Background and Objectives: One anastomosis gastric bypass (OAGB) Roux-en-Y (RYGB) surgeries are effective methods used in bariatric surgery. There limited randomized studies comparing these procedures over more than 2 years. Here, we aimed to compare the 3-year results of two procedures. Materials Methods: Patients included this prospective study were compared OAGB RYGB groups. A total 55 patients, aged between 18 65, eligible for study. Thirteen patients who did not accept randomization...

We aimed to compare the direct trocar insertion (DTI) and Veress needle (VNI) techniques in laparoscopic bariatric surgery.Eighty-one patients scheduled for surgery at Inonu University, Malatya, Turkey, were included this study. In 39 patients, a bladed retractable nonoptical was used DTI, VNI performed 42 patients. Intraoperative access-related parameters compared. Data analyzed with Student's t chi-squared tests. A P value of <.05 considered significant.Both groups had comparable...

BACKGROUND:Idiopathic noncirrhotic portal hypertension (INCPH) is a rare disease characterized by increased venous pressure in the absence of cirrhosis and other causes liver diseases. The aim present study was to our results using portosystemic shunt surgery patients with INCPH. MATERIAL AND METHODS:Patients who had been referred Liver Transplantation Institute for transplantation undergone from January 2010 December 2015 were retrospectively analyzed. Patients INCPH procedure included...

Natural orifice specimen extraction (NOSE) is an ever-evolving advanced laparoscopic technique. NOSE minimizes surgical injury, involving a low risk of wound complications, fewer incisional hernias, faster recovery and less postoperative pain. Laparoscopic gastrectomy combined with procedure that can potentiate the advantages both minimal invasive techniques. We aim to demonstrate feasibility subtotal transvaginal in gastric cancer.A 72-year-old woman 2cm adenocarcinoma antrum was treated by...

We aimed to present a patient with gastric pouch bezoar after having bariatric surgery.Sixty-three years old morbid obese female had laparoscopic Roux-en-Y bypass surgery 14 months ago. She has lost 88% of her excess body mass index; but started suffer from nausea, abdominal distention and vomiting lately, especially for the last two months. The initial evaluation by endoscopy, computed tomography (CT) an upper gastrointestinal contrast series overlooked pathology in did not display any...

Laparoscopic gastrectomy for cancer has some significant postoperative benefits over open surgery with similar oncologic outcomes. This procedure is more popular in the Far East countries where obesity not a serious public health problem. In Western countries, laparoscopic common procedure, yet common. Herein, we aimed to demonstrate feasibility of advanced gastric morbidly obese patient. Additionally, used natural orifice specimen extraction as an option decrease wound-related...

Endoscopic esophageal stent placement is used to treat benign strictures, perforations, fistulas and for palliative therapy of cancer. Although safe effective method, complications are increasing the morbidity mortality rate. We aimed present a patient with small bowel perforation as consequence migrated stent.A 77-years-old woman was admitted complaints abdominal pain, distension, vomiting two days. Her past medical history included pancreaticoduodenectomy pancreatic tumor 11 years ago,...

BACKGROUND:Leiomyosarcoma, a rare type of tumor, accounts for 5–10% all soft tissue tumors. CASE REPORT:A 44-year-old male patient was admitted to the emergency service our medical faculty with complaints fatigue and abdominal mass. CONCLUSIONS:The pathology result leiomyosarcoma. Leiomyosarcoma skin is case largest such lesion reported in literature.

Measurement of small bowel length (SBL) is a common procedure in gastrointestinal surgery. When required, repeated SBL measurements can be done during Our aim was to evaluate whether these differ results.Small measured laparotomy 28 patients between ligament Treitz and caecum, using standard measure, two times each patient consecutively by different surgeons from the anti-mesenteric border bowel.The median age 33 (19-67) including 18 male. There were 16 healthy donors for living related...

Retroperitoneal masses presenting as an inguinal hernia are rare conditions.A 53 year old male admitted with the symptoms of weight loss, abdominal discomfort and left sided recurrent hernia. Physical examination demonstrated mass in flank irreducible, painless scrotal mass. He had a history surgery six years ago. Computed tomography revealed large enhancing retroperitoneal invading colon, pancreas kidney it was going down towards scrotum. Unblock tumor resection including neighboring organs...

Spontaneous rupture of the biliary duct, a rare condition in adults, is difficult to diagnose preoperatively and presents with acute abdominal symptoms. The treatment this should be based on individual's clinical status. We present peripheric duct (segment three) treated external segment III drainage postoperative endoscopic removal stones. An 82-year-old male patient presented pain fever. ultrasound (US) revealed solid gall stone lesion, 3 cm diameter, liver segments three four additional...

The best known treatment of the colorectal liver metastasis is complete surgical excision with clean margins. However, resections sometimes cannot appear technically feasible due to high number metastases in liver, cases recurrent or invasion tumors major vascular structures neighboring organs. Here, we presented a invading retrohepatic vena cava, right adrenal gland, and diaphragm. En masse resection tumor caudate hepatectomy combined cava surrounding diaphragm was accomplished. Caval...

Congenital choledochal cysts are rare in adults. Due to the risk of developing cholangiocarcinoma, current standard care is complete excision cyst and reconstruction with hepaticojejunostomy. So far, more than 200 laparoscopic resections have been reported adults, majority being from Far Eastern countries over last five years. Herein, technique type I hepaticojejunostomy presented a 37-year-old male an accompanying video. The advantages surgery applicable for as well. We believe that...

Laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the most preferred bariatric procedures in world for surgical treatment morbid obesity. The Harmonic scalpel (HS) and LigaSure (LS) are commonly used devices laparoscopic surgery. As far as we know, there no comparative study two energy LRYGB obesity.To compare intraoperative performances obesity.The HS LS were 43 42 cases, respectively. patient demographics both groups comparable. duration (gastric pouch creation time total operation...

The application of laparoscopic surgery via the vagina has been introduced at beginning this millennium. Here, we report a case transvaginal extraction hepatectomy specimen. An exophytic liver mass originated from segment VI in 24-year-old female was excised with technique using four trocars (0.5-1.2 cm sizes). specimen (11 × 8.5 cm) removed transvaginally instead an abdominal incision. To best our knowledge, only six similar cases have previously reported, patient age range 32-74 years. Our...

While the 'best pancreatic anastomosis technique' debate is going during Whipple procedure, laparoscopic pancreaticoduodenectomy lately began to appear more and often in medical literature. All popular techniques used open pancreas surgery are being experienced pancreaticoduodenectomy. However, when they were adapted laparoscopy, their implementation was not technically easy, assistance of robotic sometimes required at stage procedure. Feasibility simplicity a new technique have vital role...