Ahmet Cem Esmer

Marmara University

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Deniz Tazeoğlu

Mersin Üniversitesi

Hilmi Yazıcı

Marmara Üniversitesi Eğitim ve Araştırma Hastanesi

Ahmet Dağ

Mersin Üniversitesi

Sami Benli

Mersin Üniversitesi

Cumhur Yeğen

Marmara University

Bilal Arslan

Mersin Üniversitesi

Deniz Tikici

Muğla University

TÇ

Tahsin Çolak

Mersin Üniversitesi

Akay Edizsoy

Isparta University of Applied Sciences

Mustafa Halil Akbörü

Istanbul Eye Hospital

Cooperative Institutions

Sağlık Bilimleri Üniversitesi

Bursa Uludağ Üni̇versi̇tesi̇

University of Health Sciences

Mersin Üniversitesi

University of Health Science

Ministry of Health

Istanbul University

Okmeydanı Eğitim ve Araştırma Hastanesi

Marmara University

University of Health Sciences Antigua

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Retrospective Analysis of Patients Operated for Peptic Ulcer Perforation: Single Center Results

Ahmet Cem Esmer Hilmi Yazıcı

Single Center

Perforation

Center (category theory)

Peptic

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Citations (0)

IS THE WHIPPLE PROCEDURE SAFE AND FEASIBLE IN ELDERLY PATIENTS?

The Turkish Journal of Geriatrics (2022)

Ahmet Cem Esmer Deniz Tikici Deniz Tazeoğlu Hakan Canbaz Aydemir Ölmez

Introduction: The world population is getting older due to increasing life expectancy. Deciding to perform surgery for pancreatic cancer in elderly patients has been difficult due to high comorbidities and limited survival. This study aimed to compare the results of the Whipple procedure performed in elderly patients with non-elderly patients to demonstrate the safety and feasibility of the Whipple procedure. Materials and Methods: Patients underwent the Whipple procedure for pancreatic adenocarcinoma between January 2010 and December 2019 were retrospectively analyzed. Patients were classified into two groups as, Group I (<65 years) and Group II (≥65 years), and compared. Results: 178 patients were included, with 97 (54.5%) in group I and 81 (45.5%) in group II. The mean age of the patients was 63.48±12.95 years, while 65.2% were male and 34.8% were female. Gender distribution, preoperative hyperbilirubinemia, The American Society of Anesthesiologists score, and endoscopic retrograde cholangiopancreatography status were found to be statistically similar between the groups. Group II had more comorbid disease (p=0.002), longer hospital stay duration (p<0.001), and more intensive care unit admission (p=0.001). There was no statistical difference between the groups regarding postoperative complications, pancreatic cancer stage, and R0 resection rate. There was no difference between the groups regarding survival (p=0.11). Conclusion: The Whipple procedure is an operation with a high complication rate regardless of age. The most adverse factor affecting survival is the aggressive nature of the disease rather than older age. Therefore, the Whipple procedure is safe and feasible in elderly patients. Keywords:Aged; Pancreatic Neoplasms; Survival; Pancreaticoduodenectomy.

Whipple Procedure

10.31086/tjgeri.2022.302

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Current status of laparoscopic surgery usage in Türkiye: A middle-income country

Turkish Journal of Surgery (2022)

Ahmet Cem Esmer Tahsin Çolak Akay Edizsoy Deniz Tazeoğlu Ahmet Serdar Karaca

This study aimed to determine the usage status of laparoscopic procedures in general surgical practice in Türkiye, which is a sample of middle-income countries.The questionnaire was sent to general surgeons, gastrointestinal surgeons, and surgical oncologists who have completed their residency training and are actively working in university, public or private hospitals. Demographic data, laparoscopy training and the period of education, the rate of laparoscopy use, the type and volume of laparoscopic surgical procedures, their views on the advantages and disadvantages of laparoscopic surgery, and the reasons for preferring laparoscopy were determined with a 30-item questionnaire.Two hundred and forty-four questionnaires from 55 different cities of Türkiye were evaluated. The responders were mainly males, younger surgeons (F/M= 11.1/88.9 % and 30-39 y/o), and graduated from the university hospital residence program (56.6%). Laparoscopic training was frequently taken during residency (77.5%) in the younger age group, while the elderly participants mostly received additional training after specialization (91.7%). Laparoscopic surgery was mostly not available in public hospitals for advanced procedures (p <0.0001) but was available for cholecystectomy and appendectomy operations (p= NS). However, participants working in university hospitals mostly stated that the laparoscopic approach was the first choice for advanced procedures.The results of this study showed that the surgeons working in MICs spent strong effort to use laparoscopy in daily practice, especially in university and high-volume hospitals. However, inappropriate education, cost of laparoscopic equipment, healthcare policies, and some cultural and social barriers might have negatively impacted the widespread use of laparoscopic surgery and its usage in daily practice in MICs such as Türkiye.

10.47717/turkjsurg.2022.5713

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Rupture of noncommunicating rudimentary uterine horn pregnancy

International Journal of Gynecology & Obstetrics (1992)

T. Bilgin U Demir Ahmet Cem Esmer

10.1016/0020-7292(92)90049-o

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Comparison of Clinical, Histopathological, and Survival Outcomes of Pure and Mixed Mucinous Breast Carcinoma

Indian Journal of Surgery (2022)

Ahmet Cem Esmer Deniz Tazeoğlu Ahmet Dağ

Mucinous carcinoma

Breast carcinoma

10.1007/s12262-022-03573-3

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Factors increasing surgery success in primary hyperparathyroidism

Turkish Journal of Clinics and Laboratory (2020)

Ahmet Cem Esmer Orhan Yalçın Arzu Akan Deniz Tazeoğlu

Aim: Standart procedure for Primary hyperparathyroidism patients’ is two sides neck exploration, during the last years minimal incision started to be used for primary hyperparathyroidisim patients at primary hyperparathyrodism patients. Some researchers had been done to which patients should perform minimal incision surgery that a set of indexes proposed to use. So we can try to show which parameters should be use for get better surgery results.Material and Methods: Files of the patients, that undergo surgery for primary parathyroidism between January 2009-2016, will be studied retrospectively.Results: There 166 patients operated for primary hyperparathyroidism. 14 of these patients have multi gland disease. There is no difference for single gland disease and multigland disease patients between age and gender statistically. Multiglands disease patients’ pathology specimens lenght and weight is lower than single gland disease group statistically. Preoperative and post operative parathormone(Pth) and calcium levels have no statistical difference. Comparing minimal invasive parathyroidectomy(MIP) and bilateral neck exploration parathyroidectomy shows there is no statistically difference between them. Avaible parameters applied advised parameters.Conclusion: There is scoring systems, that made from combination of biochemical parameters and screening methods, seperate single gland disease and multiple glands disease. We evaluated these scoring system among our patients. CaPTHUS scoring system seems useful at our patient group. Wisconsin index is statisticaly meaningless with slight difference. So there is need to more crowded and prospective studies to be done for seperating multi gland disease and solitary adenoma. Comparing Minimal invasive parathyroidectomy and bilateral neck exploration parathyroidectomy shows that MIP is a safe procedure in selected patients.

Parathyroid gland

10.18663/tjcl.641304

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Is it Possible to Diagnose “Non-Invasive Follicular Thyroid Neoplasm with Papillary-Like Nuclear Features” Preoperatively?

Indian Journal of Surgical Oncology (2022)

Deniz Tazeoğlu Ahmet Dağ Ahmet Cem Esmer Sami Benli Bilal Arslan

Thyroid neoplasm

Thyroid Nodules

Surgical oncology

10.1007/s13193-022-01696-3

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Clinical outcomes of crystallized phenol as a first treatment option in patients with recurrent pilonidal sinus.

PubMed (2023)

Ahmet Cem Esmer Hüseyin Çayören

AİM: This study aimed to observe the clinical outcomes of phenol treatment in patients with recurrent pilonidal sinus disease. MATERİAL AND METHODS: This study retrospectively collected data from 107 patients with recurrent the pilonidal disease who received phenol treatment in a single institute. Patients were divided into two groups as successful treatment (ST) and unsuccessful treatment (UST) after phenol application. A comparison was held between groups to define factors associated with failure treatment. RESULTS: There were 89 patients in ST and 18 patients in UST group. The treatment success rate after phenol treatment was 83.2%. We observed no difference between ST and UST in terms of age, gender, family history, surgical technique at the first operation, time to recurrence, procedure time, follow-up time, time to return to work, walk without pain or sit on the toilet without pain (p>0.05). However, smoking rate, presence of comorbidity, and mean BMI were statistically significantly higher in the UST group compared to the ST group (p<0.05). In addition, being obese (OR: 2.45, 95% CI: 1.07 - 5.60), having a comorbid disease (OR: 3.11, 95% CI: 1.29 - 7.47), and smoking (OR: 1.97, 95% CI: 0.85 - 4.53) were significantly associated with treatment failure. CONCLUSİON: Phenol treatment is an effective and simple procedure that could be easily applied even in rural hospitals in an outpatient fashion. Therefore, it should be considered for patients suffering from recurrence without the need for an aggressive surgical excision. KEY WORDS: Crystallized phenol, Pilonidal sinus, Recurrence.Questo studio è finalizzato ad osservare gli esiti clinici del trattamento con fenolo nei pazienti con malattia del seno pilonidale ricorrente. Nello studio ha sono stati raccolti retrospettivamente i dati di 107 pazienti con recidiva della malattia pilonidale che hanno ricevuto un trattamento con fenolo in un unico istituto. I pazienti sono stati divisi in due gruppi come trattamento riuscito (ST) e trattamento non riuscito (UST) dopo l’applicazione di fenolo. È stato effettuato un confronto tra i gruppi per definire i fattori associati al fallimento del trattamento. Nel gruppo ST sono rappresentati 89 pazienti, e nel gruppo UST 18 pazienti. Il tasso di successo dopo trattamento con fenolo è del 83,2%. Non abbiamo osservato differenze tra ST e UST in termini di età, sesso, storia familiare, tecnica chirurgica al primo intervento, tempo alla recidiva, tempo della procedura, tempo di follow- up, intervallo di ritorno al lavoro, cammino senza dolore o sedersi sul wc senza dolore (p>0,05). Tuttavia il fattore fumo, la presenza di comorbilità e il BMI medio erano statisticamente significativamente più alti nel gruppo UST rispetto al gruppo ST (p<0,05). Inoltre, essere obesi (OR: 2,45, IC 95%: 1,07 - 5,60), avere una comorbidità (OR: 3,11, IC 95%: 1,29 - 7,47) e fumare (OR: 1,97, IC 95%: 0,85 - 4.53) erano significativamente associati al fallimento del trattamento. In conclusione il trattamento con fenolo si è dimostrata una procedura efficace e semplice che potrebbe essere facilmente applicata anche negli ospedali rurali in modo ambulatoriale. Pertanto, dovrebbe essere considerato per i pazienti che soffrono di recidiva senza la necessità di un’escissione chirurgica aggressiva.

Pilonidal disease

Sinus (botany)

Outpatient clinic

Pain medication

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Gastric Cancer Surgery During the Pandemic: What It Costs?

Journal of Gastrointestinal Cancer (2021)

Hilmi Yazıcı Ayşe Eren Tevfik Kıvılcım Uprak Cihan Şahan Ahmet Cem Esmer

Pandemic

Lymphovascular invasion