Browsing by Author "Alkan, Murat"

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    Comparison of Stapler and Hand-Sewn Roux en Y Jejunal Anastomosis in Children
    (2022) Alkan, Murat; Tutus, Kamuran; Colak, Selcan Turker; Fakioglu, Ender; Kilic, Seref Selcuk; Ozden, Onder; Tuncer, Recep; https://orcid.org/0000-0003-2469-9963
    Purpose: This study aims to evaluate and compare the outcomes of stapled and hand-sewn Roux-en-Y intestinal anastomoses in childhood.Materials and Methods: At a university hospital, the records of the children who underwent roux-en-Y anastomosis between December 2007 and December 2014 were reviewed. The data were compared according to the roux-en-Y anastomosis technique used (stapled versus hand-sewn).Results: A total of 52 patients had undergone roux-en-Y anastomosis. All had biliary atresia or choledochal cyst. Thirty-one of the patients were diagnosed with biliary atresia and 21 with choledochal cysts. Staple anastomosis technique was used in 16 of the patients with biliary atresia and 9 of the patients with choledochal cyst. Both in biliary atresia and choledochal cyst cases; operations with stapled anastomosis were significantly shorter than the ones with hand-sewn anastomosis. Among the biliary atresia cases, post-operative oral feeding was initiated significantly earlier in the stapled group, with its lower risks of post-operative cholangitis and longer hospital stay than 7 days.Conclusion: This is the first study in children, confirming the time-saving advantage of stapled anastomosis over hand-sewn, during roux-en-Y anastomosis for biliary atresia and choledochal cyst; along with the safety of stapler use, including the neonates. Stapled anastomosis yields lower complication rates, faster function gain with earlier feeding and hospital discharge.
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    Splenogonadal Fusion in Children: A Rare Entity Mimicking Inguinal Tumor
    (2020) Guney, Isa Burak; Temiz, Abdulkerim; Oksuzler, Mahmut; Alkan, Murat; 32149797; A-4719-2018
    Splenogonadal fusion (SGF) is a rare congenital malformation, which can be of a continuous or discontinuous type. It is characterized by splenic tissue fused with gonadal tissue. Because it lacks characteristic features, very few cases of SGF have been diagnosed preoperatively. Herein, we present a case with left side SGF who was diagnosed by Tc-99m-nanocolloid spleen scintigraphy.