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Toplantıda derneğin başkanı Osman Abbasoğlu, bilim ve araştırma kurulu üyeleri (Ekin Demir, Fatih Can, Mert Erkan, Gürkan Öztürk) ve diğer uzmanlar (Ahmet Bal, Ahmet Usta, Tolga, Kemal, Sayın Balık) yer almaktadır.","Toplantı, derneğin 5 Mart 2022'de kurduğu Bilim ve Araştırma Kurulu'nun safra yolu yaralanmaları veritabanı çalışmaları üzerine odaklanmaktadır. Sunumlar, safra yolu yaralanmalarının tanısal yöntemleri, tedavi ve takip süreçleri, ERCP'nin kullanım alanları ve etkinliği hakkında detaylı bilgiler içermektedir. Ayrıca, Türkiye'de yıllık safra yolu yaralanma oranının 600 civarında olduğu ancak veritabanına sadece 189 hasta kaydedildiği belirtilmektedir.","Toplantıda, retrospektif çalışmaların yetersizliğini vurgulayarak prospektif ve çok merkezli çalışmaların önemi anlatılmakta, SGK sisteminden veri alınabileceği ancak klinik deneyim dışında bir şey yapmamak gerektiği vurgulanmaktadır. Ortak çalışma kültürünün geliştirilmesi, hasta bilgisinin paylaşılması ve gönüllülük esasına göre çalışmanın önemi üzerinde durulmaktadır."]},"endTime":2262,"title":"Türk Hepatopankreatobilier Cerrahi Derneği Veritabanı Toplantısı","beginTime":0}],"fullResult":[{"index":0,"title":"Bilim ve Araştırma Kurulu Tanıtımı","list":{"type":"unordered","items":["Bilim ve Araştırma Kurulu, hepatopankreatobilier cerrahi alanında çalışmaların desteklenmesi ve koordinasyonu amacıyla 5 Mart 2022'de kurulmuştur.","Kurul üyeleri Ekin Demir, Fatih Can, Mert Erkan, Gürkan Öztürk ve Osman Abbasoğlu'dur.","Kurulun temel görevleri ulusal veri tabanı çalışmaları planlamak ve çok merkezli çalışmalar planlamak ve yürütülmesini koordine etmektir."]},"beginTime":30,"endTime":154,"href":"/video/preview/253276155334970151?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=30&ask_summarization=1"},{"index":1,"title":"Kurulun Faaliyetleri ve Hedefleri","list":{"type":"unordered","items":["Kurulun kısa dönemli hedefleri arasında veritabanı çalışma yönergesinin sonuçlandırılması ve pankreas ve karaciğer veritabanlarının çalışmaları başlamak üzere olması bulunmaktadır.","Çok merkezli çalışmalara başlanması için ilgili yönergeler hazırlanmış ve web sayfasında yayınlanmıştır.","Çok merkezli çalışmalar güvenilirliği yüksek, etki değeri yüksek ve küçük merkezlerin de yayın yapmasına olanak sağlar."]},"beginTime":154,"endTime":285,"href":"/video/preview/253276155334970151?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=154&ask_summarization=1"},{"index":2,"title":"Çok Merkezli Çalışmaların Önemi","list":{"type":"unordered","items":["Türkiye'de ortak çalışmaya yatkınlık eksikliği, kişisel kaygılar ve altyapı organizasyon eksikliği bulunmaktadır.","Dernek, çok merkezli çalışmalar yönergesini hazırlayarak bu çalışmaların bilimsel kalitesinin yükseltilmesini amaçlamaktadır.","Çok merkezli çalışma yapmak isteyen üyelerin başvurması ve dernek tarafından desteklenmesi planlanmaktadır."]},"beginTime":285,"endTime":406,"href":"/video/preview/253276155334970151?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=285&ask_summarization=1"},{"index":3,"title":"Safra Yolu Yaralanmaları Veritabanı Çalışması","list":{"type":"unordered","items":["Türkiye'de yıllık safra yolu ameliyat sayısı yaklaşık 200 bin civarındadır, bu rakam İngiltere'nin yarısından bile fazladır.","Türkiye Pato Bir Diğer Cerrahi Derneği'nin retrospektif raporlarına göre 2015-2021 yılları arasında kayda geçen safra yolu yaralanması vakaları 650'dir.","Dernek, Gürkan Öztürk'ün önderliğinde veri tabanlı çalışmalarına başlamış ve 35 merkezin katılacağı öngörülmüş, ancak sadece 9 kurum katılmış ve 189 hasta işlenebilmiştir."]},"beginTime":406,"endTime":648,"href":"/video/preview/253276155334970151?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=406&ask_summarization=1"},{"index":4,"title":"Veritabanı Çalışmasının Sorunları","list":{"type":"unordered","items":["Veritabanı çalışmasının en zayıf noktası formun ilk ameliyata ait bilgileri içermemesidir.","Formlarda sadece yaralanmanın saptanma şekli 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ulaşılabilmiş."]},"beginTime":728,"endTime":854,"href":"/video/preview/253276155334970151?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=728&ask_summarization=1"},{"index":6,"title":"Tanısal İşlemler","list":{"type":"unordered","items":["ERC (Endoskopik Retrokavital Pancreatografi) en çok tartışılan konu olup, sadece tek bir tanısal işlem olarak ERC yapılan hastalar var.","Strasberg sınıflamasında ABD (Aorta-Duodenal) yaralanmaları ERC'den hem tanısal hem de tedavi amaçlı fayda görebilecek hastalar.","ERC yapılan hastalarda yaralanma türüne bakıldığında, ABD grubunda sadece yirmiiki hastada işe yaramış, tek tanısal yöntem olarak kullanıldığında sadece yedi hastada işe 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Süreler","list":{"type":"unordered","items":["Kronik taşlı kolesteritte ek organ yaralanması daha fazla, ancak akut olgularda daha az yaralanıyor diye yorumlamak doğru değil.","İlk operasyon ile yaralanmanın saptanması arasındaki süre ortalama onsekiz gün, standart sapması bir hayli fazla.","Yaralanmanın saptanması ile onarım arasında geçen süre ortalama kırkbir gün, standart sapması üçyüzyirmiyedi."]},"beginTime":1033,"endTime":1177,"href":"/video/preview/253276155334970151?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=1033&ask_summarization=1"},{"index":9,"title":"Tedavi Seçenekleri ve Takip","list":{"type":"unordered","items":["Yirmibir hastaya girişimsel (endoskopik veya perkütan) işlem yapılmış, büyük kısmı cerrahiye tabi tutulmuş.","Strasberg sınıflamasına göre farklı tedavi seçenekleri uygulanmış, ancak bazı cevaplar tartışılabilir.","Takipte ciddi sıkıntılar var, hasta iyi oluyorsa gelmiyor, kötü olursa alternatif hekim arıyor."]},"beginTime":1177,"endTime":1316,"href":"/video/preview/253276155334970151?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=1177&ask_summarization=1"},{"index":10,"title":"Komplikasyonlar ve Sonuçlar","list":{"type":"unordered","items":["Onarım yapılmasına karşın safra kaçağı, enter fistül gibi ciddi komplikasyonlar onarım sonrası gelişebiliyor.","Hastanede kalış süreleri bir gün ile yüzonüç gün arasında değişiyor, bazen altı aya kadar uzayabiliyor.","Eski kayıt sistemlerine otomasyonla geçildikten sonra ulaşmak neredeyse imkansız hale gelmiş ve ulaşıldığında da bilgilerin büyük bir kısmı yetersiz."]},"beginTime":1316,"endTime":1437,"href":"/video/preview/253276155334970151?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=1316&ask_summarization=1"},{"index":11,"title":"Veritabanı Çalışmasının Sorunları","list":{"type":"unordered","items":["Takip süresi ve kayıtları yetersiz olduğu için dijital sisteme geçiş yapılsa da sorunlar devam etmektedir.","Hastaların şikayetlerinde üç nokta boş bırakılarak geçilemediği için formu dolduran kişi sadece \"safra yolu yaralanması\" tanısı ile kayıtları tamamlamaktadır.","Retrospektif çalışma yapılamadığı için sadece prospektif çalışma yapılabilir."]},"beginTime":1450,"endTime":1506,"href":"/video/preview/253276155334970151?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=1450&ask_summarization=1"},{"index":12,"title":"Çalışmaya Katılım Koşulları","list":{"type":"unordered","items":["Katılmak isteyen her merkez açık çek verilerek katılabilir.","Araştırmacılar konusunda en büyük sorun, uzun süreli bir çalışma için emekli olacak kişilerin katılmak istememesidir.","Bugün ektiğimiz ağaçların meyvesini gençler yiyecektir, bu nedenle bugünü düşünmeden çalışmalara katılmak gerekir."]},"beginTime":1506,"endTime":1614,"href":"/video/preview/253276155334970151?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=1506&ask_summarization=1"},{"index":13,"title":"Veritabanı Çalışmasının Önemi","list":{"type":"unordered","items":["Bilim ve Araştırma Kurulu yeni kurulmuş olup, veritabanı çalışması daha öncesinden başlanmış bir çalışmadır.","Veritabanı yeniden şekillendirilecek ve her merkez birer vakaya katkı sağlarsa toplam vaka sayısı artacaktır.","Rakamında bir önemi yoktur, birlikte bilgileri paylaşarak daha iyi sonuçlar elde edilebilir."]},"beginTime":1614,"endTime":1722,"href":"/video/preview/253276155334970151?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=1614&ask_summarization=1"},{"index":14,"title":"Çok Merkezli Çalışmaların Önemi","list":{"type":"unordered","items":["Veritabanı çalışması, Hepato Bilya Cerrahi Derneği'nin yeni inisiyatifler almasına yol açmıştır.","Retrospektif çalışmaların değeri artık yoktur, tıp dünyasında kendilerine yer açmak isteyenlerin prospektif çalışmalar veya çok merkezli çalışmalarda yer alması gerekmektedir.","Türkiye'de yöneticiler niteliğe değil sayıya önem verdikleri için masa başında yapılan çalışmalar akademik yükseltilme gerekçeleri olurken, uluslararası camiada yer bulmamaktadır."]},"beginTime":1722,"endTime":1908,"href":"/video/preview/253276155334970151?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=1722&ask_summarization=1"},{"index":15,"title":"Veritabanı Çalışmasının Geleceği","list":{"type":"unordered","items":["Veritabanı çalışmalarının 2007'den itibaren yapılması gerektiği ancak hiçbir zaman bir adım atılmadığı belirtilmiştir.","Bu çalışma daha çok veritabanından ziyade çok merkezli çalışma formatında olacak.","Veritabanı demek için bir organın bütün hastalıklarını girip işleyip ondan gerekirse yirmi tane çalışma çıkartılabilir."]},"beginTime":1908,"endTime":1999,"href":"/video/preview/253276155334970151?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=1908&ask_summarization=1"},{"index":16,"title":"Veritabanı Çalışmasının Zorlukları","list":{"type":"unordered","items":["Kolester gibi komplikasyonların sadece o anda konservatif tedavi ile iyileştirilmesi veya sevk edilmesi durumunda bildirim noktasında kesin bir farkındalık yoktur.","Sağlık bakanlığı veya dernek tarafından bilgi aktarımı yapılması gerekmektedir.","Sosyal Güvenlik Kurumu'ndan port enterostomi ve hepatikojinostomik hastaların TC no ile bulunup verilerine ulaşılabilir."]},"beginTime":1999,"endTime":2177,"href":"/video/preview/253276155334970151?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=1999&ask_summarization=1"},{"index":17,"title":"Veri Paylaşımı ve Ortak Çalışma","list":{"type":"unordered","items":["SGK sisteminden veriler alınabilir ancak merkezlerin veya işi yapan kişilerin bilgisi ve klinik deneyimi dışında bir şey yapılmamalıdır.","En önemli şey ortak çalışma kültürünü geliştirip hasta bilgisi paylaşarak bir sonuca 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Konuşmacılar arasında Gazi Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı Başkanı Prof. Dr. Mustafa Çağrı, Ankara Cerrahi Derneği Başkanı Prof. Dr. Mehmet Eryılmaz ve Türk Hepatoper Cerrahi Derneği Başkanı Prof. Dr. Mustafa Kürsi bulunmaktadır.","Toplantı, safra kesesi taşlarına güncel yaklaşım konusunu ele almaktadır. Açılış konuşmalarında derneklerin tarihsel gelişimi, işbirliği çalışmaları ve güncel sağlık sorunları hakkında bilgiler verilmektedir. Ayrıca, Türk Hepatoper Cerrahi Derneği'nin 70 dersten oluşan sanal kütüphane projesi ve TBB Cerrahisi Okulu'nun tanıtımı yapılmaktadır.","Videoda ayrıca TBB Cerrahisi Derneği'nin sunduğu eğitim imkanları, uluslararası uzmanların verdiği dersler, bilimsel çalışmalar ve ulusal HPV konseyi gibi etkinlikler hakkında bilgiler verilmektedir. Kasım ayında yapılacak 16. TB HP Cerrahisi Kongresi'ne davet de yapılmaktadır."]},"endTime":1090,"title":"Safra Kesesi Taşlarına Güncel Yaklaşım Toplantısı","beginTime":0}],"fullResult":[{"index":0,"title":"Toplantının Açılışı","list":{"type":"unordered","items":["Gazi Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı ev sahipliğinde düzenlenen Türkiye EATO Pankreatobilier Cerrahi Derneği ve Ankara Cerrahi Derneği ortak toplantısı olan \"Safra Kesesi Taşlarına Güncel Yaklaşım\" toplantısı düzenlenmiştir.","Gazi Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı Başkanı Prof. Dr. Mustafa Çağrı ve Ankara Cerrahi Derneği Başkanı Prof. Dr. Mehmet Eryılmaz açılış konuşmalarını yapmıştır."]},"beginTime":2,"endTime":132,"href":"/video/preview/13897597133373839703?parent-reqid=1765293110261093-2943063102667962626-balancer-l7leveler-kubr-yp-klg-48-BAL&text=T%C3%BCrk+Hepato+Pankreato+Bilier+Cerrahi+Derne%C4%9Fi&t=2&ask_summarization=1"},{"index":1,"title":"Ankara Cerrahi Derneği'nin Tarihi ve 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