Epigastric pain in "gastric tumors" : The hummingbird among the differential diagnoses
Chirurg. 2021 Oct 19. doi: 10.1007/s00104-021-01522-6. Online ahead of print.NO ABSTRACTPMID:34665283 | DOI:10.1007/s00104-021-01522-6 (Source: Der Chirurg)
Source: Der Chirurg - October 19, 2021 Category: Surgery Authors: Ines Gockel Wolfgang Hartmann Hannes K öhler Jakob Leonhardi Simone Heyn Ren é Thieme Source Type: research

Perioperative management of platelet function and anticoagulation in geriatric patients
Chirurg. 2021 Oct 19. doi: 10.1007/s00104-021-01521-7. Online ahead of print.ABSTRACTGeriatric patients often have cardiovascular diseases that require differentiated perioperative management of hemostasis. The operation-related bleeding risk and the individual thromboembolism risk mutually influence each other, so that a differentiated preoperative assessment of the further prescription of coagulation-modulating medication is required. In many cases the active coagulation medication can be interrupted without replacement or continued unchanged. In cardiovascular diseases with antiplatelet medication, the preoperative risk...
Source: Der Chirurg - October 19, 2021 Category: Surgery Authors: Romana Lenzen-Gro ßimlinghaus Source Type: research

Epigastric pain in "gastric tumors" : The hummingbird among the differential diagnoses
Chirurg. 2021 Oct 19. doi: 10.1007/s00104-021-01522-6. Online ahead of print.NO ABSTRACTPMID:34665283 | DOI:10.1007/s00104-021-01522-6 (Source: Der Chirurg)
Source: Der Chirurg - October 19, 2021 Category: Surgery Authors: Ines Gockel Wolfgang Hartmann Hannes K öhler Jakob Leonhardi Simone Heyn Ren é Thieme Source Type: research

Perioperative management of platelet function and anticoagulation in geriatric patients
Chirurg. 2021 Oct 19. doi: 10.1007/s00104-021-01521-7. Online ahead of print.ABSTRACTGeriatric patients often have cardiovascular diseases that require differentiated perioperative management of hemostasis. The operation-related bleeding risk and the individual thromboembolism risk mutually influence each other, so that a differentiated preoperative assessment of the further prescription of coagulation-modulating medication is required. In many cases the active coagulation medication can be interrupted without replacement or continued unchanged. In cardiovascular diseases with antiplatelet medication, the preoperative risk...
Source: Der Chirurg - October 19, 2021 Category: Surgery Authors: Romana Lenzen-Gro ßimlinghaus Source Type: research

Epigastric pain in "gastric tumors" : The hummingbird among the differential diagnoses
Chirurg. 2021 Oct 19. doi: 10.1007/s00104-021-01522-6. Online ahead of print.NO ABSTRACTPMID:34665283 | DOI:10.1007/s00104-021-01522-6 (Source: Der Chirurg)
Source: Der Chirurg - October 19, 2021 Category: Surgery Authors: Ines Gockel Wolfgang Hartmann Hannes K öhler Jakob Leonhardi Simone Heyn Ren é Thieme Source Type: research

Perioperative management of platelet function and anticoagulation in geriatric patients
Chirurg. 2021 Oct 19. doi: 10.1007/s00104-021-01521-7. Online ahead of print.ABSTRACTGeriatric patients often have cardiovascular diseases that require differentiated perioperative management of hemostasis. The operation-related bleeding risk and the individual thromboembolism risk mutually influence each other, so that a differentiated preoperative assessment of the further prescription of coagulation-modulating medication is required. In many cases the active coagulation medication can be interrupted without replacement or continued unchanged. In cardiovascular diseases with antiplatelet medication, the preoperative risk...
Source: Der Chirurg - October 19, 2021 Category: Surgery Authors: Romana Lenzen-Gro ßimlinghaus Source Type: research

Epigastric pain in "gastric tumors" : The hummingbird among the differential diagnoses
Chirurg. 2021 Oct 19. doi: 10.1007/s00104-021-01522-6. Online ahead of print.NO ABSTRACTPMID:34665283 | DOI:10.1007/s00104-021-01522-6 (Source: Der Chirurg)
Source: Der Chirurg - October 19, 2021 Category: Surgery Authors: Ines Gockel Wolfgang Hartmann Hannes K öhler Jakob Leonhardi Simone Heyn Ren é Thieme Source Type: research

Perioperative management of platelet function and anticoagulation in geriatric patients
Chirurg. 2021 Oct 19. doi: 10.1007/s00104-021-01521-7. Online ahead of print.ABSTRACTGeriatric patients often have cardiovascular diseases that require differentiated perioperative management of hemostasis. The operation-related bleeding risk and the individual thromboembolism risk mutually influence each other, so that a differentiated preoperative assessment of the further prescription of coagulation-modulating medication is required. In many cases the active coagulation medication can be interrupted without replacement or continued unchanged. In cardiovascular diseases with antiplatelet medication, the preoperative risk...
Source: Der Chirurg - October 19, 2021 Category: Surgery Authors: Romana Lenzen-Gro ßimlinghaus Source Type: research

Surgical treatment of chest wall tumors
Chirurg. 2021 Oct 12. doi: 10.1007/s00104-021-01499-2. Online ahead of print.ABSTRACTThe term chest wall tumor summarizes a heterogeneous group of malignant and benign tumors, whereby primary and secondary chest wall tumors are differentiated. The incidence of secondary chest wall tumors is higher than that of primary tumors. Primary chest wall tumors can arise from any anatomic structure of the chest wall. Surgical resection is usually the treatment of choice. Resection status and tumor differentiation are relevant prognostic factors. Treatment of secondary chest wall tumors is performed depending on the patient's symptom...
Source: Der Chirurg - October 12, 2021 Category: Surgery Authors: Moritz Schirren Benedikt Jefferies Seyer Safi Klaus W örtler Hans Hoffmann Source Type: research

Surgical treatment of chest wall tumors
Chirurg. 2021 Oct 12. doi: 10.1007/s00104-021-01499-2. Online ahead of print.ABSTRACTThe term chest wall tumor summarizes a heterogeneous group of malignant and benign tumors, whereby primary and secondary chest wall tumors are differentiated. The incidence of secondary chest wall tumors is higher than that of primary tumors. Primary chest wall tumors can arise from any anatomic structure of the chest wall. Surgical resection is usually the treatment of choice. Resection status and tumor differentiation are relevant prognostic factors. Treatment of secondary chest wall tumors is performed depending on the patient's symptom...
Source: Der Chirurg - October 12, 2021 Category: Surgery Authors: Moritz Schirren Benedikt Jefferies Seyer Safi Klaus W örtler Hans Hoffmann Source Type: research

Surgical treatment of chest wall tumors
Chirurg. 2021 Oct 12. doi: 10.1007/s00104-021-01499-2. Online ahead of print.ABSTRACTThe term chest wall tumor summarizes a heterogeneous group of malignant and benign tumors, whereby primary and secondary chest wall tumors are differentiated. The incidence of secondary chest wall tumors is higher than that of primary tumors. Primary chest wall tumors can arise from any anatomic structure of the chest wall. Surgical resection is usually the treatment of choice. Resection status and tumor differentiation are relevant prognostic factors. Treatment of secondary chest wall tumors is performed depending on the patient's symptom...
Source: Der Chirurg - October 12, 2021 Category: Surgery Authors: Moritz Schirren Benedikt Jefferies Seyer Safi Klaus W örtler Hans Hoffmann Source Type: research

Surgical treatment of chest wall tumors
Chirurg. 2021 Oct 12. doi: 10.1007/s00104-021-01499-2. Online ahead of print.ABSTRACTThe term chest wall tumor summarizes a heterogeneous group of malignant and benign tumors, whereby primary and secondary chest wall tumors are differentiated. The incidence of secondary chest wall tumors is higher than that of primary tumors. Primary chest wall tumors can arise from any anatomic structure of the chest wall. Surgical resection is usually the treatment of choice. Resection status and tumor differentiation are relevant prognostic factors. Treatment of secondary chest wall tumors is performed depending on the patient's symptom...
Source: Der Chirurg - October 12, 2021 Category: Surgery Authors: Moritz Schirren Benedikt Jefferies Seyer Safi Klaus W örtler Hans Hoffmann Source Type: research

Surgical treatment of chest wall tumors
Chirurg. 2021 Oct 12. doi: 10.1007/s00104-021-01499-2. Online ahead of print.ABSTRACTThe term chest wall tumor summarizes a heterogeneous group of malignant and benign tumors, whereby primary and secondary chest wall tumors are differentiated. The incidence of secondary chest wall tumors is higher than that of primary tumors. Primary chest wall tumors can arise from any anatomic structure of the chest wall. Surgical resection is usually the treatment of choice. Resection status and tumor differentiation are relevant prognostic factors. Treatment of secondary chest wall tumors is performed depending on the patient's symptom...
Source: Der Chirurg - October 12, 2021 Category: Surgery Authors: Moritz Schirren Benedikt Jefferies Seyer Safi Klaus W örtler Hans Hoffmann Source Type: research

Surgical treatment of chest wall tumors
Chirurg. 2021 Oct 12. doi: 10.1007/s00104-021-01499-2. Online ahead of print.ABSTRACTThe term chest wall tumor summarizes a heterogeneous group of malignant and benign tumors, whereby primary and secondary chest wall tumors are differentiated. The incidence of secondary chest wall tumors is higher than that of primary tumors. Primary chest wall tumors can arise from any anatomic structure of the chest wall. Surgical resection is usually the treatment of choice. Resection status and tumor differentiation are relevant prognostic factors. Treatment of secondary chest wall tumors is performed depending on the patient's symptom...
Source: Der Chirurg - October 12, 2021 Category: Surgery Authors: Moritz Schirren Benedikt Jefferies Seyer Safi Klaus W örtler Hans Hoffmann Source Type: research

Impact of operation volume on surgical outcomes in gastric cancer
Chirurg. 2021 Oct 11. doi: 10.1007/s00104-021-01518-2. Online ahead of print.NO ABSTRACTPMID:34633477 | DOI:10.1007/s00104-021-01518-2 (Source: Der Chirurg)
Source: Der Chirurg - October 11, 2021 Category: Surgery Authors: S Wolf M Anthuber Source Type: research

Impact of operation volume on surgical outcomes in gastric cancer
Chirurg. 2021 Oct 11. doi: 10.1007/s00104-021-01518-2. Online ahead of print.NO ABSTRACTPMID:34633477 | DOI:10.1007/s00104-021-01518-2 (Source: Der Chirurg)
Source: Der Chirurg - October 11, 2021 Category: Surgery Authors: S Wolf M Anthuber Source Type: research

Treatment recommendations for early esophageal cancer : Endoscopic and surgical options
CONCLUSION: Borderline cases between endoscopic and surgical treatment of early esophageal cancer necessitate an interdisciplinary approach and individually adapted management, which in the locally advanced stage are always embedded in a multimodal concept.PMID:34622303 | DOI:10.1007/s00104-021-01513-7 (Source: Der Chirurg)
Source: Der Chirurg - October 8, 2021 Category: Surgery Authors: T Schlosser A Hoffmeister J Feisthammel S Niebisch R Thieme I Gockel Source Type: research

Complete response after neoadjuvant therapy for gastric cancer: implications for surgery
CONCLUSION: The current evidence does not support the implementation of a complete organ-sparing strategy with active follow-up surveillance for gastric cancer.; however, stomach-preserving partial gastrectomy techniques could be applied for advanced disease more often in the future.PMID:34622304 | DOI:10.1007/s00104-021-01516-4 (Source: Der Chirurg)
Source: Der Chirurg - October 8, 2021 Category: Surgery Authors: Giovanni Capovilla Caterina Froiio Hauke Lang Felix Berlth Peter Philipp Grimminger Source Type: research

Treatment recommendations for early esophageal cancer : Endoscopic and surgical options
CONCLUSION: Borderline cases between endoscopic and surgical treatment of early esophageal cancer necessitate an interdisciplinary approach and individually adapted management, which in the locally advanced stage are always embedded in a multimodal concept.PMID:34622303 | DOI:10.1007/s00104-021-01513-7 (Source: Der Chirurg)
Source: Der Chirurg - October 8, 2021 Category: Surgery Authors: T Schlosser A Hoffmeister J Feisthammel S Niebisch R Thieme I Gockel Source Type: research

Complete response after neoadjuvant therapy for gastric cancer: implications for surgery
CONCLUSION: The current evidence does not support the implementation of a complete organ-sparing strategy with active follow-up surveillance for gastric cancer.; however, stomach-preserving partial gastrectomy techniques could be applied for advanced disease more often in the future.PMID:34622304 | DOI:10.1007/s00104-021-01516-4 (Source: Der Chirurg)
Source: Der Chirurg - October 8, 2021 Category: Surgery Authors: Giovanni Capovilla Caterina Froiio Hauke Lang Felix Berlth Peter Philipp Grimminger Source Type: research

Treatment recommendations for early esophageal cancer : Endoscopic and surgical options
CONCLUSION: Borderline cases between endoscopic and surgical treatment of early esophageal cancer necessitate an interdisciplinary approach and individually adapted management, which in the locally advanced stage are always embedded in a multimodal concept.PMID:34622303 | DOI:10.1007/s00104-021-01513-7 (Source: Der Chirurg)
Source: Der Chirurg - October 8, 2021 Category: Surgery Authors: T Schlosser A Hoffmeister J Feisthammel S Niebisch R Thieme I Gockel Source Type: research

Complete response after neoadjuvant therapy for gastric cancer: implications for surgery
CONCLUSION: The current evidence does not support the implementation of a complete organ-sparing strategy with active follow-up surveillance for gastric cancer.; however, stomach-preserving partial gastrectomy techniques could be applied for advanced disease more often in the future.PMID:34622304 | DOI:10.1007/s00104-021-01516-4 (Source: Der Chirurg)
Source: Der Chirurg - October 8, 2021 Category: Surgery Authors: Giovanni Capovilla Caterina Froiio Hauke Lang Felix Berlth Peter Philipp Grimminger Source Type: research

Endocrine and neuroendocrine tumors
Chirurg. 2021 Oct 7. doi: 10.1007/s00104-021-01512-8. Online ahead of print.ABSTRACTEndocrine tumors and here in particular gastrointestinal neuroendocrine neoplasms (GEP-NET), pheochromocytomas (PC), paragangliomas (PGL) and thyroid tumors are prime examples of the importance of molecular pathology and molecular biology for the diagnostics, classification and ultimately also the (surgical) treatment of these diseases. The GEP-NETs are graded using the Ki-67 index. This determines the type of molecular imaging (DOTA/DOPA/FDG-PET/CT), the possible treatment (surgical and/or radiopeptide therapy), antiproliferative and sympt...
Source: Der Chirurg - October 7, 2021 Category: Surgery Authors: Philipp Riss Katharina Scheuba Oliver Strobel Source Type: research

Erratum zu: Evaluation einer Therapieanpassung bei ASS-Low-Response in der Gef äßchirurgie
Chirurg. 2021 Oct 7. doi: 10.1007/s00104-021-01526-2. Online ahead of print.NO ABSTRACTPMID:34618165 | DOI:10.1007/s00104-021-01526-2 (Source: Der Chirurg)
Source: Der Chirurg - October 7, 2021 Category: Surgery Authors: T Hummel S H Meves A Breuer-Kaiser J O D üsterwald D M ühlberger A Mumme H Neubauer Source Type: research

Endocrine and neuroendocrine tumors
Chirurg. 2021 Oct 7. doi: 10.1007/s00104-021-01512-8. Online ahead of print.ABSTRACTEndocrine tumors and here in particular gastrointestinal neuroendocrine neoplasms (GEP-NET), pheochromocytomas (PC), paragangliomas (PGL) and thyroid tumors are prime examples of the importance of molecular pathology and molecular biology for the diagnostics, classification and ultimately also the (surgical) treatment of these diseases. The GEP-NETs are graded using the Ki-67 index. This determines the type of molecular imaging (DOTA/DOPA/FDG-PET/CT), the possible treatment (surgical and/or radiopeptide therapy), antiproliferative and sympt...
Source: Der Chirurg - October 7, 2021 Category: Surgery Authors: Philipp Riss Katharina Scheuba Oliver Strobel Source Type: research

Erratum zu: Evaluation einer Therapieanpassung bei ASS-Low-Response in der Gef äßchirurgie
Chirurg. 2021 Oct 7. doi: 10.1007/s00104-021-01526-2. Online ahead of print.NO ABSTRACTPMID:34618165 | DOI:10.1007/s00104-021-01526-2 (Source: Der Chirurg)
Source: Der Chirurg - October 7, 2021 Category: Surgery Authors: T Hummel S H Meves A Breuer-Kaiser J O D üsterwald D M ühlberger A Mumme H Neubauer Source Type: research

Complete response after neoadjuvant therapy : How certain is the pathology?
Chirurg. 2021 Oct 6. doi: 10.1007/s00104-021-01510-w. Online ahead of print.ABSTRACTHistopathologic evaluation of tumors after neoadjuvant therapy is performed by tumor regression grading (TRG) systems, which reflect the proportion of vital residual primary tumor in relation to the previous total tumor. The World Health Organization (WHO) tumor grading is replaced by TRG in tumor classification. The histopathological work-up of a tumor is based on the criteria of the TNM classification even after neoadjuvant therapy. A uniform TRG does not exist. For various tumors TRGs based on the tumor entity have been established, cons...
Source: Der Chirurg - October 6, 2021 Category: Surgery Authors: Iris Tischoff Andrea Tannapfel Source Type: research

Clinical results upon establishment of robot-assisted chlecystectomy
Chirurg. 2021 Oct 5. doi: 10.1007/s00104-021-01520-8. Online ahead of print.NO ABSTRACTPMID:34609576 | DOI:10.1007/s00104-021-01520-8 (Source: Der Chirurg)
Source: Der Chirurg - October 5, 2021 Category: Surgery Authors: M A Schneider M W B üchler Source Type: research

Clinical results upon establishment of robot-assisted chlecystectomy
Chirurg. 2021 Oct 5. doi: 10.1007/s00104-021-01520-8. Online ahead of print.NO ABSTRACTPMID:34609576 | DOI:10.1007/s00104-021-01520-8 (Source: Der Chirurg)
Source: Der Chirurg - October 5, 2021 Category: Surgery Authors: M A Schneider M W B üchler Source Type: research

Vascular access for shunt devices
Chirurg. 2021 Oct 4. doi: 10.1007/s00104-021-01505-7. Online ahead of print.ABSTRACTIn Germany approximately 70,000 patients with a renal insufficiency are treated by hemodialysis. The most frequent reasons for the need for dialysis are currently diabetic nephropathy and nephrosclerosis. Due to the increasing average age and the resulting multimorbidity of dialysis patients, the difficulties of medical care have also increased. Therefore, an interdisciplinary treatment of these patients is of great importance. An important point in the treatment is the choice of vascular access. This depends on the patient's concomitant di...
Source: Der Chirurg - October 4, 2021 Category: Surgery Authors: Theresia Knop Johannes Hoffmann Source Type: research

Vascular access for shunt devices
Chirurg. 2021 Oct 4. doi: 10.1007/s00104-021-01505-7. Online ahead of print.ABSTRACTIn Germany approximately 70,000 patients with a renal insufficiency are treated by hemodialysis. The most frequent reasons for the need for dialysis are currently diabetic nephropathy and nephrosclerosis. Due to the increasing average age and the resulting multimorbidity of dialysis patients, the difficulties of medical care have also increased. Therefore, an interdisciplinary treatment of these patients is of great importance. An important point in the treatment is the choice of vascular access. This depends on the patient's concomitant di...
Source: Der Chirurg - October 4, 2021 Category: Surgery Authors: Theresia Knop Johannes Hoffmann Source Type: research

Statement of the surgical working group upper gastrointestinal tract (CAOGI) and the quality committee of the German Society for General and Visceral Surgery (DGAV) on the modified minimum caseload requirements for esophagus resection
Chirurg. 2021 Oct 1. doi: 10.1007/s00104-021-01517-3. Online ahead of print.ABSTRACTA positive association between the number of operations and postoperative hospital mortality, the so-called caseload-treatment result relation, has been confirmed many times in the literature; however, the definition of the underlying volumes is not uniform. The number of 26 resections/year/institution, which has now been established by the Federal Joint Committee as the future minimum caseload requirement, is discussed in this statement of the surgical working group upper gastrointestinal tract (CAOGI) and the quality committee of the Germ...
Source: Der Chirurg - October 1, 2021 Category: Surgery Authors: D Lorenz C J Bruns H J Buhr Source Type: research

Retroperitoneal soft tissue sarcoma: surgical management
CONCLUSION: Macroscopically complete tumor resection represents the sole curative treatment option for both primary and recurrent retroperitoneal soft tissue sarcomas. To minimize the probability of tumor-infiltrated resection margins, compartmental resection has become a standard treatment for retroperitoneal soft tissue sarcomas. This approach includes resection of all organs and structures adjacent to the tumor. Multivisceral resection is often associated with this approach and it is acceptable in terms of morbidity and mortality if performed at a center with experience in retroperitoneal sarcoma surgery. Histologic sub...
Source: Der Chirurg - October 1, 2021 Category: Surgery Authors: Franziska Willis Martin Schneider Source Type: research

Complete response after neoadjuvant therapy for esophageal cancer : Implications for surgery
Chirurg. 2021 Oct 1. doi: 10.1007/s00104-021-01509-3. Online ahead of print.ABSTRACTA relevant number of patients with locally advanced esophageal squamous cell carcinoma and adenocarcinoma show a locoregional complete response of the tumor in the resected material after neoadjuvant therapy with modern chemotherapy and chemoradiation protocols. Due to a high rate of perioperative morbidity and decreased long-term quality of life following esophagectomy, the current treatment algorithm with neoadjuvant therapy and post-neoadjuvant esophagectomy on principle is critically questioned. An individualized treatment algorithm wit...
Source: Der Chirurg - October 1, 2021 Category: Surgery Authors: Julian Hipp Michael Thomaschewski Richard Hummel Jens Hoeppner Source Type: research

Statement of the surgical working group upper gastrointestinal tract (CAOGI) and the quality committee of the German Society for General and Visceral Surgery (DGAV) on the modified minimum caseload requirements for esophagus resection
Chirurg. 2021 Oct 1. doi: 10.1007/s00104-021-01517-3. Online ahead of print.ABSTRACTA positive association between the number of operations and postoperative hospital mortality, the so-called caseload-treatment result relation, has been confirmed many times in the literature; however, the definition of the underlying volumes is not uniform. The number of 26 resections/year/institution, which has now been established by the Federal Joint Committee as the future minimum caseload requirement, is discussed in this statement of the surgical working group upper gastrointestinal tract (CAOGI) and the quality committee of the Germ...
Source: Der Chirurg - October 1, 2021 Category: Surgery Authors: D Lorenz C J Bruns H J Buhr Source Type: research

Retroperitoneal soft tissue sarcoma: surgical management
CONCLUSION: Macroscopically complete tumor resection represents the sole curative treatment option for both primary and recurrent retroperitoneal soft tissue sarcomas. To minimize the probability of tumor-infiltrated resection margins, compartmental resection has become a standard treatment for retroperitoneal soft tissue sarcomas. This approach includes resection of all organs and structures adjacent to the tumor. Multivisceral resection is often associated with this approach and it is acceptable in terms of morbidity and mortality if performed at a center with experience in retroperitoneal sarcoma surgery. Histologic sub...
Source: Der Chirurg - October 1, 2021 Category: Surgery Authors: Franziska Willis Martin Schneider Source Type: research

Complete response after neoadjuvant therapy for esophageal cancer : Implications for surgery
Chirurg. 2021 Oct 1. doi: 10.1007/s00104-021-01509-3. Online ahead of print.ABSTRACTA relevant number of patients with locally advanced esophageal squamous cell carcinoma and adenocarcinoma show a locoregional complete response of the tumor in the resected material after neoadjuvant therapy with modern chemotherapy and chemoradiation protocols. Due to a high rate of perioperative morbidity and decreased long-term quality of life following esophagectomy, the current treatment algorithm with neoadjuvant therapy and post-neoadjuvant esophagectomy on principle is critically questioned. An individualized treatment algorithm wit...
Source: Der Chirurg - October 1, 2021 Category: Surgery Authors: Julian Hipp Michael Thomaschewski Richard Hummel Jens Hoeppner Source Type: research

Statement of the surgical working group upper gastrointestinal tract (CAOGI) and the quality committee of the German Society for General and Visceral Surgery (DGAV) on the modified minimum caseload requirements for esophagus resection
Chirurg. 2021 Oct 1. doi: 10.1007/s00104-021-01517-3. Online ahead of print.ABSTRACTA positive association between the number of operations and postoperative hospital mortality, the so-called caseload-treatment result relation, has been confirmed many times in the literature; however, the definition of the underlying volumes is not uniform. The number of 26 resections/year/institution, which has now been established by the Federal Joint Committee as the future minimum caseload requirement, is discussed in this statement of the surgical working group upper gastrointestinal tract (CAOGI) and the quality committee of the Germ...
Source: Der Chirurg - October 1, 2021 Category: Surgery Authors: D Lorenz C J Bruns H J Buhr Source Type: research

Retroperitoneal soft tissue sarcoma: surgical management
CONCLUSION: Macroscopically complete tumor resection represents the sole curative treatment option for both primary and recurrent retroperitoneal soft tissue sarcomas. To minimize the probability of tumor-infiltrated resection margins, compartmental resection has become a standard treatment for retroperitoneal soft tissue sarcomas. This approach includes resection of all organs and structures adjacent to the tumor. Multivisceral resection is often associated with this approach and it is acceptable in terms of morbidity and mortality if performed at a center with experience in retroperitoneal sarcoma surgery. Histologic sub...
Source: Der Chirurg - October 1, 2021 Category: Surgery Authors: Franziska Willis Martin Schneider Source Type: research

Complete response after neoadjuvant therapy for esophageal cancer : Implications for surgery
Chirurg. 2021 Oct 1. doi: 10.1007/s00104-021-01509-3. Online ahead of print.ABSTRACTA relevant number of patients with locally advanced esophageal squamous cell carcinoma and adenocarcinoma show a locoregional complete response of the tumor in the resected material after neoadjuvant therapy with modern chemotherapy and chemoradiation protocols. Due to a high rate of perioperative morbidity and decreased long-term quality of life following esophagectomy, the current treatment algorithm with neoadjuvant therapy and post-neoadjuvant esophagectomy on principle is critically questioned. An individualized treatment algorithm wit...
Source: Der Chirurg - October 1, 2021 Category: Surgery Authors: Julian Hipp Michael Thomaschewski Richard Hummel Jens Hoeppner Source Type: research

Emergency appendicectomy vs. interval appendicectomy for perityphlitic abscess : Results of a meta-analysis
Chirurg. 2021 Sep 29. doi: 10.1007/s00104-021-01524-4. Online ahead of print.NO ABSTRACTPMID:34586428 | DOI:10.1007/s00104-021-01524-4 (Source: Der Chirurg)
Source: Der Chirurg - September 29, 2021 Category: Surgery Authors: C T Germer J Reibetanz Source Type: research

New WSES-AAST guidelines on trauma of the urogenital tract-Summary and comments
Chirurg. 2021 Sep 29. doi: 10.1007/s00104-021-01514-6. Online ahead of print.ABSTRACTDifferent perspectives exist among the various specialist disciplines on the treatment of trauma patients with injuries of the urogenital tract. The multidisciplinary consensus guidelines of the World Society of Emergency Surgery (WSES) and the American Association for the Surgery of Trauma (AAST), which appeared in autumn 2019, are summarized in this article. They should constitute an aid to making decisions on the optimal treatment of trauma patients with urogenital injuries.PMID:34586429 | DOI:10.1007/s00104-021-01514-6 (Source: Der Chirurg)
Source: Der Chirurg - September 29, 2021 Category: Surgery Authors: J Noll F Coccolini F Catena M Reichert B Altinkilic W Padberg J G Riedel I Askevold F Wagenlehner A Hecker Source Type: research

Emergency appendicectomy vs. interval appendicectomy for perityphlitic abscess : Results of a meta-analysis
Chirurg. 2021 Sep 29. doi: 10.1007/s00104-021-01524-4. Online ahead of print.NO ABSTRACTPMID:34586428 | DOI:10.1007/s00104-021-01524-4 (Source: Der Chirurg)
Source: Der Chirurg - September 29, 2021 Category: Surgery Authors: C T Germer J Reibetanz Source Type: research

New WSES-AAST guidelines on trauma of the urogenital tract-Summary and comments
Chirurg. 2021 Sep 29. doi: 10.1007/s00104-021-01514-6. Online ahead of print.ABSTRACTDifferent perspectives exist among the various specialist disciplines on the treatment of trauma patients with injuries of the urogenital tract. The multidisciplinary consensus guidelines of the World Society of Emergency Surgery (WSES) and the American Association for the Surgery of Trauma (AAST), which appeared in autumn 2019, are summarized in this article. They should constitute an aid to making decisions on the optimal treatment of trauma patients with urogenital injuries.PMID:34586429 | DOI:10.1007/s00104-021-01514-6 (Source: Der Chirurg)
Source: Der Chirurg - September 29, 2021 Category: Surgery Authors: J Noll F Coccolini F Catena M Reichert B Altinkilic W Padberg J G Riedel I Askevold F Wagenlehner A Hecker Source Type: research

Liver-first approach for synchronous metastatic colorectal cancer
Chirurg. 2021 Sep 28. doi: 10.1007/s00104-021-01511-9. Online ahead of print.NO ABSTRACTPMID:34581830 | DOI:10.1007/s00104-021-01511-9 (Source: Der Chirurg)
Source: Der Chirurg - September 28, 2021 Category: Surgery Authors: Oliver Rohland Michael Ardelt Utz Settmacher Source Type: research

Liver-first approach for synchronous metastatic colorectal cancer
Chirurg. 2021 Sep 28. doi: 10.1007/s00104-021-01511-9. Online ahead of print.NO ABSTRACTPMID:34581830 | DOI:10.1007/s00104-021-01511-9 (Source: Der Chirurg)
Source: Der Chirurg - September 28, 2021 Category: Surgery Authors: Oliver Rohland Michael Ardelt Utz Settmacher Source Type: research

Learning of flexible endoscopy, particularly endoscopic vacuum therapy (EVT)
DISCUSSION: Evaluations of the first course series show that surgeons achieve endoscopic competence very quickly and learn to master the new procedure. The structure of such a course must, however, be designed according to long-term experience in an optimal didactic manner. Decision-makers in healthcare policy should give much more support to such courses in order to improve patient care and to increase patient safety.PMID:34570261 | DOI:10.1007/s00104-021-01497-4 (Source: Der Chirurg)
Source: Der Chirurg - September 27, 2021 Category: Surgery Authors: K E Grund U Schweizer A Zipfel B Duckworth-Mothes Source Type: research

Learning of flexible endoscopy, particularly endoscopic vacuum therapy (EVT)
DISCUSSION: Evaluations of the first course series show that surgeons achieve endoscopic competence very quickly and learn to master the new procedure. The structure of such a course must, however, be designed according to long-term experience in an optimal didactic manner. Decision-makers in healthcare policy should give much more support to such courses in order to improve patient care and to increase patient safety.PMID:34570261 | DOI:10.1007/s00104-021-01497-4 (Source: Der Chirurg)
Source: Der Chirurg - September 27, 2021 Category: Surgery Authors: K E Grund U Schweizer A Zipfel B Duckworth-Mothes Source Type: research

How is quality measured in musculoskeletal medicine?
Chirurg. 2021 Oct;92(10):861-862. doi: 10.1007/s00104-021-01496-5. Epub 2021 Sep 24.NO ABSTRACTPMID:34559259 | DOI:10.1007/s00104-021-01496-5 (Source: Der Chirurg)
Source: Der Chirurg - September 24, 2021 Category: Surgery Authors: Michael J Raschke Benedikt Schliemann Source Type: research

Impact of COVID-19 in visceral surgery
Chirurg. 2021 Oct;92(10):916-917. doi: 10.1007/s00104-021-01504-8. Epub 2021 Sep 24.NO ABSTRACTPMID:34559260 | PMC:PMC8461416 | DOI:10.1007/s00104-021-01504-8 (Source: Der Chirurg)
Source: Der Chirurg - September 24, 2021 Category: Surgery Authors: Christiane J Bruns Source Type: research