Browsing by Author "Kayaalp, Cuneyt"

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Complications of Bursectomy After Radical Gastrectomy for Gastric Cancer
(Springer, 2012) Kayaalp, Cuneyt; Piskin, Turgut; Olmez, Aydemir
Orifice Location Guided Excision and Flap Procedures for Treatment of Sacrococcygeal Pilonidal Disease
(Wroclaw Medical Univ, 2011) Piskin, Turgut; Olmez, Aydemir; Mecit, Eren A.; Unal, Bulent; Aydin, Cemalettin; Kayaalp, Cuneyt
Background. Although various surgical techniques have been described, there is no consensus on the optimal treatment for sacrococcygeal pilonidal disease (SPD). Objectives. The aim of this study is to report the medium-term results of three different surgical methods used to treat SPD that were chosen according to the localization of the sinus orifices. Material and Methods. Between November 2005 and April 2007, 43 patients with symptomatic SPD were treated by three different surgical methods. A classic approach, a modified flap technique and a new excision and flap technique were evaluated for treating SPD cases with different localizations of the sinus orifices. The study was carried out on the basis of retrospective reviews of patient charts and telephone interviews for prospective evaluation. Outcome measures included wound complications, time off work, complete healing time, paresthesia, recurrence rates and satisfaction with the procedures and outcomes. Results. There were no early postoperative complication among the 43 patients. The median hospitalization time was 6.76 days (2-12 days). The authors reached 31 patients (72.09%) by phone for the interview; the median follow-up time was 48.41 months (range 42-59 months). No recurrences were reported. The median time off work and complete healing time were 20.54 and 18.61 days, respectively. All but three of the patients reported satisfaction with the esthetic outcome. All the patients reported satisfaction with the effectiveness of the surgical approaches used. One patient reported dissatisfaction with the anesthesia technique. There were complaints of paresthesia from eight patients (one severe, seven moderate). All the patients said that they would recommend these operations and anesthesia techniques to relatives or other patients with sacrococcygeal pilonidal disease. Conclusions. Different excision and flap methods should be used to treat cases of sacrococcygeal pilonidal disease with different localizations of the sinus orifices (Adv Clin Exp Med 2011, 2011, 4, 481-488).
Prophylactic Bursectomy at Radical Gastrectomy for Gastric Cancer
(Springer, 2011) Kayaalp, Cuneyt; Olmez, Aydemir; Piskin, Turgut
Selective Approach To Arterial Ligation in Radical Sigmoid Colon Cancer Surgery With D3 Lymph Node Dissection: a Multicenter Comparative Study
(Turkish Surgical Assoc, 2022) Efetov, Sergey; Zubayraeva, Albina; Kayaalp, Cuneyt; Minenkova, Alisa; Bag, Yusuf; Alekberzade, Aftandil; Tsarkov, Petr
Objective: Radical surgery for sigmoid colon cancer is commonly performed with complete mesocolic excision (CME) and apical lymph node dissection, reached by central vascular ligation (CVL) of the inferior mesenteric artery (IMA) and associated extended left colon resection. However, IMA branches can be ligated selectively according to tumor location with D3 lymph node dissection (LND), economic segmental colon resection and tumorspecific mesocolon excision (TSME) if IMA is skeletonized. This study aimed to compare left hemicolectomy with CME and CVL and segmental colon resection with selective vascular ligation (SVL) and D3 LND. Material and Methods: Patients (n=217) treated with D3 LND for adenocarcinoma of the sigmoid colon between January 2013 and January 2020 were included in the study. The approach to vessel ligation, colon resection and mesocolon excision was based on tumor location in the study group, while in the comparison group, left hemicolectomy with routine CVL was performed. Survival rates were estimated as the primary endpoints of the study. Long- and short-term surgery-related outcomes were evaluated as the secondary endpoints of the study. Results: The studied approach to the IMA branch ligation was associated with a statistically significant decrease in intraoperative complication rates (2 vs 4, p=0.024), operative procedure length (225.56 +/- 80.356 vs 330.69 +/- 175.488, p<0.001), and severe postoperative morbidity (6.2% vs 19.1%, p=0.017). Meanwhile, the number of examined lymph nodes significantly increased (35.67 vs 26.69 per specimen, p<0.001). There were no statistically significant differences in survival rates. Conclusion: Selective IMA branch ligation and TSME resulted in better intraoperative and postoperative outcomes with no difference in survival rates.