T\u00fcrk cerrahlar\u0131 yine b\u00fcy\u00fck bir i\u015f ba\u015fard\u0131. \u0130zmir Kent Hastanesinin kalp cerrahisi ve karaci\u011fer nakli ekibi, Budd Chiari sendromlu hastada naklin m\u00fcmk\u00fcn olabilmesi i\u00e7in karaci\u011ferin toplardamar\u0131n\u0131n direkt kalbe dikilmesi tekni\u011fini kullanarak hayat kurtard\u0131. Bu y\u00f6ntem uygulan\u0131p beraberinde karaci\u011fer nakli ger\u00e7ekle\u015ftirilen 17 ya\u015f\u0131ndaki Mesut \u00dcnl\u00fc, d\u00fcnyadaki 3\u2019\u00fc T\u00fcrk 10 vakadan biri olarak t\u0131p literat\u00fcr\u00fcne girerken, ekibin s\u00f6zl\u00fc bildirisi D\u00fcnya Karaci\u011fer Nakli Kongresi\u2019nin en prestijli toplant\u0131s\u0131 olan Vanguard (\u00f6nc\u00fc-ilk yap\u0131lan) oturumuna se\u00e7ildi. Opr. Dr. Cahit Y\u0131lmaz, \u201cYap\u0131lan de\u011ferlendirmeler kar\u015f\u0131s\u0131nda \u00e7ok b\u00fcy\u00fck gurur ya\u015fad\u0131k\u201d dedi.<\/p>\n
Denizli\u2019de ya\u015fayan iki \u00e7ocuklu T\u00fcrkan \u00dcnl\u00fc (51) ile PTT emeklisi Mehmet \u00dcnl\u00fc\u2019n\u00fcn (75) \u00e7iftinin o\u011fullar\u0131 Mesut, 6.5 ayl\u0131kken d\u00fcnyaya geldi. \u00dcnl\u00fc \u00e7ifti o\u011fullar\u0131n\u0131 59 g\u00fcn sonra kucaklar\u0131na al\u0131rken, Mesut\u2019in sa\u011fl\u0131k sorunlar\u0131 ba\u015flad\u0131. Mesut romatizma tan\u0131s\u0131yla y\u0131llarca Pamukkale \u00dcniversitesi Hastanesinde takip edilirken, bir yandan da e\u011fitim hayat\u0131n\u0131 s\u00fcrd\u00fcrd\u00fc. Ancak ge\u00e7en y\u0131l talihsiz \u00e7ocu\u011fa ge\u00e7en y\u0131l karaci\u011ferin kan\u0131n\u0131 bo\u015faltan toplardamar\u0131n p\u0131ht\u0131 ile t\u0131kanmas\u0131 sonucu olu\u015fan Budd Chiari sendromu tan\u0131s\u0131 koyuldu. Buna ba\u011fl\u0131 karaci\u011fer yetmezli\u011fine giren Mesut \u00dcnl\u00fc ambulansla \u0130zmir Kent Hastanesine sevk edildi. Hayat\u0131n\u0131n kurtulmas\u0131 i\u00e7in karaci\u011fer nakli olmas\u0131 gereken Mesut i\u00e7in doktorlar seferber olurken, Anamur\u2019da ya\u015fayan teyzesi Fatma Tar\u0131m (37) imdada yeti\u015fti, g\u00f6n\u00fcll\u00fc verici oldu. Do\u00e7. Dr. Murat K\u0131l\u0131\u00e7, Opr. Dr. Cahit Y\u0131lmaz, Opr. Dr. Kamil K\u0131l\u0131\u00e7, Opr. Dr. Rasim Farajov ve Opr. Dr. Zaza Iakobadze\u2019den olu\u015fan ekip ameliyat haz\u0131rl\u0131\u011f\u0131 yaparken, Prof. Dr. Suat B\u00fcket ba\u015fkanl\u0131\u011f\u0131ndaki kalp damar cerrahisi ekibi naklin ger\u00e7ekle\u015fmesi i\u00e7in Mesut\u2019un kalbine ilk m\u00fcdahaleyi yapt\u0131. Ard\u0131ndan nakil ger\u00e7ekle\u015fti. 7 A\u011fustos 2018\u2019de ba\u015far\u0131yla ger\u00e7ekle\u015fen e\u015f zamanl\u0131 kalp ameliyat\u0131 ve nakil sonras\u0131 Mesut i\u00e7in yeni bir hayat ba\u015flad\u0131.<\/p>\n
En prestijli oturumda video sunumla anlat\u0131ld\u0131<\/p>\n
Opr. Dr. Cahit Y\u0131lmaz, literat\u00fcre ge\u00e7en bu ba\u015far\u0131 \u00f6yk\u00fcs\u00fcn\u00fc ve ekip olarak kat\u0131ld\u0131klar\u0131 Kanada\u2019n\u0131n Toronto \u015fehrinde 15-18 May\u0131s 2019 tarihleri aras\u0131nda ger\u00e7ekle\u015fen D\u00fcnya Karaci\u011fer Nakli (ILTS Annual Congress 2019)(ILTS:international liver transplantation society) Kongresi\u2019ndeki sunumlar\u0131n\u0131 \u015f\u00f6yle anlatt\u0131:<\/p>\n
\u201cMesut bize Denizli\u2019den acil sevkli olarak ambulansla geldi\u011finde genel durumu k\u00f6t\u00fc, bilinci uykuya meyilli, karn\u0131 toplanan aside ba\u011fl\u0131 olarak \u00e7ok \u015fi\u015fti. Hastan\u0131n tan\u0131s\u0131 Budd Chiari sendromuna ba\u011fl\u0131 karaci\u011fer yetmezli\u011fi idi. Bu hastal\u0131k karaci\u011ferin kan\u0131n\u0131 bo\u015faltan toplardamar\u0131n p\u0131ht\u0131 ile t\u0131kanmas\u0131 sonucu olu\u015fuyor. S\u0131kl\u0131kla \u00f6l\u00fcmc\u00fcl seyreden, nadir g\u00f6r\u00fclen bir hastal\u0131kt\u0131r. Bazen bu p\u0131ht\u0131 karaci\u011ferin toplardamar\u0131ndan v\u00fccudun anatoplar damar\u0131na (venacava) uzan\u0131r. Mesut\u2019ta p\u0131ht\u0131 bundan da \u00f6teye kalbin sa\u011f kulak\u00e7\u0131\u011f\u0131na uzanmaktayd\u0131. O y\u00fczden nakil sonras\u0131 yeni karaci\u011ferin toplardamar\u0131n\u0131 anatoplar damara de\u011fil direkt kalbe ba\u011flamam\u0131z gerekiyordu. Kalp damar cerrahisi ekibi diafragmay\u0131 a\u00e7\u0131p kalbi haz\u0131rlad\u0131 ve pompaya girmeden (kalp \u00e7al\u0131\u015f\u0131rken) karaci\u011ferin toplardamar\u0131 kalbe dikildi. Hastam\u0131z 25 g\u00fcnl\u00fck hastanede yat\u0131\u015f sonras\u0131 \u015fifa ile taburcu oldu. \u015eimdi rutin kontrollerine devam ediyor, d\u00fczenli kan suland\u0131r\u0131c\u0131 kullan\u0131yor. D\u00fcnyan\u0131n d\u00f6rt bir yan\u0131ndan karaci\u011fer nakli konusunda \u00e7al\u0131\u015fan ba\u015fta transplant cerrahlar\u0131 olmak \u00fczere y\u00fczlerce doktorun kat\u0131ld\u0131\u011f\u0131 kongreye d\u00f6rt poster sunumuna ek olarak bir s\u00f6zl\u00fc bildirimiz kabul edildi. S\u00f6zl\u00fc bildirimiz en prestijli toplant\u0131 olan Vanguard oturumuna se\u00e7ildi. Vanguard \u00f6nc\u00fc- ilk yap\u0131lan anlam\u0131nda. Yeni tekniklerin anlat\u0131ld\u0131\u011f\u0131 oturum. Bu oturumda Budd Chiari sendromlu hastada naklin m\u00fcmk\u00fcn olabilmesi i\u00e7in karaci\u011ferin toplar damar\u0131n\u0131n direk kalbe dikildi\u011fi tekni\u011fi video g\u00f6r\u00fcnt\u00fcleriyle yapt\u0131k. Mesut \u00dcnl\u00fc ile birlikte ayn\u0131 teknikle ameliyat edilen H.\u00c7 ve R.D adl\u0131 hastalar\u0131m\u0131zla ilgili sunum yo\u011fun ilgi g\u00f6rd\u00fc. Toplant\u0131n\u0131n konsepti gere\u011fi sunumun de\u011ferlendirmesi d\u0131\u015f merkezden bir cerrah taraf\u0131ndan yap\u0131l\u0131yor. Bizim de\u011ferlendirmemizi d\u00fcnyada en \u00e7ok karaci\u011fer naklinin yap\u0131ld\u0131\u011f\u0131 Kore\u2019deki Assan Medical Center\u2019dan cerrah Prof.Dr.Gi-Won Song yapt\u0131. D\u00fcnya literat\u00fcr\u00fcnde 10 vaka oldu\u011funu, \u00fc\u00e7\u00fcn\u00fcn ekibimiz taraf\u0131ndan yap\u0131ld\u0131\u011f\u0131n\u0131, bu vakalar\u0131n zor ve \u00e7ok \u00fcst d\u00fczey cerrahi teknik gerektirdi\u011fi yorumunu yapt\u0131. Bu de\u011ferlendirmeler kar\u015f\u0131s\u0131nda \u00e7ok b\u00fcy\u00fck gurur ya\u015fad\u0131k.\u201d<\/p>\n
\u00d6te yandan o\u011flunu Kent Hastanesine y\u00fcr\u00fcyemez, konu\u015famaz hale getirdi\u011fini belirten, ilk e\u015finden de 3 \u00e7ocu\u011fu bulunan 6 torun sahibi Mehmet \u00dcnl\u00fc, \u201cO\u011flumu kaybetmek \u00fczereydim. Tomografisinde 4 p\u0131ht\u0131y\u0131 da g\u00f6rm\u00fc\u015ft\u00fcm. Doktorlar p\u0131ht\u0131n\u0131n kalbe gitmesi halinde \u00f6lebilece\u011fini, beyne gitmesi halinde fel\u00e7 olabilece\u011fini s\u00f6yledi. \u0130ki ameliyat 13.5 saat s\u00fcrd\u00fc. Bu ameliyatlar\u0131n d\u00fcnyada say\u0131l\u0131 oldu\u011funu s\u00f6yledi. Ben onlara g\u00fcvendim, Allah hepsinden raz\u0131 olsun. O\u011flumuz elimizden u\u00e7up gidiyordu, doktorlar\u0131m\u0131z onu yeniden hayata d\u00f6nd\u00fcrd\u00fc. Mesut \u015fu anda \u00e7ok iyi, yeni bir hayata ba\u015flad\u0131\u201d diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
KARAC\u0130\u011eER NAKL\u0130 GER\u00c7EKLE\u015eT\u0130R\u0130LEN 17 YA\u015eINDAK\u0130 MESUT \u00dcNL\u00dc, D\u00dcNYADAK\u0130 3\u2019\u00dc T\u00dcRK 10 VAKADAN B\u0130R\u0130 OLARAK TIP L\u0130TERAT\u00dcR\u00dcNE G\u0130RD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":163346,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[349,3896,34487,8820,4657],"class_list":["post-163345","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-dunya","tag-girdi","tag-literaturune","tag-mesut","tag-tip"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/05\/mesut-dunya-tip-literaturune-girdi_d924899.jpg?fit=1000%2C750","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-GuB","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/163345","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=163345"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/163345\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/163346"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=163345"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=163345"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=163345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}