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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 | The utilization of carp (Cyprinus carpio) flesh as fish ball显示文摘 | Yanar Y Fenerciolu H | 1998 | Turkish Journal of Veterinary and Animal Science1998，23，4： | 1 |
| 4 | Thermal barrier coatings for the 21st century显示文摘 | STILGER M J YANAR N M TOPPING M G | 1999 | Zeitschr Metallk1999，90，12： | 1 |
| 5 | Fournier' s gangrene: risk factors and strategies for management 显示文摘 | Yanar H Taviloglu K Ertekin C | 2006 | World J Surg2006，30，9： | 1 |
| 6 | Failure characteristics during cyclic oxidation of yttria-stabilized zirconia thermal barrier coatings deposited via electron beam physical vapor deposition on platinum aluminide and on NiCoCrAlY bond coats with processing modifications for improved performances 显示文摘 | Yanar N M Pettit F S Meier G H | 2006 | Metallurgical and Materials Transactions2006，37，： | 1 |
| 7 | 显示文摘 | C Yanar J M K Wiezorek V Radmilovic W A Soffa Metall Mater Trans | 2002 | 33A :24132002，33，： | 1 |
| 8 | Thermal barrier coatings for the 21st century 显示文摘 | M J Stiger N M Yanar M G Topping F S Pettit and G H Meier | 1999 | Z Metallkd1999，90，12： | 1 |
| 9 | The use of al- falfa, Medicago sativa as a natural carotenpid source in diets of goldfish, Carassius auratus 显示文摘 | YANAR M ER(~EN Z HUNT A O | 2008 | Aquaculture2008，284，1： | 1 |
| 10 | Thermal barriercoatings for the 21st century显示文摘 | Stiger M J Yanar N M Topping M G | 1999 | Z Metallkd1999，90，12： | 1 |
| 11 | Necrotizing fasciitis: strategies for diagnosis and management 显示文摘 | Korhan Taviloglu Hakan Yanar | 2007 | World Journal of Emergency Surgery2007，2，： | 1 |
| 12 | Seasonal amino acid profiles and mineral contents of green tiger shrimp (Penaeus semisulcatus De Haan, 1844) and speckled shrimp (Metapenaeus monoceros Fabricus, 1789) from the Eastern Mediterranean显示文摘 | YANAR Y GELIK M | 2006 | Food Chemistry2006，94，1： | 1 |
| 13 | Fournier's gangrene:risk factors and strategies for management显示文摘 | Yanar H Taviloglu K Ertekin C | 2006 | World J Surg2006，30，9： | 1 |
| 14 | Penetrating injuries of the subclavian vessels显示文摘 | Degiannis E Velmahos G Yanar H | 1994 | Br J Surg1994，81，4： | 1 |
| 15 | Effect of treating pepper with benzothiadiazole derivative and non-pathogenic xanthomonas campestris pathovars on the level of disease caused by Sclerotinia sclerotiorum显示文摘 | Yanar Y Miller S | 2004 | Plant Pathology Journal2004，3，1： | 1 |
| 16 | Fournier's gangrene: risk factors and strategies for management 显示文摘 | Yanar H Taviloglu K Ertekin C | 2006 | WorldJ Surg2006，30，9： | 1 |
| 17 | Rigid GRIN-ndoscope for endoscopy of the tear ducts显示文摘 | Sens FM Rol PO Yanar A | 2000 | Klin Monatsbl Augenheilkd2000，216，5： | 1 |
| 18 | A comparison of gabapentin and ketamine in acute and chronic pain after hysterectomy 显示文摘 | Sen H Sizlan A Yanarates O | 2009 | Anesth Analg2009，109，5： | 1 |
| 19 | The effect of fish size on pigmentation in goldfish (Carassius auratus) 显示文摘 | Yanar M | 1999 | Turkish Journal of Biology1999，23，1： | 1 |
| 20 | Lacrimal duct endoscopy with the rigid GRIN endoscopy显示文摘 | Sens FM Rol PO Yanar A | 2000 | Ophthalmologe2000，97，6： | 1 |
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