904 results match your criteria Der Chirurg; Zeitschrift fuer alle Gebiete der operativen Medizen[Journal]


[Model-based treatment in surgery].

Chirurg 2019 Feb 13. Epub 2019 Feb 13.

Klinik und Poliklinik für Chirurgie, Klinikum rechts der Isar der Technischen Universität München, Ismaninger Str. 22, 81675, München, Deutschland.

Background: The "magic triangle" in surgery and other disciplines consists of the demand for increasingly gentler forms of treatment, simultaneous cost reduction and the fundamental primacy of improving the quality of results. The digitalization of medicine offers a promising opportunity to do justice to this, also in the sense of "Surgery 4.0". Read More

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http://dx.doi.org/10.1007/s00104-019-0815-6DOI Listing
February 2019

[Arterial malpositioning of a port catheter].

Chirurg 2019 Feb;90(2):149-152

Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Sektion Gefäßchirurgie, Universitätsklinikum Essen, Hufelandstr. 55, 45147, Essen, Deutschland.

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http://dx.doi.org/10.1007/s00104-018-0765-4DOI Listing
February 2019

[Ligation of the great saphenous vein as treatment of varicosis].

Chirurg 2019 Jan;90(1):60-62

Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Sektion Gefäßchirurgie, Universitätsklinikum Essen, Hufelandstr. 55, 45147, Essen, Deutschland.

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http://dx.doi.org/10.1007/s00104-018-0764-5DOI Listing
January 2019
1 Read

[Evidence-based perioperative medicine].

Chirurg 2019 Jan 9. Epub 2019 Jan 9.

Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.

Perioperative medical interventions are an integral part of modern surgical management. In addition to the main manual aspects of surgical interventions, surgeons must also be familiar with preoperative and postoperative medical interventions. This ranges from the indications for perioperative anticoagulation, handling of drainage, adjusting the perioperative analgesia, prescribing an antibiotic prophylaxis to deciding whether a preoperative bowel preparation is necessary. Read More

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http://dx.doi.org/10.1007/s00104-018-0776-1DOI Listing
January 2019
3 Reads

[Psychological stressors, resources and well-being of surgeons in Germany : A cross-sectional study].

Chirurg 2019 Jan 4. Epub 2019 Jan 4.

Abteilung Arbeits- und Organisationspsychologie, Goethe-Universität Frankfurt, PEG, Theodor-W.-Adorno-Platz 6, 63, 60629, Frankfurt am Main, Deutschland.

Background: Psychological stress at work is associated with detrimental and health-impairing consequences for employees.

Objective: In this study major stress factors and the resource job control at the workplace of surgeons and facets of mental health were examined and compared to benchmark results of a large reference sample.

Method: Data were collected by a representative online survey among surgeons throughout Germany who were contacted via the Professional Association of German Surgeons. Read More

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http://dx.doi.org/10.1007/s00104-018-0780-5DOI Listing
January 2019
1 Read

[Multimorbid vascular patients-do endovascular techniques expand the limits?]

Chirurg 2019 Feb;90(2):117-123

Deutsches Institut für Gefäßmedizinische Gesundheitsforschung (DIGG) der Deutschen Gesellschaft für Gefäßchirurgie und Gefäßmedizin, Berlin, Deutschland.

The answer to the question of whether endovascular techniques extend the barriers to treatment in multimorbid vascular patients depends on the localization of the vascular disease and its stage. In multimorbid vascular patients with limited life expectancy and asymptomatic carotid stenosis, neither an endovascular nor an open procedure is indicated but a conservative best medicinal treatment is to be preferred. In symptomatic carotid stenosis the endovascular procedure is indicated for special anatomical conditions, such as contralateral carotid artery occlusion, contralateral recurrent nerve palsy, recurrent stenosis following endarterectomy, radical neck dissection and radiotherapy in the cervical region. Read More

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http://link.springer.com/10.1007/s00104-018-0760-9
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http://dx.doi.org/10.1007/s00104-018-0760-9DOI Listing
February 2019
4 Reads

[Is acute appendicitis a surgical emergency?]

Chirurg 2018 Oct 25. Epub 2018 Oct 25.

Klinik für Allgemein‑, Viszeral- und Kinderchirurgie, Universitätsmedizin Göttingen, Robert-Koch Str. 40, 37075, Göttingen, Deutschland.

Acute appendicitis is one of the most common causes of acute abdomen. Whereas patients with a complicated form of appendicitis need prompt surgery, short preoperative delays are tolerable for patients with uncomplicated appendicitis. Delays of up to 8 h between hospital admission and beginning of surgery are not associated with increased rates of perforation or postoperative complications. Read More

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http://dx.doi.org/10.1007/s00104-018-0757-4DOI Listing
October 2018
2 Reads

[Robotics and augmented reality : Current state of development and future perspectives].

Chirurg 2018 Oct;89(10):760-768

Klinikum rechts der Isar, Klinik und Poliklinik für Chirurgie, Technische Universität München, Ismaninger Straße 22, 81675, München, Deutschland.

Background: Digitalization in surgery is gaining attention in the surgical community, with robotics and augmented reality as key issues.

Robotics: The term surgical robot is basically not adequate to describe currently available telesupport and manipulation systems. These are passive tools which have to be activated by the surgeon and only provide relatively low levels of active support. Read More

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http://dx.doi.org/10.1007/s00104-018-0697-zDOI Listing
October 2018
10 Reads

[Treatment approach for gall bladder and extrahepatic bile duct cancer].

Chirurg 2018 Nov;89(11):880-886

Klinik und Poliklinik für Allgemein‑, Viszeral‑, Thorax- und Gefäßchirurgie, Universitätsklinikum der Rheinischen Friedrich-Wilhelms-Universität Bonn, Sigmund-Freud-Straße 25, 53127, Bonn, Deutschland.

Background: Although the treatment and diagnostic regimens of gall bladder carcinoma and extrahepatic bile duct cancer have improved over the past years, the outcome and overall survival as prognostic values still remain poor. Early tumor stages of gall bladder carcinoma are the only exception.

Objective: This article focuses on the latest surgical therapy approaches including neoadjuvant, adjuvant and palliative therapy regimens. Read More

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http://dx.doi.org/10.1007/s00104-018-0704-4DOI Listing
November 2018
2 Reads

Lung metastases from benign uterine leiomyoma: does 18-FDG-PET/CT have a role to play?

Ir J Med Sci 2018 Aug 3. Epub 2018 Aug 3.

Department of Gynaecology Oncology, St. James's Hospital, Dublin8, Ireland.

Uterine leiomyomas are the most common benign gynaecological tumours. However, 0.13 to 6% of them have malignant potential (Robboy et al. Read More

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http://dx.doi.org/10.1007/s11845-018-1876-0DOI Listing
August 2018
8 Reads
0.573 Impact Factor

[A critical analysis of perception of plastic surgery in Germany].

Chirurg 2018 Aug 3. Epub 2018 Aug 3.

Klinik für Plastische, Rekonstruktive, Hand- und Verbrennungschirurgie, Städtisches Klinikum München Bogenhausen, München, Deutschland.

Background And Objectives: Plastic surgery includes a broad range of activities; however, there are no studies available in Germany which evaluated the specific role plastic surgeons play in providing patient care. The aim of the project was thus to analyze the public and professional perception of plastic surgery in Germany and to what degree the range of activities is appropriately represented.

Material And Methods: An anonymous survey inquiring about demographic data and specific knowledge regarding plastic surgery procedures was conducted in various regions in German. Read More

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http://link.springer.com/10.1007/s00104-018-0702-6
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http://dx.doi.org/10.1007/s00104-018-0702-6DOI Listing
August 2018
14 Reads

[Work-life balance : Thoughts of the Young Surgeon representatives of the German Surgical Society].

Chirurg 2018 Dec;89(12):1009-1012

Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Hannover, Deutschland.

Work-life balance is a commonly used term that appears in different contexts and has a different meaning for many colleagues. Unfortunately, however, it is often used as a negative, simplified term to describe the assumed attitude of young surgeons towards work and a medical career, even though this is not universally applicable. As the representatives for Young Surgeons of the German Society of Surgery the aim of this article is to present our thoughts on the issue and associated problems and provide a differentiated outline for discussion. Read More

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http://dx.doi.org/10.1007/s00104-018-0698-yDOI Listing
December 2018
1 Read

[Speech therapy after thyroid gland operations in Germany: analysis of routine data from 50,676 AOK patients].

Chirurg 2018 Jul 13. Epub 2018 Jul 13.

Wissenschaftliches Institut der AOK, Rosenthaler Str. 31, 10178, Berlin, Deutschland.

Background: This study investigated the frequency of postoperative speech therapy in the context of vocal cord palsy after thyroid surgery based on nationwide routine data. Additionally, volume-outcome relationships were examined.

Material And Methods: Nationwide routine data from insured patients of the Local Health Insurance Fund (AOK) who underwent thyroid surgery for a benign thyroid disease between 2013 and 2015 were analyzed. Read More

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http://dx.doi.org/10.1007/s00104-018-0686-2DOI Listing
July 2018
8 Reads

[Evaluation of the infrastructure for clinical surgical studies in Germany : A nationwide survey of the surgical study network CHIR-Net].

Chirurg 2018 Oct;89(10):813-821

Seniorprofessur für Versorgungsforschung, Universität Witten/Herdecke, Witten, Deutschland.

Background: In order to improve the quality and quantity of clinical trials in Germany a surgical study network called CHIR-Net funded by the Federal Ministry of Education and Research (BMBF) was established. The focus was on building an infrastructure for the performance of surgical multicenter, randomized controlled clinical trials with the inclusion of university and non-university hospitals. The education of clinicians with an interest in clinical research and the transfer of research ideas (as investigator initiated trials, IIT) were clear goals for this grant. Read More

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http://dx.doi.org/10.1007/s00104-018-0648-8DOI Listing
October 2018
2 Reads

[Treatment of chylothorax].

Chirurg 2018 Jun 20. Epub 2018 Jun 20.

Klinik für Thoraxchirurgie, AGAPLESION Markus Krankenhaus Frankfurt am Main, Akademisches Lehrkrankenhaus der Goethe-Universität Frankfurt am Main, Wilhelm-Epstein-Straße 4, 60431, Frankfurt am Main, Deutschland.

Chylothorax is an infrequent but important form of pleural effusion. The most common causes are of postoperative and neoplastic origin. No prospective or randomized trials have been performed to evaluate the available treatment options for chylothorax. Read More

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http://dx.doi.org/10.1007/s00104-018-0659-5DOI Listing
June 2018
2 Reads

[Update of the S2k guidelines : Surgical treatment of benign thyroid diseases].

Chirurg 2018 Sep;89(9):699-709

Klinik für Visceral‑, Thorax- und Gefäßchirurgie, Universitätsklinikum Gießen und Marburg, GmbH, Standort Marburg, Baldingerstrass, 35041, Marburg, Deutschland.

Thyroid resections represent one of the most common operations with 76,140 interventions in the year 2016 in Germany (source Destatis). These are predominantly benign thyroid gland diseases. Recommendations for the operative treatment of benign thyroid diseases were last published by the CAEK in 2010 as S2k guidelines (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e. Read More

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http://dx.doi.org/10.1007/s00104-018-0653-yDOI Listing
September 2018
17 Reads

[Oligometastases of neuroendocrine tumors-extent of surgery].

Chirurg 2018 Jun 6. Epub 2018 Jun 6.

Klinik für Allgemein-, Viszeral-, und Transplantationschirurgie, Klinikum der Ludwig-Maximilians-Universität München, Marchioninistraße 15, 81377, München, Deutschland.

Neuroendocrine tumors (NETs) are rare neoplasms, which represent complex challenges in diagnosis and treatment. Even in the metastatic stage there are important differences in the type of tumor in comparison to gastrointestinal and pancreatic adenocarcinomas. Therefore, the disease courses are substantially different depending on the grade of differentiation. Read More

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http://dx.doi.org/10.1007/s00104-018-0644-zDOI Listing
June 2018
24 Reads

[Oligometastasized colorectal cancer-modern treatment strategies].

Chirurg 2018 Jun 5. Epub 2018 Jun 5.

Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Uniklinik der RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland.

Background: The prognosis of colorectal cancer in UICC stage IV has been improved in the last decades by improvements in interdisciplinary treatment.

Material And Methods: Treatment strategies for oligometastasized colorectal cancer are developing more and more into an individualized treatment. An overview of the current literature of modern treatment concepts in oligometastasized colorectal cancer UICC stage IV is given. Read More

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http://dx.doi.org/10.1007/s00104-018-0661-yDOI Listing
June 2018
3 Reads

[Reporting ethics board approval in German medical theses and journals].

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2018 Jul;61(7):857-863

Zentrum für medizinische Rehabilitation, Fachklinik Waldeck, Schwaan-Waldeck, Deutschland.

Since 1975, the Declaration of Helsinki of the World Medical Association (WMA) has clearly required ethics committee approval for research into humans. Nevertheless, this Declaration is violated quite often. As many English-language publications have addressed the theme of ethics board approval in theses and other published works, it is now to be investigated in Germany for the first time. Read More

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http://dx.doi.org/10.1007/s00103-018-2754-7DOI Listing
July 2018
1 Read

[Investigations on in-hospital mortality in pancreatic surgery : Results of a multicenter observational study].

Chirurg 2019 Jan;90(1):47-55

Sektion Endokrine Chirurgie, Klinik für Allgemein -, Viszeral- und Transplantationschirurgie, Universitätsklinikum Essen, Essen, Deutschland.

Background: The rate of hospital mortality (in-hospital mortality) after complex pancreatic resections cannot be used as a decision-making criterion with no further analysis and specification. Such analysis has to provide a risk-adjusted benchmarking including a continuous evaluation taking into account the frequency of a surgical procedure and its competent perioperative management.

Material And Methods: As part of the Prospective Evaluation study Elective Pancreatic surgery (PEEP), overall 2003 patients were enrolled over a 3-year time period from 01 January 2006 to 12 December 2008, who underwent elective pancreatic surgery in 27 surgical departments. Read More

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http://dx.doi.org/10.1007/s00104-018-0654-xDOI Listing
January 2019
1 Read

[Operative treatment of diabetics with vascular complications : Secondary data analysis of diagnosis-related groups statistics from 2005 to 2014 in Germany].

Chirurg 2018 Jul;89(7):545-551

Klinik und Poliklinik für vaskuläre und endovaskuläre Chirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Straße 22, 81675, München, Deutschland.

Background: In Germany approximately 40,000 amputations per year are performed on patients with diabetes mellitus, often with accompanying vascular complications.

Objective: The aim of this study was to present the various degrees of severity of the vascular complications and the temporal changes of the treatment options in diabetics with vascular complications in Germany.

Material And Methods: The microdata of the diagnosis-related groups (DRG) statistics of the Federal Statistical Office were analyzed over the period from 2005 to 2014. Read More

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http://link.springer.com/10.1007/s00104-018-0628-z
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http://dx.doi.org/10.1007/s00104-018-0628-zDOI Listing
July 2018
17 Reads

[Duodenum-preserving pancreatic head resection in chronic pancreatitis : Limitations of the Heidelberg multicenter ChroPac study].

Authors:
H G Beger B Mayer

Chirurg 2018 May;89(5):392-396

Institut für Epidemiologie und Medizinische Biometrie, Universität Ulm, Ulm, Deutschland.

The data published in Der Chirurg and The Lancet on the results of the multicenter ChroPac study comparing results of 115 patients in the duodenum-preserving pancreatic head resection (DPPHR) group with 111 patients in the pancreaticoduodenectomy (PD) group, recommend partial PD as the first line procedure for chronic pancreatitis (CP). This is based on the significantly higher frequency of rehospitalization assigned to CP in the DPPHR group and data derived from post hoc meta-analysis about higher frequency of reoperations in the DPPHR group. Based on the presented data of the intention-to-treat analysis it is difficult to support the authors' recommendation of PD as the first line procedure for CP. Read More

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http://dx.doi.org/10.1007/s00104-018-0615-4DOI Listing
May 2018
1 Read

[Primary treatment of anal cancer].

Chirurg 2018 Feb;89(2):152-154

Chirurgische Klinik, Universitätsklinikum Knappschaftskrankenhaus, Ruhr-Universität Bochum, In der Schornau 23-25, 44892, Bochum, Deutschland.

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http://dx.doi.org/10.1007/s00104-017-0573-2DOI Listing
February 2018
1 Read

[Cockade of the cecum in a child with acute abdominal pain].

Chirurg 2018 Jun;89(6):475-478

Abteilung für Kinderchirurgie der Chirurgischen Universitätsklinik, Universitätsmedizin Rostock, Heydemann-Str. 8, 18057, Rostock, Deutschland.

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http://dx.doi.org/10.1007/s00104-017-0576-zDOI Listing
June 2018
1 Read

[Globalization in medical research].

Authors:
H-J Ehni U Wiesing

Chirurg 2018 Mar;89(3):178-184

Institut für Ethik und Geschichte der Medizin, Universität Tübingen, Gartenstr. 47, 72074, Tübingen, Deutschland.

The globalization of clinical research is gaining momentum. In particular, emerging countries, such as Brazil, India, Russia and South Africa show a significant increase in clinical trials. This trend is generating various ethical problems, which are examined in the present article. Read More

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http://dx.doi.org/10.1007/s00104-017-0570-5DOI Listing
March 2018
1 Read

[Surgery of papillary thyroid microcarcinoma].

Chirurg 2018 Jun;89(6):415-421

Klinik für endokrine Chirurgie, Katholisches Klinikum, An der Goldgrube 11, 55131, Mainz, Deutschland.

Background: Different countries are currently reporting a substantial increase in the incidence rates of papillary thyroid microcarcinoma (PTMC).

Objective: Presentation of diagnosis and surgical therapy of PTMC and discussion of a more conservative approach, such as active surveillance.

Material And Methods: Overview of the current guidelines from different countries and analysis of recent publications reporting the results of active surveillance of PTMC from Japan, Korea and the USA. Read More

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http://dx.doi.org/10.1007/s00104-017-0571-4DOI Listing
June 2018
2 Reads

[Early stage pancreatic cancer].

Chirurg 2018 Apr;89(4):257-265

Klinik und Poliklinik für Viszeral‑, Thorax- und Gefäßchirurgie (VTG), Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.

Background: Pancreatic ductal adenocarcinoma (PDAC) represents the fourth most common cause of cancer mortality and it is expected to become the second most common cause of cancer mortality by 2020 in the USA.

Objective: Which strategies for the detection and treatment of an early stage pancreatic adenocarcinoma and its precursor lesions are to be applied?

Results: Currently, there is no effective general screening program for pancreatic cancer due to the low incidence and the lack of an accurate and inexpensive diagnostic method; however, in patients with a positive history of hereditary pancreatic cancer or in patients with a known sporadic germline mutation that is associated with an increased risk of pancreatic cancer, frequent screening is highly recommended to detect and to treat early stage PDAC. Moreover, patients with a precursor lesion for pancreatic cancer (namely a mucinous pancreatic neoplasm) should undergo an oncological pancreatic resection to prevent the development of late stage pancreatic cancer. Read More

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http://dx.doi.org/10.1007/s00104-017-0569-yDOI Listing
April 2018
1 Read

[Quality indicators for metabolic and bariatric surgery in Germany : Evidence-based development of an indicator panel for the quality of results, indications and structure].

Chirurg 2018 01;89(1):4-16

Klinik und Poliklinik für Viszeral‑, Transplantations‑, Thorax- und Gefäßchirurgie, Bereich Bariatrische Chirurgie, Universitätsklinikum Leipzig, Leipzig, Deutschland.

An expert committee was appointed by the German Society for General and Visceral Surgery to develop a panel of appropriate quality indicators to collate the quality of results, indications and structure in metabolic and bariatric surgery. This entailed assimilating the available evidence (systematic literature search), results from the national registry of the society (StuDoQ|MBE) and specific socioeconomic aspects (e. g. Read More

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http://dx.doi.org/10.1007/s00104-017-0563-4DOI Listing
January 2018
4 Reads

[Quality indicators for pancreatic surgery : Scientific derivation and clinical relevance].

Chirurg 2018 01;89(1):32-39

Deutsche Gesellschaft für Allgemein- und Viszeralchirurgie e. V., Schiffbauerdamm 40, Haus der Bundespressekonferenz, Mieteinheit 3.200, 10117, Berlin, Deutschland.

Quality indicators are by definition indirect measures of quality. The selection for the field of pancreatic surgery was based on the clinical relevance and controllability, scientific evidence and the practicability of data acquisition. In terms of outcome quality, hospital mortality, the composite endpoint MTL30 (mortality-transfer-length of stay), and major complications (Clavien-Dindo classification grades 3b and 4) were chosen as being essential. Read More

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http://dx.doi.org/10.1007/s00104-017-0564-3DOI Listing
January 2018
1 Read

[Graft aneurysms as long-term complication of polyester prostheses and their management : Brief review based on a systematic review of the literature].

Chirurg 2018 Mar;89(3):212-221

Klinik für Allgemein‑, Viszeral‑, Gefäß- & Transplantationschirurgie, Universitätsklinikum Magdeburg A.ö.R., Leipziger Straße 44, 39120, Magdeburg, Deutschland.

Introduction: A material-associated true aneurysm after previous use of a vascular prosthesis for arterial reconstruction mostly in peripheral arterial occlusion disease (PAOD) is considered a rare but serious complication.

Aim And Method: The aim of the compact brief review was to describe the rare finding of a true aneurysm of a prosthesis and its diagnosis-specific care including a representative scientific case report, based on selected topic-related references from the medical literature as well as the specific experiences obtained from the successful clinical management in single cases. RESULTS (COMPLEX KEY POINTS ASSOCIATED WITH PATIENT AND CLINICAL FINDINGS AND CASE PRESENTATION): Out of initially 321 references found in the literature search, 20 articles published after 1995 were finally evaluated. Read More

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http://dx.doi.org/10.1007/s00104-017-0530-0DOI Listing
March 2018
10 Reads

[Persistent abdominal complaints after laparoscopic appendectomy].

Authors:
R Stratmann T Meyer

Chirurg 2018 Feb;89(2):149-151

Abteilungfür Kinderchirurgie, Klinik und Poliklinik für Allgemein- und Viszeralchirurgie, Gefäß- und Kinderchirurgie, Zentrum Operative Medizin, Klinikum der Bayerischen Julius-Maximilians-Universität, Oberdürrbacher Straße 6, 97080, Würzburg, Deutschland.

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http://dx.doi.org/10.1007/s00104-017-0532-yDOI Listing
February 2018
1 Read

[Branch duct intraductal papillary mucinous neoplasm - contra resection].

Chirurg 2017 Nov;88(11):918-926

Klink für Allgemein- und Viszeralchirurgie, Universitätsklinikum der Friedrich-Alexander-Universität, Krankenhausstraße 12, 91054, Erlangen, Deutschland.

Due to improvements in imaging modalities the diagnosis of branch duct intraductal papillary mucinous neoplasms (BD-IPMN) has been significantly increased in recent years. A BD-IPMN is frequently diagnosed as an incidental finding in asymptomatic patients. The optimal management of BD-IPMN is the subject of controversial discussions. Read More

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http://dx.doi.org/10.1007/s00104-017-0495-zDOI Listing
November 2017
6 Reads

[Minimally invasive and robot-assisted surgery for pancreatic cystic tumors].

Chirurg 2017 Nov;88(11):934-943

Klinik und Poliklinik für Viszeral‑, Thorax- und Gefäßchirurgie (VTG), Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstrasse 74, 01307, Dresden, Deutschland.

Background: The indications for resection of pancreatic cystic lesions (PCL) are often complex and the operative risk has to be balanced against the risk of malignant transformation. The aim of the study was to provide a synopsis of the current treatment results of minimally invasive surgery for PCL.

Methods: A systematic literature search was performed using the Medline database (PubMed). Read More

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http://dx.doi.org/10.1007/s00104-017-0496-yDOI Listing
November 2017
1 Read

[Resection of main duct and mixed type IPMN ≥5 mm].

Chirurg 2017 Nov;88(11):913-917

Klinik und Poliklinik für Chirurgie, Klinikum rechts der Isar, Technischen Universität München, Ismaninger Str. 22, 81675, München, Deutschland.

The incidence of cystic pancreatic lesions is steadily increasing due to the technical advances in imaging. Within the group of cystic pancreatic lesions intraductal papillary mucinous neoplasms (IPMNs) depict an important entity. Due to a possible progression to malignancy the clinical strategy has to be well chosen. Read More

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http://link.springer.com/10.1007/s00104-017-0494-0
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http://dx.doi.org/10.1007/s00104-017-0494-0DOI Listing
November 2017
6 Reads

[Multidrug resistant gram-negative bacteria : Clinical management pathway for patients undergoing elective interventions in visceral surgery].

Chirurg 2018 01;89(1):40-49

Klinische Mikrobiologie und Krankenhaushygiene, Klinikum der Universität München, München, Deutschland.

Background: Only a few antibiotics are available for treatment of infections with multidrug resistant gram-negative bacteria (MRGN). The management of patients with MRGN colonization or infection is therefore of great importance with respect to postoperative morbidity and mortality.

Objective: This article presents a description of the management pathway for patients with MRGN colonization. Read More

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http://dx.doi.org/10.1007/s00104-017-0476-2DOI Listing
January 2018
1 Read

[MTL30 as surrogate parameter for quality of surgically treated diseases : Establishment based on the StuDoQ register of the German Society for General and Visceral Surgery].

Chirurg 2017 Nov;88(11):977-982

Chirurgische Klinik, Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.

From a sociopolitical aspect there is increasing interest in the quality of healthcare. In this context valid, reproducible, comparable and risk-adjustable markers that are easily identified have become crucial for consistent documentation of quality. We recommend MTL30 (mortality, transfer, length of stay) as one of these markers to consistently measure the quality of large visceral surgical interventions. Read More

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http://dx.doi.org/10.1007/s00104-017-0479-zDOI Listing
November 2017
5 Reads

[R1 resection for gastric carcinoma].

Chirurg 2017 Sep;88(9):756-763

AN-Institut für Qualitätssicherung in der operativen Medizin an der Otto-von-Guericke-Universität Magdeburg gGmbH, Leipziger Str. 44, 39120, Magdeburg, Deutschland.

The results reported in the literature in the context of an R1 situation for a resected gastric carcinoma are not uniform. An R1 situation worsens the prognosis for the long-term survival of patients. This is significant especially for low T stages and lymph node metastasis with 0-≤3 lymph node metastases. Read More

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http://dx.doi.org/10.1007/s00104-017-0460-xDOI Listing
September 2017
18 Reads

[Single incision laparoscopy : Current status].

Chirurg 2017 Aug;88(8):669-674

Abteilung für Chirurgie, A. ö. Krankenhaus der Barmherzigen Brüder, Kajetanerplatz 1, 5010, Salzburg, Österreich.

Background: Since the introduction of single incision laparoscopy (SIL), there has been disagreement among professional societies regarding a general recommendation for the use of this minimally invasive method.

Objectives: Determination of evidence-based advantages of SIL compared to multiport laparoscopy (MPL).

Materials And Methods: Description of recent technical developments and evaluation of prospective randomized clinical trials and valid meta-analyses with regard to organ-specific procedures. Read More

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http://link.springer.com/10.1007/s00104-017-0446-8
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http://dx.doi.org/10.1007/s00104-017-0446-8DOI Listing
August 2017
3 Reads

[The downside of transparency : On the devaluation of surgery by the dictate of transparency].

Authors:
G Maio

Chirurg 2017 Jul;88(7):622-627

Lehrstuhl für Medizinethik, Institut für Ethik und Geschichte der Medizin, Stefan-Meier-Str. 26, 79104, Freiburg, Deutschland.

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http://dx.doi.org/10.1007/s00104-017-0453-9DOI Listing
July 2017
1 Read

[Complications after thyroid gland operations in Germany : Further information and routine data analysis].

Chirurg 2017 Jun;88(6):534-535

Wissenschaftliches Institut der AOK, Rosenthaler Str. 31, 10178, Berlin, Deutschland.

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http://dx.doi.org/10.1007/s00104-017-0439-7DOI Listing
June 2017
1 Read

[Complexity of DRG routine data also makes the interpretation of thyroid surgery difficult].

Authors:
R Mantke

Chirurg 2017 Jun;88(6):532-533

Direktor der Klinik für Allgemein- und Viszeralchirurgie, Klinikum Brandenburg an der Havel, Medizinische Hochschule Brandenburg, Hochstr. 29, 14770, Brandenburg, Deutschland.

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http://dx.doi.org/10.1007/s00104-017-0436-xDOI Listing
June 2017
1 Read

[Inguinal hernia repair in TAPP technique in a day-case surgery setting - at what price?]

Chirurg 2017 Sep;88(9):792-798

Institut für Chirurgische Forschung Oberbayern e. V., Hausham, Deutschland.

Background: TAPP surgery can be considered as a gold standard in inguinal hernia repair. Patients benefit of a faster reconvalescence and less pain compared to other techniques. TAPP surgery in Germany is performed in an in-patient setting routinely. Read More

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http://dx.doi.org/10.1007/s00104-017-0429-9DOI Listing
September 2017
1 Read

[Robot-assisted pancreatic resection].

Chirurg 2017 Jun;88(6):490-495

Klinik und Poliklinik für Viszeral-, Thorax- und Gefäßchirurgie (VTG), Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland.

Although robot-assisted pancreatic surgery has been considered critically in the past, it is nowadays an established standard technique in some centers, for distal pancreatectomy and pancreatic head resection. Compared with the laparoscopic approach, the use of robot-assisted surgery seems to be advantageous for acquiring the skills for pancreatic, bile duct and vascular anastomoses during pancreatic head resection and total pancreatectomy. On the other hand, the use of the robot is associated with increased costs and only highly effective and professional robotic programs in centers for pancreatic surgery will achieve top surgical and oncological quality, acceptable operation times and a reduction in duration of hospital stay. Read More

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http://dx.doi.org/10.1007/s00104-017-0400-9DOI Listing
June 2017
2 Reads

[SharedIt - A special service for our authors and subscribers to Der Chirurg].

Authors:
H Dralle C Jurek

Chirurg 2017 Apr;88(4):271-273

Springer Medizin Verlag GmbH, Tiergartenstraße 17, 69121, Heidelberg, Deutschland.

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http://dx.doi.org/10.1007/s00104-017-0399-yDOI Listing
April 2017
1 Read

[Infections in visceral surgery].

Chirurg 2017 May;88(5):367-368

Klinik für Allgemein, Viszeral und Transplantationschirurgie, Studienzentrum der Deutschen Gesellschaft für Chirurgie (SDGC), Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.

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http://link.springer.com/10.1007/s00104-017-0405-4
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http://dx.doi.org/10.1007/s00104-017-0405-4DOI Listing
May 2017
2 Reads

[Laparoscopic pancreatic resection].

Authors:
D Bausch T Keck

Chirurg 2017 Jun;88(6):484-489

Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.

Introduction And Purpose: Despite being technically challenging, laparoscopic surgical procedures are increasingly being used also in pancreatic surgery. This review attempts to evaluate these procedures based on the currently available literature against the background of the high mortality of pancreatic surgery observed nationwide and the as yet unclear oncological validation of these procedures.

Material And Methods: Recently published retrospective cohort and register trials have evaluated not only perioperative outcome but also long-term survival after laparoscopic pancreatic resection. Read More

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http://dx.doi.org/10.1007/s00104-017-0398-zDOI Listing
June 2017
1 Read

[Suture techniques and material in surgery of flexor tendons].

Chirurg 2017 Mar;88(3):259-270

Klinik für Handchirurgie, Salzburger Leite 1, Bad Neustadt an der Saale, Deutschland.

Adhesions and scar formation between flexor tendons and the surrounding tissue are only contemporarily avoidable by movement of flexor tendons. Concepts with active follow-up protocols are more favorable than passive mobilization. The main risks of flexor tendon repair are rupture of the tendon suture, insidious gap formation and resistance to tendon gliding within the tendon sheath. Read More

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http://dx.doi.org/10.1007/s00104-017-0383-6DOI Listing
March 2017
5 Reads

[Erratum to: Quality of dying processes after commencement of the German Living Will Act : Experiences of a surgical intensive care unit].

Chirurg 2017 03;88(3):251-252

Klinik für Allgemeine, Viszeral-, Transplantations- und Gefäßchirurgie, Klinikum der Universität München, München, Deutschland.

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http://dx.doi.org/10.1007/s00104-017-0376-5DOI Listing
March 2017
1 Read

[Video-assisted retroperitoneal debridement : Minimally invasive treatment and long-term results for necrotizing pancreatitis].

Chirurg 2017 Sep;88(9):785-791

Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Uniklinik RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland.

Background: Among patients with necrotizing pancreatitis 15-20% develop infected necrosis, which entails mortality rates of up to 20%. Particularly driven by the results of the Dutch Pancreatitis Study Group there has been a paradigm change from open necrosectomy to step-up treatment with initial percutaneous and/or endoscopic drainage followed, if necessary, by minimally invasive retroperitoneal debridement.

Aim Of The Study: Description of case series in which patients underwent video-assisted retroperitoneal debridement (VARD) including follow-up focused on quality of life. Read More

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http://dx.doi.org/10.1007/s00104-017-0377-4DOI Listing
September 2017
1 Read