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| 1 | Ultrasound guided percutaneous cholecystostomy in high-risk patients for surgical intervention显示文摘AIM: To assess the efficacy and safety of ultrasound guided percutaneous cholecystostomy (PC) in the treatment of acute cholecystitis in a well-defined high risk patients under general anesthesia. METHODS: The data of 27 consecutive patients who underwent percutaneous transhepatic cholecystostomy for the management of acute cholecystitis from January 1999 to June 2003 was retrospectively evaluated. All of the patients had both clinical and sonographic signs of acute cholecystitis and had comorbid diseases. RESULTS: Ultrasound revealed gallbladder stones in 25 patients and acalculous cholecystitis in two patients. Cholecystostomy catheters were removed 14-32 d (mean 23 d) after the procedure in cases where complete regression of all symptoms was achieved. There were statistically significant reductions in leukocytosis, (13.7 × 103 ± 1.3 × 103 μg/L vs 13 × 103 ± 1 × 103 μg/L, P < 0.05 for 24 h after PC; 13.7 × 103 ± 1.3 × 103 μg/L vs 8.3 × 103 ± 1.2 × 103 μg/L, P < 0.0001 for 72 h after PC), C -reactive protein (51.2 ± 18.5 mg/L vs 27.3 ± 10.4 mg/L, P < 0.05 for 24 h after PC; 51.2 ± 18.5 mg/L vs 5.4 ± 1.5 mg/L, P < 0.0001 for 72 h after PC), and fever (38 ± 0.35℃ vs 37.3 ± 0.32℃, P < 0.05 for 24 h after PC; 38 ± 0.35℃ vs 36.9 ± 0.15℃, P < 0.0001 for 72 h after PC). Sphincterotomy and stone extraction was performed successfully with endoscopic retrograde cholangio-pancreatography (ERCP) in three patients. After cholecystostomy, 5 (18%) patients underwent delayed cholecystectomy without any complications. Three out of 22 patients were admitted with recurrent acute cholecystitis during the follow-up and recoveredwith medical treatment. Catheter dislodgement occurred in three patients spontaneously, and two of them were managed by reinsertion of the catheter. CONCLUSION: As an alternative to surgery, percutan- eous cholecystostomy seems to be a safe method in critically ill patients with acute cholecystitis and can be performed with low mortality and morbidity. Delayed cholecystectomy and ERCP, if needed, can be performed after the acute period has been resolved by percutaneous cholecystostomy. | Huseyin Bakkaloglu Hakan Yanar Recep Guloglu Korhan Taviloglu Fatih Tunca Murat Aksoy Cemalettin Ertekin Arzu Poyanli | 2006 | World Journal of Gastroenterology2006，12，44： | 15 |
| 2 | Planned second-look laparoscopy in the management of acute mesenteric ischemia显示文摘AIM: To investigate the role of second-look laparoscopy in patients with acute mesenteric ischemia (AMI).METHODS: Between January 2000 and November 2005, 71 patients were operated for the treatment of AMI. The indications for a second-look were low flow state, bowel resection and anastomosis or mesenteric thromboembolectomy performed during the first operation. Regardless of the clinical course of patients, the second-look laparoscopic examination was performed 72 h post-operatively at the bed side in the ICU or operating room.RESULTS: The average time of admission to the hospital after the initiation of symptoms was 3 d (range, 5 h-9 d). In 14 patients, laparotomy was performed. In 11 patients, small and/or large bowel necrosis was detected and initial resection and anastomosis were conducted. A low flow state was observed in two patients and superior mesenteric artery thromboembolectomy with small bowel resection was performed in one patient. In 13 patients, a second-look laparoscopic examination revealed normal bowel viability, but in one patient, intestinal necrosis was detected. In two of the patients, a third operation was necessary to correct anastomotic leakage. The overall complication rate was 42.8%, and in-hospital mortality rate was 57.1% (n = 6).CONCLUSION: Second-look laparoscopy is a minimally invasive, technically simple procedure that is performed for diagnostic as well as therapeutic purposes. The simplicity and ease of this method may encourage wider application to benefit more patients. However, the timing of a second-look procedure is unclear particularly in a patient with anastomosis. | Hakan Yanar Korhan Taviloglu Cemalettin Ertekin Beyza Ozcinar Fatih Yanar Recep Guloglu Mehmet Kurtoglu | 2007 | World Journal of Gastroenterology2007，13，24： | 11 |
| 3 | Nonoperative Treatment of Multiple Intra-Abdominal Solid Organ Injury After Blunt Abdominal Trauma显示文摘 | Hakan Yanar Cemalettin Ertekin Korhan Taviloglu Burhan Kabay Huseyin Bakkaloglu Recep Guloglu | 2008 | The Journal of Trauma: Injury, Infection, and Critical Care2008，，4： | 1 |
| 4 | Nonoperative Treatment of Multiple Intra-Abdominal Solid Organ Injury After Blunt Abdominal Trauma显示文摘 | Hakan Yanar Cemalettin Ertekin Korhan Taviloglu Burhan Kabay Huseyin Bakkaloglu Recep Guloglu | 2008 | The Journal of Trauma: Injury Infection and Critical Care2008，，4： | 1 |
| 5 | Venous Thromboembolism Prophylaxis after Head and Spinal Trauma: Intermittent Pneumatic Compression Devices Versus Low Molecular Weight Heparin显示文摘 | Mehmet Kurtoglu M.D. Hakan Yanar M.D. Yilmaz Bilsel M.D. Recep Guloglu M.D. Sevda Kizilirmak M.D. Dincay Buyukkurt M.D. Volkan Granit M.D | 2004 | World Journal of Surgery2004，，8： | 1 |
| 6 | Venous Thromboembolism Prophylaxis after Head and Spinal Trauma: Intermittent Pneumatic Compression Devices Versus Low Molecular Weight Heparin显示文摘 | Mehmet Kurtoglu Hakan Yanar Yilmaz Bilsel Recep Guloglu Sevda Kizilirmak Dincay Buyukkurt Volkan Granit | 2004 | World Journal of Surgery2004，，8： | 1 |
| 7 | Rupture of abdominal aortic aneurysm into sigmoid colon:A case report显示文摘Primary aorto-colic fistula is rarely reported in the literature. Although infrequently encountered, it is an important complication since it is usually fatal unless detected. Primary aorto-colic fistula is a spontaneous rupture of abdominal aortic aneurysm into the lumen of the adjacent colon loop. Here we report a case of primary aorto-colic fistula in a 54-year old male. The fistulated sigmoid colon was repaired by end-to-end anastomosis. Despite inotropic support, the patient died of sepsis and multiorgan failure on the first postoperative day. | Murat Aksoy Hakan Yanar Korhan Taviloglu Cemalettin Ertekin Kemal Ayalp Fatih Yanar Recep Guloglu Mehmet Kurtoglu | 2006 | World Journal of Gastroenterology2006，12，46： | 0 |
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