Browsing by Author "Tamam, Selim"

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Laparoscopic Right Hemicolectomy: Comparison of Medial and Lateral Approach
(2023) Ünal, Ali Ekrem; Vatansever, Safa; Erözkan, Kamil; Tamam, Selim; Benk, Mehmet Şah; Azılı, Cem; Bayar, Sancar
Aim: We aimed to examine the early oncological and clinical outcomes of the medial and lateral approaches for right hemicolectomy. Materials and Methods: Laparoscopic right hemicolectomy patients who underwent medial and lateral approach techniques in our clinic between March 2010 and September 2022 were retrospectively reviewed. Demographic data of the patients, tumor, and operation characteristics, operation, clinical, pathological, mortality, and morbidity outcomes were recorded. Data were compared with the Chi-square test or Fisher Exact test according to the expected value for categorical variables. The Mann-Whitney U test was used because the data for continuous variables were not normally distributed. Results: In total, hundred and fourteen patients who underwent laparoscopic right colon resection were included. 47 patients were operated on with the medial approach, and 67 with the lateral approach. In terms of harvested lymph node number, operation time, estimated blood loss, first fluid intake, first solid intake, first flatus, blood transfusion history, length of stay, anastomotic leaks, and mortality were not significantly different between the two approaches (p>0.05). However, the number of positive lymph nodes was significantly higher in the medial approach (p=0.013). Conclusion: The medial and lateral approaches are feasible and effective techniques for right hemicolectomy. There is no difference between the short-term oncologic results. However, randomized controlled studies are needed for long-term results
Citation - WoS: 2
Citation - Scopus: 1
Prediction of Short-Term Results After Laparoscopic Right Hemicolectomy. Is Sarcopenia Superior To Other Methods?
(Mexican acad surgery, 2024) Erözkan, Kamil; Vatansever, Safa; Tamam, Selim; Ünal, Ali E.
Objective: We aimed to determine the factors that predict early mortality and morbidity in patients who underwent laparoscopic right hemicolectomy and their superiority over each other. Method: Demographic data, age -adjusted Charlson Comorbidity Index, American Society of Anesthesiologists Score, body mass index, modified -Glasgow Prognostic Score (mGPS), stage of disease, and sarcopenia were evaluated in patients who underwent right hemicolectomy between 2010-2022. Their superiority in predicting short-term outcomes was compared. Results: 78 patients were included in the study. The complication rate was higher in sarcopenic patients (p = 0.002). A high mGPS score was associated with increased mortality risk (p = 0.012). Other methods were not found to be related to short-term results. Conclusions: Sarcopenia is useful for the prediction of complications, and the mortality rate can be estimated by the mGPS score. These are superior to the other short-term results prediction methods. However, randomized controlled studies are needed.