11,653 results match your criteria Langenbecks Archiv fuer Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fuer Chirurgie. Kongress[Journal]


Intraoperative stent placement for the treatment of acute portal vein complications in pediatric living donor liver transplantation.

Langenbecks Arch Surg 2018 Dec 15. Epub 2018 Dec 15.

Department of General Surgery, Division of HPB Surgery and Liver Transplant Unit, Hospital Italiano de Buenos Aires, Juan D. Peron 4190, C1181ACH, Buenos Aires, Argentina.

Purpose: Pediatric living donor liver transplantation (LDLT) in low weight recipients remains one of the most complex surgical procedures, with portal vein (PV) complications occurring in up to 19% of cases. When decreased PV flow is diagnosed intra- or perioperatively, intraoperative stent placement is a good substitute for surgical adjustment. Still, at the present moment, little is known about the technical feasibility, safety, efficacy, and long-term outcome of intraoperative stenting in LDLT. Read More

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http://dx.doi.org/10.1007/s00423-018-1741-7DOI Listing
December 2018
1 Read

Complex gastric surgery in Germany-is centralization beneficial? Observational study using national hospital discharge data.

Langenbecks Arch Surg 2018 Dec 14. Epub 2018 Dec 14.

Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Klinikum Darmstadt GmbH, Darmstadt, Germany.

Purpose: This observational study explored the association between hospital volume and short-term outcome following gastric resections for non-bariatric indication, aiming to contribute to the discussion on centralization of complex visceral surgery in Germany.

Methods: Based on complete national hospital discharge data from 2010 to 2015, the association between hospital volume and in-hospital mortality was evaluated according to volume quintiles and volume deciles. Case-mix differences regarding surgical indication, age, sex, and comorbidities were considered for risk adjustment. Read More

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http://dx.doi.org/10.1007/s00423-018-1742-6DOI Listing
December 2018
1 Read

Contemporary practice and short-term outcomes after liver resections in a complete national cohort.

Langenbecks Arch Surg 2018 Dec 5. Epub 2018 Dec 5.

Clinical Surgery, Royal Infirmary of Edinburgh and University of Edinburgh, Edinburgh, UK.

Background: Improved outcome after liver resections have been reported in several series, but outcomes from national cohorts are scarce. Our aim was to evaluate nationwide practice and short-term outcomes after liver surgery in a universal healthcare system.

Methods: A complete 5-year cohort of all liver resections from the Norwegian Patient Registry (NPR). Read More

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http://link.springer.com/10.1007/s00423-018-1737-3
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http://dx.doi.org/10.1007/s00423-018-1737-3DOI Listing
December 2018
3 Reads

How radical is total parathyroidectomy in patients with renal hyperparathyroidism?

Langenbecks Arch Surg 2018 Dec 5. Epub 2018 Dec 5.

Section of Endocrine Surgery, Division of General Surgery, Department of Surgery, Medical University of Vienna, Waehringer Gürtel 18-20, A-1090, Vienna, Austria.

Purpose: Total parathyroidectomy (tPTX) in patients with renal hyperparathyroidism (RHPT) aims at the complete removal of all hyperfunctioning parathyroid tissue. Whenever parathyroidectomy is termed "total," undetectable postoperative parathyroid hormone (PTH) levels within the first postoperative week are expected. The aim of this study was to evaluate if tPTX is technically possible using a radical surgical procedure. Read More

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http://dx.doi.org/10.1007/s00423-018-1739-1DOI Listing
December 2018
2 Reads

Cellularity in low-grade Pseudomyxoma peritonei impacts recurrence-free survival following cytoreductive surgery and hyperthermic intraperitoneal chemotherapy.

Langenbecks Arch Surg 2018 Dec 1. Epub 2018 Dec 1.

Department of General, Visceral and Transplant Surgery, University of Tübingen, Comprehensive Cancer Center, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany.

Purpose: Documentation of cellularity in Pseudomyxoma peritonei (PMP) is not performed on a regular basis in everyday clinical practice, but is recommended by the PSOGI (Peritoneal Surface Oncology Group International). We investigated the impact of cellularity in PMP following cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) on recurrence-free survival.

Methods: Data from 25 patients with low-grade (American Joint Committee on Cancer grade G1) PMP were retrospectively evaluated. Read More

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http://dx.doi.org/10.1007/s00423-018-1735-5DOI Listing
December 2018

Effect of early administration of coagulation factor XIII on fistula after pancreatic surgery: the FIPS randomized controlled trial.

Langenbecks Arch Surg 2018 Nov 30. Epub 2018 Nov 30.

Department of Hepatobiliary-Pancreatic Surgery, Japanese Foundation for Cancer Research, Cancer Institute Hospital, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan.

Purpose: The administration of exogenous factor XIII (FXIII) is reportedly effective for fistula closure in patients with a low plasma FXIII level. This study was performed to analyze the effect of early administration of exogenous FXIII on postoperative pancreatic fistula (POPF).

Methods: A single-center randomized controlled, open-label, parallel group, superiority trial was conducted from October 2015 to August 2016 in Japan. Read More

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http://link.springer.com/10.1007/s00423-018-1736-4
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http://dx.doi.org/10.1007/s00423-018-1736-4DOI Listing
November 2018
2 Reads

Transcutaneous laryngeal ultrasonography (TLUS) as an alternative to direct flexible laryngoscopy (DFL) in the perioperative evaluation of the vocal cord mobility in thyroid surgery.

Langenbecks Arch Surg 2018 Nov 28. Epub 2018 Nov 28.

Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte, Akademisches Lehrkrankenhaus der Universität Duisburg-Essen, Henricistrasse 92, D-45136, Essen, Germany.

Purpose: Direct flexible laryngoscopy (DFL) is the golden standard to evaluate the vocal cord (VC) function in thyroid and parathyroid surgery pre- and postoperatively. Transcutaneous laryngeal ultrasonography (TLUS) could represent an alternative to the DFL and has been evaluated in the present study comparing the results of both methods performed at two referral centers for endocrine pathologies.

Methods: In the setting of a retrospective study, 668 patients (560 female, 118 male; mean age 50. Read More

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http://dx.doi.org/10.1007/s00423-018-1734-6DOI Listing
November 2018
1 Read

The role of non-invasive imaging techniques in detecting intra-abdominal adhesions: a systematic review.

Langenbecks Arch Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Surgery, Herlev Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.

Background: Intra-abdominal adhesions after surgery are highly prevalent. Adhesions implicate complications during subsequent surgery and can cause chronic abdominal pain. The objective of this review was to investigate the usefulness of non-invasive diagnostic methods for detection of adhesions. Read More

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http://dx.doi.org/10.1007/s00423-018-1732-8DOI Listing
November 2018

Short- and long-term outcomes of choledochojejunostomy during pancreaticoduodenectomy and total pancreatectomy: interrupted suture versus continuous suture.

Langenbecks Arch Surg 2018 Nov 24. Epub 2018 Nov 24.

Department of Surgery, Osaka International Cancer Institute, 3-1-69, Otemae, Chuo-ku, Osaka, 541-8567, Japan.

Purpose: Choledochojejunostomy can be performed with either interrupted sutures (IS) or continuous sutures (CS). No reports have compared the short- or long-term patient outcomes resulting from these two methods.

Methods: A total of 228 consecutive patients who underwent pancreaticoduodenectomy or total pancreatectomy were prospectively enrolled in this study. Read More

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http://link.springer.com/10.1007/s00423-018-1733-7
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http://dx.doi.org/10.1007/s00423-018-1733-7DOI Listing
November 2018
3 Reads

Laparoscopic right posterior sectionectomy: single-center experience and technical aspects.

Langenbecks Arch Surg 2018 Nov 21. Epub 2018 Nov 21.

Department of Gastroenterology and Hepatology, KU Leuven, Leuven, Belgium.

Purpose: Laparoscopic right posterior sectionectomy (LRPS) is a technically demanding procedure. The aim of this article is to share our experience with LRPS and to highlight technical aspects of this procedure.

Methods: This is a single-center retrospective analysis of all patients who underwent LRPS between September 2011 and October 2017. Read More

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http://dx.doi.org/10.1007/s00423-018-1731-9DOI Listing
November 2018
1 Read

Surgical anatomy of the external branch of the superior laryngeal nerve: a systematic review and meta-analysis.

Langenbecks Arch Surg 2018 Nov 14;403(7):811-823. Epub 2018 Nov 14.

International Evidence-Based Anatomy Working Group, 12 Kopernika St., 31-034, Krakow, Poland.

Purpose: To provide a comprehensive evidence-based assessment of the anatomical characteristics of the external branch of the superior laryngeal nerve (EBSLN).

Materials And Methods: A thorough systematic search was performed on the major electronic databases PubMed, EMBASE, Cochrane library, and ScienceDirect to identify eligible studies. Data were extracted and pooled into a meta-analysis. Read More

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http://link.springer.com/10.1007/s00423-018-1723-9
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http://dx.doi.org/10.1007/s00423-018-1723-9DOI Listing
November 2018
3 Reads
2.160 Impact Factor

Invited commentary: advantages and cautions for developing valid prognostic models of simultaneous pancreas and kidney transplantation outcomes.

Langenbecks Arch Surg 2018 Nov 12. Epub 2018 Nov 12.

Division of Pancreas and Kidney Transplantation, Department of Nephrology, Heidelberg University Hospital, Heidelberg, Germany.

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http://link.springer.com/10.1007/s00423-018-1729-3
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http://dx.doi.org/10.1007/s00423-018-1729-3DOI Listing
November 2018
4 Reads

Extended laparoscopic distal pancreatectomy for adenocarcinoma in the body and tail of the pancreas: a single-center experience.

Langenbecks Arch Surg 2018 Nov 11. Epub 2018 Nov 11.

The Intervention Center, Oslo University Hospital, Rikshospitalet, 0027, Oslo, Norway.

Purpose: Extended resection is required for pancreatic adenocarcinoma infiltrating adjacent organs and structures. The role of laparoscopy in this setting is unclear. In this study, the outcomes of extended laparoscopic distal pancreatectomy (ELDP) for pancreatic body/tail adenocarcinoma were examined. Read More

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http://dx.doi.org/10.1007/s00423-018-1730-xDOI Listing
November 2018
2 Reads

Safety and efficacy of subtotal or total parathyroidectomy for patients with secondary or tertiary hyperparathyroidism in four academic centers in the Netherlands.

Langenbecks Arch Surg 2018 Nov 10. Epub 2018 Nov 10.

Department of Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB, Groningen, The Netherlands.

Purpose: Hyperparathyroidism (HPT) is a common abnormality in patients with end-stage renal disease (ESRD). Since the introduction of cinacalcet in 2004, a shift from surgery toward predominantly medical treatment has occurred. Surgery is thought to be associated with more complications than oral medication. Read More

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http://link.springer.com/10.1007/s00423-018-1726-6
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http://dx.doi.org/10.1007/s00423-018-1726-6DOI Listing
November 2018
4 Reads

Surgical options and trends in treating rectal prolapse: long-term results in a 19-year follow-up study.

Langenbecks Arch Surg 2018 Nov 10. Epub 2018 Nov 10.

Department of Gastrointestinal Surgery, Oslo University Hospital, Oslo, Norway.

Purpose: Many different operations have been proposed for treating rectal prolapse, with varying recurrence rates and functional outcome. The main purpose of this study was to assess long-term results of surgery for prolapse of the rectum.

Methods: We carried out a retrospective study to evaluate changing trends in surgical strategies and outcome in all patients treated in our hospital over 19 years. Read More

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http://dx.doi.org/10.1007/s00423-018-1728-4DOI Listing
November 2018

Thoracoscopic esophagectomy with total meso-esophageal excision reduces regional lymph node recurrence.

Langenbecks Arch Surg 2018 Nov 9. Epub 2018 Nov 9.

Department of Surgery, Iwate Medical University School of Medicine, 19-1 Uchimaru MoriokaIwate, 020-8505, Iwate, Japan.

Purpose: We investigated the operative outcomes of thoracoscopic esophagectomy (TE) in the prone position, using the concept of total meso-esophageal excision for esophageal cancer.

Methods: The medical records of 140 consecutive patients with esophageal cancer who underwent radical esophagectomy by TE were reviewed retrospectively, and operative outcomes were compared between patients treated before (non-meso-esophagus; non-ME group) and after (ME group) the introduction of total meso-esophageal excision (ME).

Results: There were no significant differences between the groups in postoperative morbidity (non-ME group vs. Read More

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http://dx.doi.org/10.1007/s00423-018-1727-5DOI Listing
November 2018

Pancreatic surgery: we need clear definitions.

Langenbecks Arch Surg 2018 Nov 6. Epub 2018 Nov 6.

Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany.

Background: Pancreatic surgery has undergone substantial changes during the last decades. Improved surgical techniques and perioperative care have contributed to improved outcomes and allow safe surgery with mortality rates below 5% in specialized centers today. In parallel, surgical indications and procedures have been continuously extended especially with regard to pancreatic cancer surgery including vascular resections and multivisceral approaches for advanced findings. Read More

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http://link.springer.com/10.1007/s00423-018-1725-7
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http://dx.doi.org/10.1007/s00423-018-1725-7DOI Listing
November 2018
5 Reads

Neoadjuvant and adjuvant chemotherapy in pancreatic cancer.

Langenbecks Arch Surg 2018 Nov 5. Epub 2018 Nov 5.

Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.

Background: Only 15-20% of patients with pancreatic ductal adenocarcinoma (PDAC) have a resectable tumor at the time of diagnosis. Effective multimodal treatment concepts including neoadjuvant chemotherapy are therefore needed. Following upfront resection, adjuvant chemotherapy has become mandatory to prevent early tumor recurrence. Read More

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http://link.springer.com/10.1007/s00423-018-1724-8
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http://dx.doi.org/10.1007/s00423-018-1724-8DOI Listing
November 2018
6 Reads

Risk for hemorrhage after pancreatoduodenectomy with venous resection.

Langenbecks Arch Surg 2018 Nov 5. Epub 2018 Nov 5.

Department of Hepato-Pancreato-Biliary Surgery, Oslo University Hospital, Rikshospitalet, Nydalen, 0424, Oslo, Norway.

Purpose: No consensus exists on the optimal anticoagulation therapy after pancreatoduodenectomy with venous resection (PDVR). The aim of the study was to analyze perioperative outcomes of patients receiving low- vs high-dose anticoagulation therapy and to identify risk factors for postpancreatectomy hemorrhage in patients undergoing PDVR.

Methods: Retrospective study of patients undergoing PDVR at a tertiary referral center between January 2006 and April 2017. Read More

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http://link.springer.com/10.1007/s00423-018-1721-y
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http://dx.doi.org/10.1007/s00423-018-1721-yDOI Listing
November 2018
6 Reads
2.160 Impact Factor

Supraclavicular and celiac metastases in squamous cell carcinoma of the middle thoracic esophagus.

Langenbecks Arch Surg 2018 Oct 25. Epub 2018 Oct 25.

Department of Gastroenterological Surgery, Gastroenterology Center, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan.

Purpose: Squamous cell carcinoma of the middle thoracic esophagus (SCC-ME) often metastasizes to the neck, mediastinum, and abdomen. This study aims to assess the prognostic impact of supraclavicular (SC) and celiac (CE) lymph node (LN) metastases in patients with SCC-ME.

Methods: We examined 210 patients who underwent curative esophagectomy with three-field LN dissection for SCC-ME. Read More

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http://link.springer.com/10.1007/s00423-018-1722-x
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http://dx.doi.org/10.1007/s00423-018-1722-xDOI Listing
October 2018
3 Reads
2.160 Impact Factor

Insurance status does not affect short-term outcomes after oncological colorectal surgery in Europe, but influences the use of minimally invasive techniques: a propensity score-matched analysis.

Langenbecks Arch Surg 2018 Nov 25;403(7):863-872. Epub 2018 Oct 25.

Department of Surgery, University Hospital of Zurich, Raemistrasse 100, CH-8091, Zurich, Switzerland.

Background And Purpose: Controversy exists whether surgical treatment is influenced by insurance status. American studies suggest higher morbidity and decreased survival in uninsured patients with colorectal cancer (CRC). It remains elusive, however, whether these findings apply to European countries with mandatory, government-driven insurance systems. Read More

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http://link.springer.com/10.1007/s00423-018-1716-8
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http://dx.doi.org/10.1007/s00423-018-1716-8DOI Listing
November 2018
4 Reads

Meta-analysis of patient survival and rate of alcohol relapse in liver-transplanted patients for acute alcoholic hepatitis.

Langenbecks Arch Surg 2018 Nov 22;403(7):825-836. Epub 2018 Oct 22.

Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.

Purpose: This review investigated survival and alcoholic relapse following liver transplantation (LT) in patients with severe acute alcoholic hepatitis (AH) without 6 months of alcohol abstinence.

Methods: All studies comparing acute AH patients undergoing LT with a control group were included. CENTRAL, MEDLINE, and Web of Science databases were searched. Read More

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http://link.springer.com/10.1007/s00423-018-1720-z
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http://dx.doi.org/10.1007/s00423-018-1720-zDOI Listing
November 2018
3 Reads

A new right groin incision versus McBurney's incision for open appendectomy: a randomized controlled trial.

Langenbecks Arch Surg 2018 Nov 20;403(7):805-810. Epub 2018 Oct 20.

Department of Social Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.

Purpose: We aimed to introduce a new surgical method for open appendectomy including a right groin incision with adipocutaneous flap and to compare its feasibility, safety, and cosmetic outcomes with classic McBurney's incision.

Methods: Patients with the diagnosis of acute appendicitis who were candidates for appendectomy surgery at General Surgery Department, Besat Hospital, Hamadan University of Medical Sciences, Iran, in 2016 and 2017, were enrolled in a randomized controlled clinical study. Patients were randomly assigned to two groups each containing 50 patients. Read More

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http://dx.doi.org/10.1007/s00423-018-1719-5DOI Listing
November 2018
1 Read

Ten years of follow-up of bilio-intestinal bypass: is malabsorption necessary for long-term metabolic results?

Langenbecks Arch Surg 2018 Nov 20;403(7):873-879. Epub 2018 Oct 20.

Department of Endocrinology, Gastroenterology and Surgery, University Hospital of Naples "Federico II", Naples, Italy.

Background: Bilio-intestinal bypass (BIBP) is an uncommon bariatric procedure. In 1999, a prospective trial was started at our institution to evaluate the effectiveness of BIBP. Trial was interrupted in 2006 due to high rate of complications. Read More

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http://link.springer.com/10.1007/s00423-018-1717-7
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http://dx.doi.org/10.1007/s00423-018-1717-7DOI Listing
November 2018
4 Reads

Correlation of surgeon-performed parathyroid ultrasound with the Perrier classification and gland weight.

Langenbecks Arch Surg 2018 Nov 20;403(7):897-903. Epub 2018 Oct 20.

Northumbria Healthcare NHS Foundation Trust, Rake Lane, North Shields, NE29 8NH, UK.

Background: Ultrasound localisation of parathyroid glands correlates with gland weight. We hypothesise that gland identification is also dependent on anatomical location. Perrier et al. Read More

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http://dx.doi.org/10.1007/s00423-018-1714-xDOI Listing
November 2018
2 Reads

Development and validation of a prognostic model for kidney function 1 year after combined pancreas and kidney transplantation using pre-transplant donor and recipient variables.

Langenbecks Arch Surg 2018 Nov 18;403(7):837-849. Epub 2018 Oct 18.

Core Facility Quality Management Transplantation, Integrated Research and Treatment Center Transplantation (IFB-Tx), Hannover Medical School, Hannover, Germany.

Purpose: The widening gap between demand and supply of organs for transplantation provides extraordinary challenges for ethical donor organ allocation rules. The transplant community is forced to define favorable recipient/donor combinations for simultaneous kidney-pancreas transplantation. The aim of this study is the development of a prognostic model for the prediction of kidney function 1 year after simultaneous pancreas and kidney transplantation using pre-transplant donor and recipient variables with subsequent internal and external validation. Read More

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http://dx.doi.org/10.1007/s00423-018-1712-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244698PMC
November 2018
1 Read

Quantitative perfusion assessment of intestinal anastomoses in pigs treated with glucagon-like peptide 2.

Langenbecks Arch Surg 2018 Nov 18;403(7):881-889. Epub 2018 Oct 18.

Department of Surgical Gastroenterology, Copenhagen University Hospital Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark.

Purpose: Despite exhaustive research and improvement of techniques, anastomotic leakage remains a frequent complication in gastrointestinal surgery. As leakage is associated with poor perfusion, reliable objective methods to assess anastomotic perfusion are highly demanded. In addition, such methods enable evaluation of interventions that may improve anastomotic perfusion. Read More

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http://dx.doi.org/10.1007/s00423-018-1718-6DOI Listing
November 2018

Pain management in abdominal surgery.

Langenbecks Arch Surg 2018 Nov 3;403(7):791-803. Epub 2018 Oct 3.

Department of Anesthesia, McGill University, 1650 Cedar Avenue, Montreal, Canada.

Background: Abdominal surgery has undergone major changes during the last two decades with a general shift from open, invasive surgery to closed minimally invasive surgery. Accordingly, pain management strategies have also changed, especially with the introduction of ultrasound-guided abdominal wall blocks. Despite laparoscopic abdominal surgery classified as minimal, pain can be quite significant and needs to be addressed appropriately. Read More

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http://link.springer.com/10.1007/s00423-018-1705-y
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http://dx.doi.org/10.1007/s00423-018-1705-yDOI Listing
November 2018
1 Read

Surgery for Graves' disease in the era of robotic-assisted surgery: a study of safety and feasibility in the Western population.

Langenbecks Arch Surg 2018 Nov 29;403(7):891-896. Epub 2018 Sep 29.

American Hospital of Paris, Paris, France.

Purpose: Thyroid surgery for Graves' disease is known to be associated with higher risk of complications. We seek to compare outcomes between robotic-assisted and open cervical approach thyroid surgery in patients with Graves' disease in the Western population.

Methods: We performed a retrospective cohort study using prospectively collected databases for patients undergoing robotic-assisted or conventional cervical approach thyroid surgery for Graves' disease at two academic medical centers, one in North America (New Orleans, LA) and one in Europe (Paris, France). Read More

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http://dx.doi.org/10.1007/s00423-018-1713-yDOI Listing
November 2018
1 Read

Prognostic factors of disease-free and overall survival in patients with hepatocellular carcinoma undergoing partial hepatectomy in curative intent.

Langenbecks Arch Surg 2018 Nov 28;403(7):851-861. Epub 2018 Sep 28.

Department of Surgery and Transplantation, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany.

Purpose: Tumor recurrence after liver resection continues to pose a major problem in hepatocellular carcinoma (HCC). Here we aimed to evaluate prognostic markers for disease-free (DFS) and overall survival (OS) in HCC-patients who underwent liver resection in curative intent. Additionally, we investigated the effects of HCC-recurrence in a subgroup of patients. Read More

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http://link.springer.com/10.1007/s00423-018-1715-9
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http://dx.doi.org/10.1007/s00423-018-1715-9DOI Listing
November 2018
3 Reads

To resect or not to resect, better yet, who to resect? That is the question after polypectomy of malignant polyps.

Langenbecks Arch Surg 2018 Sep 26. Epub 2018 Sep 26.

Department of General, Visceral, Endocrine and Transplantation Surgery, Kantonsspital St Gallen, St Gallen, Switzerland.

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http://link.springer.com/10.1007/s00423-018-1708-8
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http://dx.doi.org/10.1007/s00423-018-1708-8DOI Listing
September 2018
3 Reads

Intensive perioperative rehabilitation improves surgical outcomes after pancreaticoduodenectomy.

Langenbecks Arch Surg 2018 Sep 15;403(6):711-718. Epub 2018 Sep 15.

Second Department of Surgery, School of Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8510, Japan.

Purpose: Although the mortality rate for pancreaticoduodenectomy (PD) has decreased to around 2.8-5% in high-volume centers, postoperative complications are still common in 30-50% of cases. Preoperative exercise, called "prehabilitation," has been recently reported to reduce the frequency of complications after surgery. Read More

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http://link.springer.com/10.1007/s00423-018-1710-1
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http://dx.doi.org/10.1007/s00423-018-1710-1DOI Listing
September 2018
11 Reads

Prognostic factors for actual long-term survival in the era of multidisciplinary treatment for pancreatic ductal adenocarcinoma.

Langenbecks Arch Surg 2018 Sep 15. Epub 2018 Sep 15.

Department of Surgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8522, Japan.

Purpose: Recent advances in multidisciplinary treatments are improving the postoperative prognosis of pancreatic ductal adenocarcinoma (PDAC). However, the prognosis even after potentially curative resection remains poor. The aim of this study was to identify the clinical and pathological features of actual 5-year survivors under current circumstances. Read More

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http://link.springer.com/10.1007/s00423-018-1709-7
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http://dx.doi.org/10.1007/s00423-018-1709-7DOI Listing
September 2018
7 Reads

Small-incision cholecystectomy (through a cylinder retractor) under local anaesthesia and sedation: a prospective observational study of five hundred consecutive cases.

Langenbecks Arch Surg 2018 Sep 15. Epub 2018 Sep 15.

Department of Surgery, Complutense University of Madrid, Ciudad Universitaria s/n, 28040, Madrid, Spain.

Background: Transcylindrical cholecystectomy (TC) can be performed under local anaesthesia and sedation (LAS) in ambulatory surgery (AS). The aim of this study was to assess the feasibility and results of TC under LAS.

Methods: TC under LAS was proposed to 583 consecutive patients with cholelithiasis in an AS unit. Read More

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http://dx.doi.org/10.1007/s00423-018-1707-9DOI Listing
September 2018
3 Reads

Feasibility of a unidirectionally progressive, pancreas-oriented procedure for laparoscopic D3 right hemicolectomy.

Langenbecks Arch Surg 2018 Sep 13;403(6):761-768. Epub 2018 Sep 13.

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Guoxue road 37#, Chengdu, China.

Background: Complete mesocolic excision (CME) with central ligation or D3 lymphadenectomy has been reported to provide increased lymph node retrieval with the prospect of superior oncological results in colon cancer. However, right hemicolectomy with CME or D3 lymphadenectomy by laparoscopy is considered to be a technically challenging and time-consuming procedure with a higher risk of causing intraoperative injuries. Here, we introduce a novel laparoscopic approach for the D3 right hemicolectomy and report its feasibility, safety, and efficacy in cancer clearance. Read More

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http://link.springer.com/10.1007/s00423-018-1703-0
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http://dx.doi.org/10.1007/s00423-018-1703-0DOI Listing
September 2018
7 Reads

Malignant colorectal polyps: endoscopic polypectomy and watchful waiting is not inferior to subsequent bowel resection. A nationwide propensity score-based analysis.

Langenbecks Arch Surg 2018 Sep 11. Epub 2018 Sep 11.

Gastrounit-Surgical Division, Center for Surgical Research, Copenhagen University Hospital Hvidovre, Kettegaards Allé 30, DK-2650 Hvidovre, Copenhagen, Denmark.

Background And Aims: The optimal treatment of patients with malignant colorectal polyps is unsettled. The surgical dilemma following polypectomy is selecting between watchful waiting (WW) and subsequent bowel resection (SBR), but the long-term survival outcomes have not been established yet. This nationwide study compared survival of patients after WW or SBR. Read More

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http://dx.doi.org/10.1007/s00423-018-1706-xDOI Listing
September 2018

Minimally invasive donor nephrectomy: current state of the art.

Langenbecks Arch Surg 2018 Sep 21;403(6):681-691. Epub 2018 Aug 21.

University of Maryland School of Medicine, 29 S. Greene St., Suite 200, Baltimore, MD, 21201, USA.

Background: The concept of a minimally invasive live donor nephrectomy developed over 20 years ago. Surgeons gained expertise with the laparoscopic technique and utilized multiple variations that are now utilized in transplant centers throughout the world. Recent modifications include laparoendoscopic single-site and robotic approaches that have been adopted by an additional smaller set of programs. Read More

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http://dx.doi.org/10.1007/s00423-018-1700-3DOI Listing
September 2018

Hangzhou criteria are more accurate than Milan criteria in predicting long-term survival after liver transplantation for HCC in Germany.

Langenbecks Arch Surg 2018 Aug 17;403(5):643-654. Epub 2018 Aug 17.

General, Visceral and Transplantation Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.

Background: Milan criteria are used for patient selection in liver transplantation for hepatocellular carcinoma (HCC). Hangzhou criteria have been shown in China to enable access to liver transplantation for more patients when compared to Milan criteria without negative effects on long-term survival. The purpose of this study was to evaluate the Hangzhou criteria in a German cohort. Read More

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http://dx.doi.org/10.1007/s00423-018-1696-8DOI Listing

The impact of major extended donor criteria on graft failure and patient mortality after liver transplantation.

Langenbecks Arch Surg 2018 Sep 15;403(6):719-731. Epub 2018 Aug 15.

Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.

Introduction: Numerous extended donor criteria (EDC) have been identified in liver transplantation (LT), but different EDC have different impacts on graft and patient survival. This study aimed to identify major EDC (maEDC) that were best able to predict the outcome after LT and to examine the plausibility of an allocation algorithm based on these criteria.

Methods: All consecutive LTs between 12/2006 and 03/2014 were included (n = 611). Read More

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http://dx.doi.org/10.1007/s00423-018-1704-zDOI Listing
September 2018

Impact of adjuvant chemotherapy after pancreaticoduodenectomy for distal cholangiocarcinoma: a propensity score analysis from a French multicentric cohort.

Langenbecks Arch Surg 2018 Sep 15;403(6):701-709. Epub 2018 Aug 15.

Department of HPB and Digestive Surgery, Pontchaillou Hospital, CHU Rennes, Rennes, France.

Background: The benefit of adjuvant chemotherapy (AC) after pancreaticoduodenectomy (PD) for distal cholangiocarcinoma (DCC) remains controversial. The study aimed to evaluate the impact of AC after PD for DCC in a large multicentric cohort.

Methods: Patients from five French centers who underwent from PD for DCC between 2000 and 2015 and received AC (AC+ group) or surgery only (AC- group) were included in the analysis. Read More

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http://dx.doi.org/10.1007/s00423-018-1702-1DOI Listing
September 2018

Development and validation of a new score for measuring post-operative complications.

Langenbecks Arch Surg 2018 Aug 9. Epub 2018 Aug 9.

Department of Gastrointestinal Surgery & Liver Transplantation, All India Institute of Medical Sciences, Room No. 1007, Academic Block, Ansari Nagar, New Delhi, Delhi, 110029, India.

Purpose: Assigning a numerical value to post-operative morbidity may improve its usefulness as an outcome measure. The recently developed Comprehensive Complication Index (CCI) is a step forward in this process but assigns an inappropriately high score to a combination of complications.

Methods: We developed a new score called the complication severity score (CSS) using a mathematical process and compared it with the CCI using a questionnaire-based survey of 49 experienced gastrointestinal and hepato-pancreatico-biliary surgeons. Read More

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http://dx.doi.org/10.1007/s00423-018-1701-2DOI Listing

How we do it: totally laparoscopic complete mesocolon excision for splenic flexure cancer.

Langenbecks Arch Surg 2018 Sep 7;403(6):769-775. Epub 2018 Aug 7.

Department of Surgery, Unit of Surgical Oncology, SS. Annunziata Hospital, G.D'Annunzio University, I-66100, Chieti, Italy.

Background: Splenic flexure (SF) cancer is not a common condition and its treatment is still under discussion. Although laparoscopic surgery is well accepted for the treatment of colon cancer at any stage, complete mesocolon excision (CME) with selective vascular ligation using the laparoscopic approach for SF cancer remains technically demanding and represents a real challenge for surgeons.

Methods: We present a single-institution experience of laparoscopic CME for SF cancer. Read More

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http://dx.doi.org/10.1007/s00423-018-1699-5DOI Listing
September 2018

Karydakis flap reconstruction versus Limberg flap transposition for pilonidal sinus disease: a meta-analysis of randomized controlled trials.

Langenbecks Arch Surg 2018 Aug 31;403(5):547-554. Epub 2018 Jul 31.

Department of Surgery, Düsseldorf University Hospital, Düsseldorf, Germany.

Introduction: The definitive treatment of pilonidal sinus disease (PSD) is surgical. There is still no consensus as to the most appropriate off-midline primary closure technique. The aim of this meta-analysis has been to compare Karydakis flap reconstruction (KF) to Limberg flap transposition (LF) with regard to short- and long-term postoperative outcomes. Read More

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http://dx.doi.org/10.1007/s00423-018-1697-7DOI Listing
August 2018
4 Reads
2.160 Impact Factor

Trans-infundibular choledochoscopy: a method for accessing the common bile duct in complex cases.

Langenbecks Arch Surg 2018 Sep 29;403(6):777-783. Epub 2018 Jul 29.

Department of Upper GI Surgery, Northwick Park Hospital and St Marks Hospitals, Watford Road, London, HA1 3UJ, UK.

Purpose: During laparoscopic common bile duct exploration (LCBDE) where Calot's triangle cannot be safely dissected due to a 'frozen' hepatic hilum secondary to severe inflammation or fibrosis, the preferred transcystic approach to the common bile duct (CBD) is precluded. The aim of this paper is to describe a safe method of accessing the CBD via a trans-infundibular approach (TIA) in complex cases where conventional access to the cystic duct or CBD is denied.

Methods: A retrospective review of 154 consecutive patients who underwent LCBDE at a single centre between 2014 and 2018 was performed. Read More

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http://dx.doi.org/10.1007/s00423-018-1698-6DOI Listing
September 2018
2 Reads
2.160 Impact Factor

Ampullary neuroendocrine neoplasms: surgical experience of a rare and challenging entity.

Langenbecks Arch Surg 2018 Aug 24;403(5):581-589. Epub 2018 Jul 24.

Pancreatic Surgery Unit, Humanitas Research Hospital, Humanitas University, Rozzano, Milan, Italy.

Purpose: Ampullary neuroendocrine neoplasms (NENs) account for < 0.3% of gastrointestinal NENs. Surgical options include transduodenal ampullectomy/tumour excision or pancreaticoduodenectomy (PD). Read More

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http://link.springer.com/10.1007/s00423-018-1695-9
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http://dx.doi.org/10.1007/s00423-018-1695-9DOI Listing
August 2018
7 Reads

Renal cell cancer after kidney transplantation.

Langenbecks Arch Surg 2018 Jul 12. Epub 2018 Jul 12.

Department of General, Visceral and Transplant Surgery, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.

Purpose: This study aims to identify modifiable risk factors for de novo renal cell carcinoma (RCC) after kidney transplantation in a matched-pair approach matching for unmodifiable factors.

Patients And Methods: One thousand six hundred fifty-five adults who underwent kidney transplantation in the period 1 January 2000 to 31 December 2012 were analyzed. Patients with RCC after kidney transplantation were matched in a 1:2 ratio with those without RCC using the indication for transplantation, age at transplantation (± 10 years), recipient sex (male/female), number of received transplants, living organ donor transplantation (yes/no), and time of follow-up in days as matching criteria. Read More

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http://dx.doi.org/10.1007/s00423-018-1694-xDOI Listing
July 2018
9 Reads

Patients' views about parathyroid transplantation for post-thyroidectomy hypoparathyroidism.

Langenbecks Arch Surg 2018 Aug 3;403(5):623-629. Epub 2018 Jul 3.

Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

Background: Permanent hypoparathyroidism (hypoPT) represents the most common postoperative complication associated with total thyroidectomy. Current treatment relies on high-dose calcium and/or vitamin D supplementation, but often this is insufficient and some patients remain symptomatic. Parathyroid allotransplantation is a new therapeutic option described recently in the literature. Read More

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http://dx.doi.org/10.1007/s00423-018-1693-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132637PMC

Segment 5 parenchymal sparing in extended left hepatectomy with respect to venous outflow-is it a feasible procedure?

Langenbecks Arch Surg 2018 Aug 28;403(5):663-670. Epub 2018 Jun 28.

Department of Hepatobiliary Surgery and Transplantation, University Medical Center Hamburg-Eppendorf, Martinistr.52, 20246, Hamburg, Germany.

Background: Segment 5 (S5) sparing liver resection for cases that require an anatomic left trisectionectomy has not been reported yet. The authors intended to verify the outcome of S5-sparing extended left hepatectomy (ELH) in respect to venous outflow.

Methods: All adult patients who underwent S5-sparing ELH between 2012 and 2017 in authors' institute have been enrolled in this study. Read More

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http://dx.doi.org/10.1007/s00423-018-1673-2DOI Listing
August 2018
3 Reads
2.160 Impact Factor

Ischemic gastropathy after distal pancreatectomy with en bloc celiac axis resection for pancreatic body cancer.

Langenbecks Arch Surg 2018 Aug 28;403(5):561-571. Epub 2018 Jun 28.

Second Department of Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8510, Japan.

Purpose: Risk factors of ischemic gastropathy (IG) following distal pancreatectomy with en bloc celiac axis resection (DP-CAR) remain unclear.

Methods: Fifty consecutive patients with pancreatic cancer who underwent DP-CAR were retrospectively reviewed for possible risk factors for IG. This study was registered on the UMIN Clinical Trials Registry (UMIN 000028732). Read More

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http://link.springer.com/10.1007/s00423-018-1692-z
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http://dx.doi.org/10.1007/s00423-018-1692-zDOI Listing
August 2018
7 Reads