Yazar "Tangal, Semih" seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • Küçük Resim Yok
    Öğe
    Does lower-pole caliceal anatomy predict stone clearance after shock wave lithotripsy for primary lower-pole nephrolithiasis?
    (KARGER, 2007) Talas, Halit; Kilic, Ozcan; Tangal, Semih; Safak, Mut
    Aim: In order to have an idea about the success rates after extracorporeal shock wave lithotripsy ( SWL) in patients with lower- pole stones, we reviewed the caliceal anatomy of the patients treated in our clinic. Patients and Methods: One hundred and ninety- eight patients having at least a 3- month follow- up period, with a single stone located in the lower pole, were included. Lower infundibulopelvic angle ( LIP- A), infundibular width, and infundibular length were measured from standard intravenous urograms taken before initial ESWL. Results: One hundred and thirty patients ( 65%) were male, and 68 patients ( 35%) were female. We found no impact of age, sex, and affected side on the results of ESWL. The overall stone- free rate was 61.1% after 3 months of followup. The stone- free rates were 47.8 and 81.4% in patients with an acute ( <70 degrees) and an obtuse (>= 70 degrees) LIP- A, respectively ( p = 0.007). Taking the infundibular width into consideration, the stone- free rates were 85.4 and 43.2% for favorable and unfavorable angles and widths ( p = 0.003). However, infundibular length and stone sizes were not found to have important effects on a stone- free status ( p = 0.546 and p = 0.283). Conclusion: We conclude that LIP- A (>= 70 degrees) has the greatest impact on the clearance of residual fragments produced by SWL.
  • Küçük Resim
    Öğe
    Tuberoskleroz Kompleksli Hastada Hemorajik Giant Renal Anjiomyolipom’a Nefron Koruyucu Cerrahi Yaklaşım: Olgu Sunumu
    (Selçuk Üniversitesi, 2016 Aralık) Sönmez, Mehmet Giray; Haliloğlu, Ahmet Hakan; Tangal, Semih; Göğer, Yunus Emre; Demirelli, Erhan
    Tuberoskleroz, tüm organları tutabilen ancak en sık deri, beyin, kalp, göz ve böbreği tutan benign hamartomatöz lezyonlar ile karakterize otozomal dominant bir hastalıktır. Renal anjiomyolipom (AML) matür yağ hücreleri, düz kas dokusu ve kalın duvarlı kan damarlarını değişen oranlarda içeren benign bir tümördür. Tuberoskleroz kompleksinin (TS) en yaygın ürolojik tutulumu renal anjiomyolipomlardır. Anjiomyolipomlar asemptomatik olabilmekle beraber, palpabl kitle, ağrı, hematüri şikayeti ile tanı alabilir, masif kanamaya neden olarak morbidite ve mortaliteye sebep olabilirler. Biz de palpable kitle ile tanı konulan, masif kanamaya neden olan ve cerrahi tedavi yapılan dev renal anjiomyolipom olgumuzu paylaşmak ve bulgular eşliğinde güncel literatürü değerlendirmek istedik.