Tıp Fakültesi / Faculty of Medicine

Permanent URI for this collectionhttps://hdl.handle.net/11727/1403

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    Emergency Cholecystectomy vs Percutaneous Cholecystostomy Plus Delayed Cholecystectomy for Patients with Acute Cholecystitis
    (2014) Karakayali, Feza Y.; Akdur, Aydincan; Kirnap, Mahir; Harman, Ali; Ekici, Yahya; Moray, Gokhan; https://orcid.org/0000-0002-1874-947X; https://orcid.org/0000-0002-8726-3369; https://orcid.org/0000-0002-7386-7110; https://orcid.org/0000-0003-2498-7287; 24919616; AAB-3888-2021; AAA-3068-2021; AAH-9198-2019; K-9824-2013; AAE-1041-2021
    BACKGROUND: In low-risk patients with acute cholecystitis who did not respond to nonoperative treatment, we prospectively compared treatment with emergency laparoscopic cholecystectomy or percutaneous transhepatic cholecystostomy followed by delayed cholecystectomy. METHODS: In 91 patients (American Society of Anesthesiologists class I or II) who had symptoms of acute cholecystitis 272 hours at hospital admission and who did not respond to nonoperative treatment (48 hours), 48 patients were treated with emergency laparoscopic cholecystectomy and 43 patients were treated with delayed cholecystectomy at 24 weeks after insertion of a percutaneous transhepatic cholecystostomy catheter. After initial treatment, the patients were followed up for 23 months on average (range 7-29). RESULT: Compared with the patients who had emergency laparoscopic cholecystectomy, the patients who were treated with percutaneous transhepatic cholecystostomy and delayed cholecystectomy had a lower frequency of conversion to open surgery [19(40%) vs 8(19%); P=0.029], a frequency of intraoperative bleeding >= 100 mL [16(33%) vs 4(9%); P=0.006], a mean postoperative hospital stay (5.3 +/- 3.3 vs 3.0 +/- 2.4 days; P=0.001), and a frequency of complications [17(35%) vs 4(9%); P=0.003]. CONCLUSION: In patients with acute cholecystitis who presented to the hospital 272 hours after symptom onset and did not respond to nonoperative treatment for 48 hours, percutaneous transhepatic cholecystostomy with delayed laparoscopic cholecystectomy produced better outcomes and fewer complications than emergency laparoscopic cholecystectomy.
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    Effects of Natural Immune System on Acute Rejection of Living Donor Renal Transplantation
    (2016) Kirnap, Mahir; Yalcin, Yaprak; Ozcelik, Umit; Ekici, Yahya; Fatac, Belgin; Moray, Gokhan; Haberal, Mehmet; https://orcid.org/0000-0002-9337-9106; https://orcid.org/0000-0003-1073-2494; https://orcid.org/0000-0003-2498-7287; https://orcid.org/0000-0002-3462-7632; AAH-9198-2019; ABB-4078-2020; AAG-8651-2021; AAE-1041-2021; AAJ-8097-2021
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    Effect of Mural or Intra-Arterial Injection Adipose Derived Stromal Fraction on TNBS-Induced Colitis: An Experimental Study
    (2019) Tugan, Tezcaner; Aydin, Huseyin Onur; Uysal, Cagri A.; Ozgun, Gonca; Ozer, Huriye Eda Ozturan; Ekici, Yahya; Haberal, Mehmet A.