, support should be obtained from more experienced teams
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    A FORGOTTEN STATUS: GOSSYPIBOMA
    (2021) KANAT, Burhan Hakan; ÖZTÜRK, Tülin; AKSOY, Nurullah; BOZAN, Mehmet Buğra; KUTLUER, Nizamettin
    Gossypiboma is used to describe the forgotten cotton/gauze piece in the body after the surgical procedure. It is formed by the combination of the words “gossypium”, a Latin word for cotton, and the word “boma” in Swahili, which means the place of hiding1 . Although many different materials have been reported in the literature, cotton materials are among the most forgotten objects. Though there is no consensus, the incidence is given as 0.01-0.001%. Gossypiboma, which is more common after abdominal and pelvic surgery, has also been reported after thoracic surgery, spinal, orthopedic, and breast surgery2,3. This article aimed to present five gossypiboma cases
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    Have malignancy rates increased in thyroidectomy cases
    (27 mart 2021) KANAT, Burhan Hakan; Çay, Ferhat; Kutluer, Nizamettin; Aksoy, Nurullah; BOZAN, Mehmet Buğra; Arslan Solmaz, Özgen; KARACA KARAGÖZ, Zühal; İrtegün, Sinan; Aydın, Yusuf
    ntroduction: This study aims to review thyroidectomy cases performed by a single surgeon in a single centre during the course of 1 year, to determine if the malignancy rate increased, and to compare the results with the liter ature. Material and methods: We retrospectively evaluated data of patients who underwent thyroidectomy between August 2018 and August 2019 in the General Surgery Clinic of our hospital. The malignancy rate was calculated and analysed according to the demographic data of the patients (gender and age), preoperative thyroid nodule sizes, and postoperative pathological mass sizes. Also, age, preoperative nodule size, and tumour size were all evaluated according to gender. Results: There were a total of 60 patients (14 (23%) male and 46 (77%) fe male). The pathology result revealed 16 (26.7%) malignant and 44 (73.3%) benign biopsies. The mean age was 46.72 ±12.08 years (20–74). We found that age, preoperative nodule size (cm), pathological tumour size (cm), and thyroid function tests were not significantly associated with malignancy. However, when age, preoperative nodule size, and tumour sizes were evalu ated according to gender, it was found that tumour sizes were significantly larger in men than in women (p < 0.001). In addition, the mean age of male patients was higher than that of women (p = 0.025). Conclusions: The malignancy rate has increased in the thyroidectomies per formed in our centre. This finding is consistent with relevant studies from the last 30 years. Therefore, it is likely that clinicians will continue to handle an increased number of thyroid malignancies
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    Hipertiroidili Hastalarda Tedavinin Beyin Natriüretik Peptid Düzeyine Etkisi
    (11.09.2020) KANAT, Burhan Hakan; KARACA KARAGÖZ, Zühal; KURT, Feyzi
    Amaç: Kardiyak problemi ve herhangi bir sistemik hastalığı olmayan hipertiroidili hastalarda beyin natriüretrik peptid (BNP) düzeyini ve tedavinin BNP düzeyine etkisini değerlendirmeyi planladık. Gereç ve Yöntemler: Çalışmaya 29 hipertiroidili ve 30 sağlıklı olgu dahil edildi. Hastalarda total T3, total T4, serbest T3, serbest T4, TSH, anti TPOAb, Anti TgAb ve BNP düzeylerine tedavi öncesinde ve ötiroid olduktan sonra bakıldı. Bulgular: Hipertiroidili hastalarının tedavi öncesi BNP düzeyleri kontrol grubuna göre anlamlı olarak daha yüksek bulunmuştur (P<0,05). Hastaların tedavi öncesi ve ötiroid olduktan sonraki BNP düzeyleri arasında anlamlı ilişki saptanmıştır (P<0,05). TT3 ve Anti TPOAb ile BNP arasında pozitif bir korelasyon gözlenmiştir (P<0,05). BNP ile TSH arasında ise tedavi öncesi ve sonrası anlamlı bir korelasyon saptanmamıştır (P>0,05). Ayrıca hastalarda Anti TgAb, ST3, ST4 ve TT4’de tedavi öncesi pozitif bir korelasyon gözlenmiş (P<0,05) olup tedavi sonrası ise korelasyon tespit edilmemiştir (P>0,05). Sonuç: Hipertiroidili hastalarda BNP düzeyi artmıştır. Antitiroid tedavi BNP düzeyini anlamlı olarak düşürmektedir.