Percutaneous cholecystostomy (PC) has emerged as a valuable alternative to early cholecystectomy for managing acute cholecystitis (AC) in high-risk patients, particularly those classified as grade II or III according to the Tokyo Guidelines (TG). However, the criteria for optimal patient selection and predictors of definitive surgical needs remain inadequately defined. This single-center, retrospective study included 30 patients who underwent PC for AC between 2022 and 2025. Patients were classified as having TG18 grade II or III AC. Demographic characteristics, clinical scores (American Society for Anesthesiologists [ASA] and Charlson Comorbidity Index), laboratory parameters (neutrophil-to-lymphocyte ratio [NLR], platelet-to-lymphocyte ratio [PLR], and systemic immune-inflammation index [SII]), length of hospital stay, intensive care unit (ICU) and total parenteral nutrition (TPN) needs, and outcomes, including 30-day and 12-month mortality, and the need for interval cholecystectomy, were analyzed. Patients with grade III AC exhibited significantly higher NLR and lower lymphocyte counts ( P = .042 and P = .005, respectively). ICU admission, TPN requirements, and 12-month mortality rates were significantly higher in this group. Post-PC cholecystectomy was performed in 30% of patients, and those requiring surgery had higher ASA scores, experienced prolonged hospitalization, and an elevated mortality rate ( P < .05). No major PC-related complications were observed. PC was a safe and effective alternative for high-risk patients with AC. However, many patients with higher ASA scores and severe grades still require surgery and experience higher mortality. Accurate patient selection, therefore, is essential to achieve better outcomes and avoid unnecessary procedures. These findings support personalized guideline-based decisions and identify clinical and laboratory factors that may predict the need for surgery and prognosis.

Background and Objectives: This study was conducted to assess changes in swallowing function in thyroidectomy patients and to identify clinical risk factors associated with persistent patient-reported swallowing symptoms. Methods: The study was a retrospective, observational study. Data were collected from 280 patients who underwent total thyroidectomy between January 2022 and January 2025. Swallowing function was assessed using the Turkish Eating Assessment Tool-10 (T-EAT-10). Multivariate logistic regression analysis was employed to identify independently associated factors for persistent patient-reported swallowing symptoms, and receiver operating characteristic (ROC) analysis was used to assess the discriminative performance of continuous variables. Results: Patient-reported T-EAT-10 scores changed significantly during the follow-up period (χ² = 217.33, p < 0.001). Post hoc analyses revealed that dysphagia scores decreased significantly at the 6th and 12th months postoperatively (p < 0.001). Persistent patient-reported swallowing symptoms were detected in 24 (8.6%) out of 279 patients who had a full 12-month T-EAT-10 follow-up. Multivariate logistic regression analysis showed that postoperative and preoperative dysphonia, body mass index (BMI), and malignant pathology were independently associated with persistent patient-reported swallowing symptoms. In the ROC analysis, the approximate clinical exploratory threshold values were 29 mm (AUC = 0.692) for nodule size and 100 min (AUC = 0.660) for operation time. Internal cross-validation analysis showed that the model’s discriminative performance was preserved, with a mean cross-validated AUC value of 0.801. Conclusions: Dysphagia following thyroidectomy typically resolves over time. However, the presence of preoperative and postoperative dysphonia appears to be a strong indicator of the development of persistent patient-reported swallowing symptoms.

Aims: This study aims to evaluate the educational quality, surgical detail, and anatomical clarity of YouTube videos demonstrating lateral neck dissection (LND). The study utilized validated scoring systems (JAMA, GQS, DISCERN, OSATS). Additionally, an Anatomy Demonstration Score (ADS) designed specifically for this study was employed.Methods: A total of 100 English-language YouTube videos related to LND were included. The videos were independently rated by two expert surgeons using a five-point scoring system. Data were analyzed using reliability analyses, correlation analysis, and comparison tests, specifically the Mann-Whitney U test, with p