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Article: Robotic Surgery for the Treatment of Achalasia Cardia: Surgical Technique, Initial Experiences and Literature Review.

Uzunoglu, Mustafa / Altintoprak, Fatih / Yalkin, Omer / Özdemir, Kayhan

2022 Volume 14, Issue 1, Page(s) e21510

Abstract: Background The outcomes of surgical interventions for achalasia treatment improved with the advent of minimally invasive surgery and the introduction of robotic surgery. This article describes the technical details of robotic achalasia surgery, shares ... ...

Abstract	Background The outcomes of surgical interventions for achalasia treatment improved with the advent of minimally invasive surgery and the introduction of robotic surgery. This article describes the technical details of robotic achalasia surgery, shares our initial experiences, and discusses why robotic surgery will become the first choice for the surgical treatment of achalasia. Methods The records of patients with a diagnosis of achalasia who underwent robotic surgery were evaluated retrospectively. The patients' data were examined in terms of demographic parameters, duration of complaints, treatment options applied previously, robotic surgery technique, and postoperative outcomes. Results Of the six patients evaluated, four (66.7%) were males and two (33.3%) were females. Their mean age was 32 years (20-51 years), and the mean symptom duration was 4.6 years (2-9 years). All of the patients underwent robotic Heller cardiomyotomy surgery. After the myotomy procedure, five of the six patients (83.3%) underwent partial anterior fundoplication (Dor) as an antireflux procedure. The cruroraphy procedure was performed in one patient (16.7%) due to accompanying hiatal hernia, whereas the procedures were completed in five patients (83.3%) without performing posterior dissection of the oesophagus. In the postoperative follow-up period, no surgical problem was encountered, while reflux symptoms developed in one patient (16.7%) and were controlled by medical therapy. Conclusions The success of surgical treatment of achalasia is incontrovertible. Due to the various advantages of robotic surgery, it is now frequently used in narrow-area surgeries, such as achalasia surgery.
Language	English
Publishing date	2022-01-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.21510
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Article ; Online: Intestinal obstruction due to phytobezoar induced in the Meckel's diverticulum-report of two cases.

Firat, Necattin / Mantoglu, Baris / Altintoprak, Fatih / Muhtaroglu, Ali / Akcay, Mertcan

Northern clinics of Istanbul

2022 Volume 9, Issue 2, Page(s) 180–182

Abstract: Meckel's diverticulum is generally asymptomatic, but it may become symptomatic due to various reasons and maybe the etiology of the acute abdominal syndrome. Bezoars are formed by the combination of non-digestible substances in the gastrointestinal tract, ...

Abstract	Meckel's diverticulum is generally asymptomatic, but it may become symptomatic due to various reasons and maybe the etiology of the acute abdominal syndrome. Bezoars are formed by the combination of non-digestible substances in the gastrointestinal tract, and which are among the rare causes of intestinal obstruction. The formation of bezoars in Meckel's diverticulum and subsequent intestinal obstruction is a rare condition. In this article, two cases with intestinal obstruction due to bezoar in Meckel's diverticulum and their surgical treatment had presented.
Language	English
Publishing date	2022-04-01
Publishing country	Turkey
Document type	Case Reports
ZDB-ID	3031921-3
ISSN	2536-4553 ; 2148-4902
ISSN (online)	2536-4553
ISSN	2148-4902
DOI	10.14744/nci.2020.89656
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Article ; Online: ANALYSIS OF DIAGNOSTIC EXCISIONAL LYMPH NODE BIOPSY RESULTS: 12-YEAR EXPERIENCE OF A SINGLE CENTER.

Bayhan, Zulfu / Ozdemir, Kayhan / Gonullu, Emre / Harmantepe, Ahmet Tarik / Capoglu, Recayi / Akin, Emrah / Aziret, Mehmet / Altintoprak, Fatih

Acta clinica Croatica

2024 Volume 62, Issue 1, Page(s) 58–64

Abstract: Lymph node biopsy is indicated in patients with suspected malignancy or lymphadenopathy due to unclarified reasons. Lymph node biopsy can be performed as fine needle aspiration biopsy, core biopsy, or excisional lymph node biopsy. In particular, the ... ...

Abstract	Lymph node biopsy is indicated in patients with suspected malignancy or lymphadenopathy due to unclarified reasons. Lymph node biopsy can be performed as fine needle aspiration biopsy, core biopsy, or excisional lymph node biopsy. In particular, the diagnosis of malignant lymphoma is considered insufficient for oncological treatment unless classified into subgroups. Core biopsy and excisional biopsy can be performed to diagnose lymphoma and classify it into subgroups. Core biopsy may also be limited in some cases for the diagnosis of lymphoma. Therefore, patients are referred to surgical departments for excisional lymph node biopsy. It was aimed herein to analyze the results of excisional lymph node biopsies performed for diagnostic purposes in our department. Data on 73 patients having undergone diagnostic excisional lymph node biopsy at Sakarya University Medical Faculty Training and Research Hospital between January 2008 and January 2020 were retrospectively analyzed. Patients were evaluated in terms of age, gender, biopsy site, pathological diagnosis, number and diameter of lymph nodes excised. Patients younger than 18 years of age, those with sentinel lymph node biopsies, and lymph node dissections performed for any known malignancy were excluded from the study. Statistical data analysis was done using SPSS statistical software. There were 37 (50.7%) female and 36 (49.3%) male patients, mean age 52.07 (18-90) years. Axillary lymph node biopsy was performed in 32 patients, inguinal lymph node biopsy in 29 patients, cervical lymph node biopsy in 3 patients, intra-abdominal lymph node biopsy in 6 patients, mediastinal lymph node biopsy in 1 patient, and supraclavicular lymph node biopsy in 2 patients. All of the lymph node biopsies were performed as excisional biopsy. Malignancy was detected in 36 (49.3%) patients. In 37 (50.3%) patients, the causes of lymphadenopathy were found to be benign pathologies. When the causes of malignant disease were examined, it was observed that 23 (31.5%) patients were diagnosed with lymphoma. Hodgkin lymphoma was detected in 5 patients diagnosed with lymphoma, and non-Hodgkin lymphoma was found in 18 patients. Metastatic lymphadenopathy was observed in 13 (17.8%) patients. Reactive lymphoid hyperplasia (26%) and lymphadenitis (20.5%) were found among the causes of benign lymphadenopathy. The number of excised lymph nodes was between 1 and 4, and their diameter was between 9 and 75 mm (mean: 29.53±15.56 mm). There was no statistically significant difference between benign and malignant patients according to gender, age, lymph node diameter, number of lymph nodes excised, and excisional lymph node biopsy site. For diagnostic lymph node biopsy, fine-needle aspiration biopsy and core biopsy should be performed primarily. If lymphoma is suspected in the diagnosis, fine-needle aspiration biopsy is not necessary. In this case, it is believed that it is more appropriate to perform core biopsy first. If the core biopsy is insufficient for diagnosis, it is more appropriate to perform surgical biopsy in order to cause no delay in diagnosis and treatment. Excisional biopsy is a method that can be safely performed and does not cause severe morbidity in palpable peripheral lymphadenopathies. Although it does not cause severe morbidity because it is an invasive procedure, excisional biopsy should be performed in a selected patient group.
MeSH term(s)	Humans ; Male ; Female ; Middle Aged ; Retrospective Studies ; Lymph Nodes/pathology ; Biopsy ; Lymphadenopathy/pathology ; Lymphoma/diagnosis ; Lymphoma/surgery ; Lymphoma/pathology ; Hodgkin Disease/pathology ; Biopsy, Fine-Needle
Language	English
Publishing date	2024-01-18
Publishing country	Croatia
Document type	Journal Article
ZDB-ID	1478635-7
ISSN	1333-9451 ; 0353-9466
ISSN (online)	1333-9451
ISSN	0353-9466
DOI	10.20471/acc.2023.62.01.07
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Article ; Online: Comparison of treatment methods in plastron appendicitis: a tertiary center experience.

Ozdemir, Kayhan / Harmantepe, Ahmet Tarik / Dulger, Ugur Can / Gonullu, Emre / Dikicier, Enis / Bayhan, Zulfu / Altintoprak, Fatih

Malawi medical journal : the journal of Medical Association of Malawi

2024 Volume 35, Issue 4, Page(s) 224–227

Abstract: Background: It is controversial which treatment method is superior in plastron appendicitis and the research is still going on. The aim of this study is to compare treatment methods for plastron appendicitis in the adult population with our experience.!# ...

Abstract	Background: It is controversial which treatment method is superior in plastron appendicitis and the research is still going on. The aim of this study is to compare treatment methods for plastron appendicitis in the adult population with our experience. Materials and methods: The data of 92 patients who were diagnosed with plastron appendicitis in university hospital between 2015 and 2021 were analyzed retrospectively. Data were taken from the hospital database. The patients were divided into three groups: those treated with primary surgery, with interval appendectomy and only with conservative method. Results: Interval appendectomy resulted in a lower rate of conversion to open surgery compared to primary surgery, shorter operative time, and lower complication rates. Surgical procedures were found to be superior in detecting neoplasms compared to conservative treatment. After conservative treatment, one of three patients was retreated with the diagnosis of acute appendicitis. Conclusion: In plastron appendicitis, routine interval appendectomy can be performed due to its advantages over other treatments such as the frequency of attacks after conservative treatment, the risk of the tumor being overlooked in conservative treatment, and the high rate of complications and conversion to open surgery in the primary surgery group.
MeSH term(s)	Adult ; Humans ; Retrospective Studies ; Appendicitis/surgery ; Appendicitis/complications ; Appendicitis/diagnosis ; Length of Stay ; Appendectomy/adverse effects ; Appendectomy/methods ; Acute Disease ; Treatment Outcome
Language	English
Publishing date	2024-02-01
Publishing country	Malawi
Document type	Journal Article
ISSN	1995-7270 ; 1995-7262
ISSN (online)	1995-7270
ISSN	1995-7262
DOI	10.4314/mmj.v35i4.5
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Article: Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review.

Mantoğlu, Barış / Altıntoprak, Fatih / Yiğit, Merve / Fırat, Necattin

Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES

2021 Volume 27, Issue 6, Page(s) 706–709

Abstract: Primary omental torsion (POT) is a rarely encountered clinical condition as an acute abdominal pathology. POT is more prevalent in males than females. The diagnosis of POT is challenging, and pregnancy initiates the diagnosis more difficult and essential. ...

Title translation	Laparoskopik olarak tanı konulan primer omental torsiyonun neden olduğu gebelik sırasında beklenmedik akut karın ağrısı: Olgu sunumu ve literatürün gözden geçirilmesi.
Abstract	Primary omental torsion (POT) is a rarely encountered clinical condition as an acute abdominal pathology. POT is more prevalent in males than females. The diagnosis of POT is challenging, and pregnancy initiates the diagnosis more difficult and essential. The fact that radiological methods such as computed tomography cannot be used during pregnancy constitutes the biggest problem in diagnosis. At this point, diagnostic laparoscopy plays a significant role in the diagnosis and treatment of acute abdominal pathologies in pregnant patients. The diagnosis of a 28-week pregnant woman who was admitted to our emergency department with the aggravation of abdominal pain was not clarified by abdominal ultrasound so the patient was diagnosed with POT by diagnostic laparoscopy. Conservative follow-up plays an important role in pregnant patients, and the poor progress of the patient in both laboratory and physical examination leads diagnostic laparoscopy to an important point when the limitation of imaging methods is added.
MeSH term(s)	Abdominal Pain/etiology ; Female ; Humans ; Laparoscopy ; Male ; Omentum/surgery ; Peritoneal Diseases/diagnosis ; Peritoneal Diseases/surgery ; Pregnancy ; Torsion Abnormality/diagnostic imaging ; Torsion Abnormality/surgery ; Ultrasonography
Language	English
Publishing date	2021-11-23
Publishing country	Turkey
Document type	Case Reports ; Review
ZDB-ID	2253739-9
ISSN	1306-696X
ISSN	1306-696X
DOI	10.14744/tjtes.2020.96898
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Article: Coexisting of small bowel perforation and abdominal cocoon syndrome: A case report.

Akın, Emrah / Altıntoprak, Fatih / Gönüllü, Emre / Yılmaz, Fahri / Alper Yıldız, Yasin

Turkish journal of surgery

2023 Volume 39, Issue 3, Page(s) 274–277

Abstract: Abdominal cocoon syndrome (ACS) is a rare situation and has an unknown etiology. Patients are characterized by the development of intraabdominal fibrotic tissue surrounding the small intestine as a result of chronic inflammation of the peritoneum. Small ... ...

Abstract	Abdominal cocoon syndrome (ACS) is a rare situation and has an unknown etiology. Patients are characterized by the development of intraabdominal fibrotic tissue surrounding the small intestine as a result of chronic inflammation of the peritoneum. Small bowel perforations due to foreign bodies are not frequent in clinical practice. The coexistence of these two rare situations are extremely uncommon. In this article, the radiological findings and treatment process of the patient who presented with acute abdomen syndrome findings and the association of these two rare conditions are presented.
Language	English
Publishing date	2023-09-27
Publishing country	Turkey
Document type	Case Reports
ISSN	2564-6850
ISSN	2564-6850
DOI	10.47717/turkjsurg.2022.4687
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Article ; Online: Multiple Gastritis Cystica Profunda in a Patient without Gastric Surgery History.

Dikicier, Enis / Altintoprak, Fatih

Archives of Iranian medicine

2018 Volume 21, Issue 12, Page(s) 608–610

Abstract: Gastritis cystica profunda (GCP) is a rare condition characterized by polypoid cystic ectasia of the submucosal layer with cystic dilatation of the glandular structures of the stomach. The probable pathogenesis refers to degradation of the integrity of ... ...

Abstract	Gastritis cystica profunda (GCP) is a rare condition characterized by polypoid cystic ectasia of the submucosal layer with cystic dilatation of the glandular structures of the stomach. The probable pathogenesis refers to degradation of the integrity of the muscularis mucosa and migration of epithelial cells to the submucosal layer. The most common cause known in the literature for this occurrence is previous stomach surgery. A case presented with two GCP lesions in different locations in the stomach without any history of previous surgery.
MeSH term(s)	Adult ; Cysts/complications ; Cysts/diagnosis ; Cysts/surgery ; Endosonography ; Gastritis/complications ; Gastritis/diagnosis ; Gastritis/diagnostic imaging ; Humans ; Male ; Robotic Surgical Procedures ; Stomach/pathology ; Tomography, X-Ray Computed
Language	English
Publishing date	2018-12-01
Publishing country	Iran
Document type	Case Reports ; Journal Article
ZDB-ID	2204979-4
ISSN	1735-3947 ; 1029-2977
ISSN (online)	1735-3947
ISSN	1029-2977
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Article ; Online: Topical steroids to treat granulomatous mastitis: a case report.

Altintoprak, Fatih

The Korean journal of internal medicine

2011 Volume 26, Issue 3, Page(s) 356–359

Abstract: Idiopathic granulomatous mastitis (IGM) is a rare and chronic benign disease of the breast. Histologically, the disease presents as an intense inflammatory reaction with non-caseated granulomas that are the characteristic symptom of the disease. No ... ...

Abstract	Idiopathic granulomatous mastitis (IGM) is a rare and chronic benign disease of the breast. Histologically, the disease presents as an intense inflammatory reaction with non-caseated granulomas that are the characteristic symptom of the disease. No consensus exists on the best treatment modality for this disease. In this report, we present a patient with granulomatous mastitis who was treated successfully with low-dose oral and topical steroids. Our aim here is to discuss various approaches for IGM in view of the literature and present treatment with topical steroids, which has not been reported.
MeSH term(s)	Administration, Cutaneous ; Administration, Oral ; Adult ; Biopsy ; Female ; Granulomatous Mastitis/diagnosis ; Granulomatous Mastitis/drug therapy ; Humans ; Magnetic Resonance Imaging ; Steroids/administration & dosage ; Treatment Outcome
Chemical Substances	Steroids
Language	English
Publishing date	2011-09-13
Publishing country	Korea (South)
Document type	Case Reports ; Journal Article
ZDB-ID	639023-7
ISSN	2005-6648 ; 1226-3303
ISSN (online)	2005-6648
ISSN	1226-3303
DOI	10.3904/kjim.2011.26.3.356
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Article ; Online: Gastric outlet syndrome associated with a recurrent trichobezoar: report of a case.

Altintoprak, Fatih

The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology

2011 Volume 21, Issue 4, Page(s) 471–472

MeSH term(s)	Adult ; Bezoars/complications ; Female ; Gastric Outlet Obstruction/etiology ; Humans ; Obsessive-Compulsive Disorder/complications ; Recurrence
Language	English
Publishing date	2011-02-16
Publishing country	Turkey
Document type	Case Reports ; Letter
ZDB-ID	1340275-4
ISSN	2148-5607 ; 1300-4948
ISSN (online)	2148-5607
ISSN	1300-4948
DOI	10.4318/tjg.2010.0143
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Article ; Online: WHY DIAGNOSTIC LAPAROSCOPY.

Firat, Necattin / Mantoglu, Baris / Akin, Emrah / Bas, Enes / Altintoprak, Fatih

Polski przeglad chirurgiczny

2021 Volume 93, Issue 3, Page(s) 1–5

Abstract: Introduction: Abdominal pain requires rapid diagnosis and treatment, especially in emergency circumstances. Sometimes the diagnosis of the disease cannot be accomplished with laboratory and imaging methods, and an invasive procedure such as diagnostic ... ...

Abstract	Introduction: Abdominal pain requires rapid diagnosis and treatment, especially in emergency circumstances. Sometimes the diagnosis of the disease cannot be accomplished with laboratory and imaging methods, and an invasive procedure such as diagnostic laparoscopy may be required to obtain a diagnosis. Diagnostic laparoscopy is also performed therapeutically, but laparotomy is inevitable in some cases. The aim of the study is to evaluate the role of diagnostic laparoscopy in diagnosis and treatment and to retrospectively examine the factors that force the surgeon to perform a laparotomy. Material and methods: Patients over the age of 18 who underwent diagnostic laparoscopy in the general surgery clinic of Sakarya University Training and Research Hospital between January 2013 and December 2019 were retrospectively evaluated. Patients under 18 years of age and patients diagnosed before surgery were excluded. Demographic data of the patients, whether there was a conversion from laparoscopy to laparotomy, postoperative morbidity, and mortality were recorded. Results: The data of 347 patients in total were evaluated retrospectively between the specified dates. 216 of the patients were previously diagnosed, laparoscopic procedures performed for staging purposes and they were not included in the study. The remaining 131 patients were included in the study. 68 of the patients were women and 63 were men. 79.4% of the patients were diagnostic laparoscopies performed due to emergency circumstances, and 20.6% for abdominal pain evaluation. While the procedure was concluded laparoscopically in 64.9% of the patients, the operation was continued by performing laparotomy in 35.1%. Conclusion: Despite the increase in the variety and frequency of use of imaging modalities, a laparoscopic intervention is an essential approach in both diagnosis and treatment when the diagnosis is doubtful, especially in emergency cases in appropriate cases.
MeSH term(s)	Abdomen ; Abdominal Pain/diagnosis ; Abdominal Pain/etiology ; Adolescent ; Adult ; Female ; Humans ; Laparoscopy ; Laparotomy ; Male ; Retrospective Studies
Language	English
Publishing date	2021-05-20
Publishing country	Poland
Document type	Journal Article
ZDB-ID	128732-1
ISSN	2299-2847 ; 0032-373X
ISSN (online)	2299-2847
ISSN	0032-373X
DOI	10.5604/01.3001.0014.8220
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