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Öğe Laparoscopic versus open cholecystectomy: Effect on pulmonary function tests(H G E Update Medical Publ Ltd., 2000) Coskun, I; Hatipoglu, AR; Topaloglu, A; Yoruk, Y; Yalcinkaya, S; Caglar, TBackground/Aims: Operations often cause impairment in respiration due to pain. This study was designed to compare the changes in pulmonary function tests after open and laparoscopic cholecystectomy. Methodology: Two groups of 35 patients were randomly set up. Each patient had 3 pulmonary function tests performed and 2 postero-anterior grid chest roentgenograms taken. All of these data were evaluated by the same group of investigators. Results: After taking into consideration the difference between pulmonary function tests, values were not significant (P less than or equal to 0.05). All pulmonary function test values decreased significantly on the 1st postoperative day (P less than or equal to 0.05). When postero-anterior chest roentgenograms were compared no clinically evident atelectasis except 3 lineary was seen in the laparoscopic cholecystectomy group, whereas 5 lineary, 7 focal, and 3 segmentary atelectasia were encountered in the open cholecystectomy group (P less than or equal to 0.05). Conclusions: We believe that laparoscopic cholecystectomy has more advantages when speaking of postoperative pulmonary function tests and atelectasia.Öğe Laparoscopic versus open cholecystectomy: effect on pulmonary function tests [Proceedings Papert](Medimond S R L, 1998) Coskun, I; Topaloglu, A; Yoruk, Y; Yalcinkaya, S; Caglar, TTo compare the changes in pulmonary function tests (PFT) after open and laparoscopic cholecystectomy, two groups of 25 patients were set up. Each patient had 3 PFTs performed and 2 PA grid chest roentgenograms taken. After taken into consideration the difference between PFT values were not significant (p less than or equal to 0.05). All PFT values decreased significantly on the first postoperative day (p less than or equal to 0.05). When PA chess roentgenograms were compared no clinically evident atelectasis except 1 lineary was seen in laparoscopic cholecystectomy group whereas 3 lineary, 4 focal, and 1 segmentary atelectasia were encountered in open cholecystectomy group (p less than or equal to 0.05). We believe that laparoscopic cholecystectomy has more advantages when speaking of postoperative PFT and atelectasia.Öğe Multifocal mesenchymal hamartoma of the chest wall(Wiley, 2006) Altaner, S; Yoruk, Y; Bilgi, S; Puyan, FO; Doganay, L; Kutlu, KChest wall hamartomas are extremely rare. Frequently mesenchymal hamartomas are presented as a single mass and contain some primitive mesenchymal elements such as chondroid and trabecular bone structures. A 60-year-old man presented to hospital with chest pain. Thirteen years earlier, his CXR and thoracic CT showed three masses on the right and two masses on the left, but he had not received any treatment thereafter. His CT showed the same masses present 13 years earlier, but they were bigger and right thoracotomy was undertaken. At thoracotomy, two sections of the mass in the right posterior mediastinum and one section of the mass in the right apex were excised. They had an occasional bloody appearance and contained small cystic areas, and some areas were extremely hard. Microscopic examination showed that the lesions consisted of mature adipose tissue, a large number of veins of different diameters and collagen tissue. Besides, primitive mesenchymal elements, lymphoid cell accumulations and trabecular bone structures were seen focally. Bilateral chest wall hamartomas are extremely rare and may be confused with malignancy.Öğe Regarding ''reporting standards in venous disease: An update''(Mosby-Year Book Inc, 1996) Sunar, H; Yoruk, Y[Abstract Not Available]Öğe The rupture of hepatic hydatid disease into the right hepatic vein and bile ducts: A case report(H G E Update Medical Publ Ltd., 1996) Coskun, I; Esenturk, M; Yoruk, YEchinococcus granulosus and Echinococcus multilocularis cause liver hydatid disease. One of its most common complications is rupture into the bile ducts; however, penetration of a cyst into a vessel is a very rare complication. We detected a defect (2x1 cm) on the wall of the right hepatic vein, in addition to three distinctive ruptures into the bile ducts, in our case. For systemic hypotension due to a bleeding during operation and to repair the vessel wall defect, and urgent right thoracotomy followed by a radical phrenotomy was needed. We were able to reach the operation site easily and repaired the vessel wall with polypropylene suture. Because of the occurrence of these two complications together and the difficulties of the operation, we decided to report this case.Öğe Simultaneous operation for coexisting lung and liver hydatid cysts: A treatment modality(H G E Update Medical Publ Ltd., 1998) Yoruk, Y; Yalcinkaya, S; Coskun, I; Ekim, T; Kose, S; Mehmet, RBACKGROUND/AIMS: Hydatid disease is very common in our region, Whether or not coexisting cysts of lung and liver should be operated on simultaneously is a challenging question. METHODOLOGY: Of 127 patients operated on for hydatid cysts of the lung between 1990 and 1995, 23 (18%) had coexisting hydatid cysts of the right lung and liver. There were 12 male and 11 female patients with an average age of 34 years. RESULTS: All patients had simultaneous operations for both organs via right thoracotomy with an incision in the diaphragm (phrenotomy). In the lung, cystotomy and capitonnage were performed in 21 patients and wedge resection in 2; in the liver, cystotomy and capitonnage were performed in all 23 patients. No hospital mortality occurred. CONCLUSION: Coexisting hydatid cysts of the right lung and liver should be surgically treated simultaneously.Öğe Surgery for eventration of the diaphragm(Editrice Compositori, 1998) Yoruk, Y; Mamedov, R; Yalcinkaya, S; Kose, SFour patients were operated for unilateral left eventration of the diaphragm There were two male and two female patients with a mean age of 63.0+/-14.1 years. All of the patients had dyspnea for an average of 6.2+/-2.6 years. Chest X-ray, fluoroscopy, thorax computed tomography (CT) and in one patient magnetic resonance imaging (MRI) were used for diagnosis. Preoperative forced vital capacity (FVC) and arterial blood partial O-2 pressure (PaO2) values were 1.8+/-0.4 L and 73+/-1.4 mm Hg, respectively. Left thoracotomy via 7(th) intercostal space was applied and complete thinned diaphragmatic leaf was found in all patients. In three patients diaphragm was repaired by plication. In one patient after incision of the leaf, imbrication of one layer over the other was done. No morbidity and mortality were seen. Relief of dyspnea was achieved in all patients. Postoperative FVC and PaO2 values were increased to 2.3+/-0.4 L and 86.6+/-2.7 mm Hg, respectively. Surgery for eventration of the diaphragm in symptomatic patients increases FVC and PaO2 values, thus relieves dyspnea.Öğe Videothoracoscopic biopsy in pleural disorders(Monduzzi Editore, 1996) Yoruk, Y; Sunar, H; Caglar, T; Mehmet, R[Abstract Not Available]
