[Indications for Surgical Therapy in Chronic Pancreatitis].
r J, Keck T Abstract Chronic pancreatitis is a recurrent disease with repeating exacerbations of inflammation of the pancreatic gland - associated with belt-like back pain. Without treatment, recurrent chronic pancreatitis leads to development of opioid-dependent pain. The chronic pancreatitis leads to recurrent hospital stays for the affected patient and socioeconomic challenges. In progress it can lead to local complications of chronic pancreatitis, such as formation of pseudocysts, biliary duct obstruction, duodenal obstruction or portal hypertension. The aim of this article is a detailed description of the ind...
Source: Zentralblatt fur Chirurgie - July 29, 2020 Category: Surgery Authors: Müller-Debus CF, Wellner UF, Bösch F, Belyaev O, Brunner M, Radulova-Mauersberger O, Grützmann R, Uhl W, Witzigmann H, Werner J, Keck T Tags: Zentralbl Chir Source Type: research

[Functional Results after Laparoscopic versus Robot-assisted Sigmoid Resection in Diverticulitis].
CONCLUSION: With regard to functional results after minimally invasive sigmoid resection for diverticulitis, laparoscopic and robot-assisted sigmoid resection can be considered equivalent procedures. PMID: 32702764 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - July 23, 2020 Category: Surgery Authors: Beltzer CR, Knörzer L, Dippel H, Schmidt R Tags: Zentralbl Chir Source Type: research

[Thoracoscopic Sympathectomy for Palmar and Axillary Hyperhidrosis].
CONCLUSION: The thoracoscopic approach to focal palmar and axillary hyperhidrosis allows clear identification of the sympathetic structures on each side. Under direct vision, selective ablation of the ganglia and sympathetic trunk provides long-term benefit for patients. PMID: 32702765 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - July 23, 2020 Category: Surgery Authors: Rohleder S, Münsterer O, Gödeke J Tags: Zentralbl Chir Source Type: research

[Extended Resection of Locally Advanced Thymic Tumours in Stage III].
Abstract In the treatment of locally advanced thymic tumours, specific diagnostic testing is required, with a multimodal therapeutic approach consisting of surgery, radio- and/or chemotherapy. The complete resection of the tumour represents the most important prognostic factor with regard to recurrence-free and long-term survival. Local invasive growth of malignant thymic tumours into neighbouring mediastinal structures is classified as Masaoka-Koga stage III. Surgical resection can be performed primarily or after induction therapy, depending on the extent of the tumour. However, in some cases these tumours must b...
Source: Zentralblatt fur Chirurgie - July 23, 2020 Category: Surgery Authors: Markowiak T, Hofmann HS, Ried M Tags: Zentralbl Chir Source Type: research

[Aortic Aneurysm: Fenestrated/Branched Endovascular Aortic Repair (EVAR) and Fenestrated/Branched Thoracic Endovascular Aortic Repair (TEVAR). Is Total Endovascular Repair Already Here?]
s N Abstract Five years after the first endovascular aortic repair (EVAR), Park et al. reported the first implantation of a fenestrated endoprosthesis. In the meantime, advanced generations of new fenestrated and branched endografts evolved. Endografts for complex pathologies are either so-called "off-the-shelf" grafts with predetermined length, width, diameter and clock position of the branches and fenestrations, predetermined by the manufacturer, "custom-made" grafts which need to be sized and planned individually for patients with specific thoracoabdominal anatomy. Open aortic repair in the ...
Source: Zentralblatt fur Chirurgie - July 13, 2020 Category: Surgery Authors: Mehmedovic A, Konstantinou N, Jerkku T, Pichlmaier M, Kölbel T, Rantner B, Banafsche R, Tsilimparis N Tags: Zentralbl Chir Source Type: research

[Five Years PLEURATUMOR Register of the German Society of Thoracic Surgery].
CONCLUSION: Due to the consistent data entry of the participating clinics, a representative dataset of pleural tumour diseases could be recorded. In the future, we hope for consistent continuation of data entry and the initiation of register-based studies. PMID: 32629507 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - July 6, 2020 Category: Surgery Authors: Markowiak T, Hofmann HS, Ried M Tags: Zentralbl Chir Source Type: research

[Surgical Treatment of Lung Cancer: How Has the Introduction of the 8th Edition of the TNM Classification Affected Guideline-Based Therapy?]
Abstract STUDY AIM: The 8th edition of the TNM classification combined with the latest update of the S3-guideline (by AWMF/Scientific Medical Societies in Germany) on prevention, diagnosis, therapy and follow-up of lung cancer led to several changes in staging and treatment of lung cancer. The aim of this study was to identify differences in the distribution of patients due to changes from the 7th to the 8th edition that affected staging. The influence on surgical therapy will be discussed by using the recommendations of the latest S3 guideline. METHODS: Prospective analysis of all primary cases at two thorac...
Source: Zentralblatt fur Chirurgie - July 6, 2020 Category: Surgery Authors: Robold T, Neumeier J, Ried M, Neu R, Sziklavari Z, Grosser C, Klinkhammer-Schalke M, Hofmann HS Tags: Zentralbl Chir Source Type: research

[Chest Wall Reconstruction Using Polypropylene Mesh: a Single-Center 8-Year Analysis].
CONCLUSION: Chest wall reconstruction using polypropylene mesh is a technique with low material-related complication rate. The low rate of local infections, material explantation, and chest instability documented in our cohort can be a helpful decision factor for the operating thoracic surgeon looking for the appropriate reconstruction material. PMID: 32629509 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - July 6, 2020 Category: Surgery Authors: Schroeder-Finckh A, Lopez-Pastorini A, Galetin T, Stoelben E, Koryllos A Tags: Zentralbl Chir Source Type: research

[Imaging of Mediastinal Tumors].
Abstract In computed tomography, the mediastinum is split into ventral prevascular, middle visceral and dorsal paravertebral compartments. Each compartment contains specific tumours which will be presented and discussed briefly. The focus is on image-based analysis of morphological signs to differentiate between entities using X-rays, ultrasound, CT and MRI. It is however difficult to differentiate between various types of lesions based on morphology and to estimate the grade of malignancy. For this reason, functional imaging techniques like PET and MRI are essential tools for detailed and non-invasive work-up. If...
Source: Zentralblatt fur Chirurgie - July 6, 2020 Category: Surgery Authors: Ley S, Ley-Zaporozhan J Tags: Zentralbl Chir Source Type: research

[Indications for Surgery in Pancreatic Ductal Adenocarcinoma - Consensus Recommendations by the German Society for General and Visceral Surgery].
CONCLUSION: Irrespective of the recent development of multimodal therapeutic concepts, surgical resection remains the sole chance of long-term cure for patients with PDAC. Due to the significant proportion of patients in advanced stages of the disease, palliative surgery still plays an important role in the complex management of this cancer. PMID: 32615624 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - July 2, 2020 Category: Surgery Authors: Belyaev O, Bösch F, Brunner M, Müller-Debus CF, Radulova-Mauersberger O, Wellner UF, Grützmann R, Keck T, Werner J, Witzigmann H, Uhl W Tags: Zentralbl Chir Source Type: research

[Peripheral Nerve Imaging - from a Neurological Perspective for Surgeons].
Abstract Nerve ultrasound is a fairly new non-invasive method to visualise peripheral nerves and to detect peripheral nerve lesions. This technique can depict nerve compression syndromes and their aetiologies as well as fascicular torsions. It is also suitable for sonographically guided nerve interventions and for intraoperative navigation. The main advantage of nerve ultrasound is its capability for early diagnosis of severe traumatic nerve lesions that require immediate surgery. Neurologists further use this method to aid the diagnosis of different kinds of polyneuropathies. Within this review we introduce nerve...
Source: Zentralblatt fur Chirurgie - July 2, 2020 Category: Surgery Authors: Schreiber S, Vielhaber S, Schelle T Tags: Zentralbl Chir Source Type: research

[Indications for the Surgical Management of Pancreatic Neuroendocrine Neoplasms].
H, Werner J Abstract Neuroendocrine neoplasms of the pancreas (pNEN) have an increasing incidence and prevalence. Thus, this entity is of increasing clinical significance. Patients with pNEN become clinically apparent due to different and unspecific symptoms. Some tumours secrete hormones and peptides and become clinically symptomatic. In general, these tumours can metastasise early and even small tumours lead to distant metastases. Nonetheless, primary tumour size and grading are important prognostic factors. On the basis of a systematic literature research and the formulation of key issues according to the PICO ...
Source: Zentralblatt fur Chirurgie - June 29, 2020 Category: Surgery Authors: Bösch F, Belyaev O, Brunner M, Müller-Debus CF, Olga Radulova-Mauersberger, Grützmann R, Keck T, Uhl W, Witzigmann H, Werner J Tags: Zentralbl Chir Source Type: research

[Indocyanine-Green-Guided, Robot-Assisted Left Hemihepatectomy].
PMID: 32599636 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - June 29, 2020 Category: Surgery Authors: Croner R, Franz M, Arend J, Rahimli M, Stockheim J, Negrini VR, Lorenz E, Andric M, Perrakis A, Wex C Tags: Zentralbl Chir Source Type: research

[Robot-Assisted Minimally Invasive D2 Lymphadenectomy].
PMID: 32599637 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - June 29, 2020 Category: Surgery Authors: von Bechtolsheim F, Distler M, Weitz J, Radulova-Mauersberger O Tags: Zentralbl Chir Source Type: research

[Indications for Surgical and Interventional Therapy of Acute Pancreatitis].
CONCLUSION: The recommendations for surgical an interventional therapy of necrotising pancreatitis address the basis of current indications in literature. They should serve in daily practice as a reference standard for decision making in multidisciplinary teams. PMID: 32557429 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - June 18, 2020 Category: Surgery Authors: Radulova-Mauersberger O, Belyaev O, Birgin E, Bösch F, Brunner M, Müller-Debus CF, Wellner UF, Grützmann R, Keck T, Werner J, Uhl W, Witzigmann H Tags: Zentralbl Chir Source Type: research

[Robot-Assisted Repeated Fundoplication in Children and Adolescents].
CONCLUSION: Robot-assisted re-fundoplication is an excellent alternative to the conventional laparoscopic procedure in young adults with recurrent gastroesophageal symptoms, who had a fundoplication in early childhood. The 3D-vision and the multi-axial free mobility of the instruments facilitate precise dissection that consider anatomic structures and adhesions. PMID: 32557430 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - June 18, 2020 Category: Surgery Authors: Moursi AGA, Grimminger P, Rohleder S, Muensterer O Tags: Zentralbl Chir Source Type: research

[Indications for the Surgical Management of Pancreatic Cystic Lesions].
ml;tzmann R Abstract A steady improvement in modern imaging as well as increasing age in society have led to an increasing number of cystic pancreatic tumours being detected. Pancreatic cysts are a clinically challenging entity because they span a broad biological spectrum and their differentiation is often difficult, especially in small tumours. Therefore, they require a differentiated indication for indication of surgery. To determine recommendations for the surgical indication in cystic tumours of the pancreas, a quality committee for pancreatic diseases of the German Society for General and Visceral Surgery pe...
Source: Zentralblatt fur Chirurgie - June 4, 2020 Category: Surgery Authors: Brunner M, Belyaev O, Bösch F, Müller-Debus CF, Radulova-Mauersberger O, Wellner UF, Keck T, Uhl W, Werner J, Witzigmann H, Grützmann R Tags: Zentralbl Chir Source Type: research

Genderspezifische Aspekte in der endokrinen Chirurgie.
PMID: 32498101 [PubMed - in process] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - June 1, 2020 Category: Surgery Authors: Holzer K, Bartsch DK Tags: Zentralbl Chir Source Type: research

Zur Beweislastverteilung bei Lagerungssch äden.
Zur Beweislastverteilung bei Lagerungsschäden. Zentralbl Chir. 2020 Jun;145(3):217-218 Authors: Wienke A PMID: 32498102 [PubMed - in process] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - June 1, 2020 Category: Surgery Authors: Wienke A Tags: Zentralbl Chir Source Type: research

Editorial f ür das Zentralblatt für Chirurgie.
Editorial für das Zentralblatt für Chirurgie. Zentralbl Chir. 2020 Jun;145(3):224 Authors: Keck T PMID: 32498103 [PubMed - in process] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - June 1, 2020 Category: Surgery Authors: Keck T Tags: Zentralbl Chir Source Type: research

[Rectal Cancer - Robotic Setup, Port Placement, Structured Surgical Steps].
asani N Abstract Robotic low anterior resection in rectal carcinoma is becoming increasing common in Europe. There may be oncological and functional advantages as compared to laparoscopic approaches. The new generation of surgical robots, such as the Da Vinci Xi systems from Intuitive, enlarges the range of robotic access, especially in the mobilisation of the left flexure. Thus, robotic low anterior resection can now be performed safely, with low morbidity and without hybrid support. In this paper, the setup of the robotic system, port placement and surgical steps of robotic low anterior rectal resection are expl...
Source: Zentralblatt fur Chirurgie - June 1, 2020 Category: Surgery Authors: Türler A, Loriz HL, Schröder T, Cerasani N Tags: Zentralbl Chir Source Type: research

[Liver Surgery - Setup, Port Placement, Structured Surgical Steps - Standard Operating Procedures in Robot-Assisted Liver Surgery].
e J Abstract Experience in robot-assisted liver surgery has so far been limited to a few international centres. Surgeons with experience in both laparoscopic and robot-assisted liver surgery do agree that the importance of robot-assisted techniques will increase significantly in the coming years. On the basis of our own experience during the establishment of our robot liver program and through the lively exchange with internationally leading colleagues in this field, we have established "Standard Operating Procedures" at our centre, which we have summarised in this work. PMID: 32498105 [PubMed - in ...
Source: Zentralblatt fur Chirurgie - June 1, 2020 Category: Surgery Authors: Schmelzle M, Schöning W, Pratschke J Tags: Zentralbl Chir Source Type: research

[Robot-assisted Minimally Invasive Oesophagectomy (RAMIE) - Setup, Port Placement, Stepwise Procedure Guide].
JH Abstract Robot-assisted minimally invasive oesophagectomy (RAMIE) can overcome the limitations of thoracoscopic surgery, particularly in the thoracic part of the operation. Thanks to more degrees of freedom of movement, anastomosis is simpler in the robotic procedure. In this work, we present our established full RAMIE-technique on the da Vinci Xi® system. Our technique is characterized by the incomplete formation of the gastric tube abdominally and an end-to-side anastomosis with a circular stapler. PMID: 32498106 [PubMed - in process] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - June 1, 2020 Category: Surgery Authors: Möller T, Becker T, Reichert B, Egberts JH Tags: Zentralbl Chir Source Type: research

[Robot-assisted Pancreatic Surgery].
k T Abstract INTRODUCTION: The use of robots in minimally invasive surgery has become increasingly common in recent years. Robot-assisted pancreatoduodenectomy is more frequent than the laparoscopic procedure especially due to the greater flexibility of instruments and therefore better handling and better angulation. Furthermore, there are benefits from enhanced 3D visibility, software-based tremor control and reduction in the physical exertion of the surgeon. METHODS AND RESULTS: This review delivers a point-by-point approach to the setup of a robotic pancreatic programme and a detailed approach to robot-ass...
Source: Zentralblatt fur Chirurgie - June 1, 2020 Category: Surgery Authors: Müller-Debus CF, Thomaschewski M, Zimmermann M, Wellner UF, Keck T Tags: Zentralbl Chir Source Type: research

[Teaching and Training in Robot-assisted Surgery].
Abstract The development and proliferation of robot-assisted surgery has greatly extended the field of minimally invasive surgery. Thus, this necessitates the development of adequate training programs to prepare surgeons for the operating room of the future. Transferring established and proven methods of training and assessment in aviation could help robotic training programs become more effective, efficient and safer. Simulation is a safe and cost-effective way of training and in addition may improve operating room performance. Proctoring and flying doctor models are established concepts, especially for advanced ...
Source: Zentralblatt fur Chirurgie - June 1, 2020 Category: Surgery Authors: Schmelzle M, Malinka T, Bahra M, Pratschke J Tags: Zentralbl Chir Source Type: research

[Robot-Assisted Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery: Implementation Using a Stepwise Approach and Analyses of the First 100 Surgical Procedures].
CONCLUSION: Our stepwise approach enables safe implementation of a robotic surgical program for upper GI and HPB surgery with comparable morbidity and mortality even for highly complex procedures. However, highly complex procedures in the learning curve required a high conversion rate. PMID: 32498109 [PubMed - in process] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - June 1, 2020 Category: Surgery Authors: Thomaschewski M, Zimmermann M, Müller-Debus CF, Windisch V, Wellner UF, Hummel R, Keck T, Bausch D Tags: Zentralbl Chir Source Type: research

Mitteilungen der DGT im Zentralblatt f ür Chirurgie.
Mitteilungen der DGT im Zentralblatt für Chirurgie. Zentralbl Chir. 2020 Jun;145(3):284-287 Authors: Hillejan L PMID: 32498110 [PubMed - in process] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - June 1, 2020 Category: Surgery Authors: Hillejan L Tags: Zentralbl Chir Source Type: research

[Comprehensive Preoperative Evaluation of Patients with Lung Cancer].
Abstract Surgical resection continues to be a mainstay of curative treatment of patients with non-small cell lung cancers stages I - III and some small cell lung cancers. Reported rates of complications and mortality vary considerably. Therefore, a thorough and comprehensive preoperative evaluation of lung cancer patients is crucial in order to select appropriate surgical candidates and to determine their individual risk, including the extent of resection possible. Following available data and guidelines, such evaluation should include: ECOG-scoring, cardiac risk assessment, cerebrovascular assessment, pulmona...
Source: Zentralblatt fur Chirurgie - June 1, 2020 Category: Surgery Authors: Ewig S, Larrosa-Lombardi S, Halboos A, Hecker E Tags: Zentralbl Chir Source Type: research

[Surgical Principals of the Diaphragm].
Abstract Due to its importance as a central respiratory muscle as well as a separating layer between the thorax and abdomen, the functional integrity of the diaphragm is crucial in any case of surgical intervention. High demands are placed on surgical interventions regarding the functional integrity of the diaphragm. The aim of surgery may even be an improvement in the functional status of the patient. The surgery of the diaphragm is performed according to the same basic principles, regardless of the indication and the extent of the surgery. One of the most important principles concerns the suturing of the diaphra...
Source: Zentralblatt fur Chirurgie - June 1, 2020 Category: Surgery Authors: Sklenar S, Eggeling S Tags: Zentralbl Chir Source Type: research

[Magdeburg Medical School - Logbook for Surgical Training of Final Year Medical Students - an Interdisciplinary, Medical School-Specific Concept Based on the Guidelines Issued by the Medical School Association ("Medizinischer Fakult ätentag") in 2012].
CONCLUSION: The presented "Magdeburg Medical School Final Year Logbook of the Surgical Disciplines" has been created according to the requirements of the German Medical School Association ("Medizinischer Fakultätentag") and has been simultaneously adapted to the conditions and established medical teaching at the presenting Medical School. In particular, the medical students are given a document related to daily clinical practice, which allows them, within an overall teaching concept, to acquire indispensable expertise. PMID: 32268391 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - April 8, 2020 Category: Surgery Authors: Witzel K, Ballaschk A, Altmann S, Haß HJ, Chiapponi C, Walcher F, Werwick K, Croner RS, Piatek S, Meyer F Tags: Zentralbl Chir Source Type: research

Hyperspektral-Imaging (HSI) – eine verlässliche Gewebedifferenzierung?
Hyperspektral-Imaging (HSI) – eine verlässliche Gewebedifferenzierung? Zentralbl Chir. 2020 Apr;145(2):125-129 Authors: Gockel I, Jansen-Winkeln B, Sucher R, Rayes N, Thieme R, Moulla Y, Niebisch S, Rademacher S, Seehofer D, Schierle K, Bläker H, Neumuth T, Melzer A, Maktabi M, Köhler H, Chalopin C PMID: 32268383 [PubMed - in process] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - April 1, 2020 Category: Surgery Authors: Gockel I, Jansen-Winkeln B, Sucher R, Rayes N, Thieme R, Moulla Y, Niebisch S, Rademacher S, Seehofer D, Schierle K, Bläker H, Neumuth T, Melzer A, Maktabi M, Köhler H, Chalopin C Tags: Zentralbl Chir Source Type: research

Die Beweiskraft ärztlicher Aufklärungsbögen.
Die Beweiskraft ärztlicher Aufklärungsbögen. Zentralbl Chir. 2020 Apr;145(2):133-134 Authors: Wienke A PMID: 32268384 [PubMed - in process] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - April 1, 2020 Category: Surgery Authors: Wienke A Tags: Zentralbl Chir Source Type: research

Editorial zum Themenschwerpunkt Liposarkome.
PMID: 32268385 [PubMed - in process] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - April 1, 2020 Category: Surgery Authors: Ghadimi M, Jakob J Tags: Zentralbl Chir Source Type: research

[Individualised Multimodal Therapy of Retroperitoneal Soft Tissue Sarcomas].
Abstract Retroperitoneal soft tissue sarcomas make up a diverse group of malignant tumours of mesenchymal origin with diverse histo- and molecular pathology. Liposarcoma and leiomyosarcoma are the predominant subentities - followed by the substantially less frequent solitary fibrous tumors, malignant peripheral nerve-sheath tumors and unclassified pleomorphic sarcomas. The biological behaviour of retroperitoneal soft tissue sarcomas is highly variable, depending on the histopathological subtype. A differentiated therapeutic approach is therefore essential. There is only marginal therapeutic evidence that multimoda...
Source: Zentralblatt fur Chirurgie - April 1, 2020 Category: Surgery Authors: Ghadimi M Tags: Zentralbl Chir Source Type: research

[Pre-, Post- and Intraoperative Radiation Therapy in Adult Liposarcomas].
We describe fundamental differences between liposarcomas and other soft tissue sarcomas as well as between the subgroups of liposarcoma (well differentiated, dedifferentiated, myxoid, pleomorphic), and how this affects the indication and procedure for additional radiation therapy, in order to provide a panoramic aid to orientation. PMID: 32268387 [PubMed - in process] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - April 1, 2020 Category: Surgery Authors: Roeder F Tags: Zentralbl Chir Source Type: research

[Systemic Therapy Options for Locally Advanced and Metastatic Myxoid, Dedifferentiated and Pleomorphic Liposarcoma].
This article will present published data and the authors' experience with the various systemic treatment options. both in first line and in subsequent lines of treatment, as well as a brief overview of experimental treatment approaches. PMID: 32268388 [PubMed - in process] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - April 1, 2020 Category: Surgery Authors: Pink D, West A, Andreou D Tags: Zentralbl Chir Source Type: research

[Discuss Many to Benefit More - Five-Year Analysis of a Multidisciplinary Aortic Board].
CONCLUSION: mAB maintenance is highly dependent on the outpatient sector. With respect to patient selection, the mAB has an important filter function towards conservative treatment. The nearly balanced distribution between VS and CS underlines the importance of a multidisciplinary approach to aortic surgery. Given the relevant number of untreated patients, a central management office with an in-hospital registry seems crucial in order to improve mAB performance. PMID: 32207122 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - March 23, 2020 Category: Surgery Authors: Meisenbacher K, Geis U, Kauczor HU, Karck M, Boeckler D, Bischoff MS Tags: Zentralbl Chir Source Type: research

[Modern Finding-Specific and Patient-Adapted Management of Peripheral Pseudoaneurysms after Arterial Access].
CONCLUSION: The diagnostic and therapeutic management of pseudoaneurysms for different findings and patients can be considered a great challenge, and requires an experienced angiologist or vascular surgeon. PMID: 32135547 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - March 5, 2020 Category: Surgery Authors: Spazier M, Meyer F, Bauersachs R, Herold J Tags: Zentralbl Chir Source Type: research

[Thoracic Central Venous Occlusive Disease and Haemodialysis Access].
Abstract Benign central venous thoracic occlusion is a frequent issue in haemodialysis patients. Symptomatic stenosis affects quality of life and can cause dysfunction of arteriovenous access or make it impossible to implant a haemodialysis catheter. Common risk factors for the development of the occlusions are central venous catheters and cardiac rhythm devices. The gold standard for diagnosis is venous angiography. Treatment of asymptomatic lesions can lead to clinical deterioration and should be avoided. The primary method of treatment for symptomatic patients is endovascular therapy. Repeat balloon angioplasty...
Source: Zentralblatt fur Chirurgie - March 2, 2020 Category: Surgery Authors: Burbelko M Tags: Zentralbl Chir Source Type: research

[Delphi Expert Consensus of the German Thoracic Surgery Society on Perioperative Management of Oncological Anatomical Lung Resections].
CONCLUSION: Our manuscript depicts the results of a Delphi process in 2018/2019 involving experts of the German Thoracic Surgery Society from high volume departments certified for thoracic surgery and/or lung cancer surgery. In general, a very high rate of consensus was documented for the majority of the topics concerning the perioperative management of oncological anatomical selective lung resection procedures. The most important topic for which no consensus could be reached was preoperative endobronchial microbiological diagnostic testing. PMID: 32066185 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - February 17, 2020 Category: Surgery Authors: Koryllos A, Ludwig C, Hecker E, Leschber G Tags: Zentralbl Chir Source Type: research

[The Critical View of Safety to Avoid Biliary Complications in Laparoscopic Cholecystectomy].
Abstract Laparoscopic cholecystectomy is one of the most frequently performed procedures worldwide. Therefore, iatrogenic injury to the choledochal duct, although rare, remains a surgical risk that should not be underestimated. Over the years, various methods have been described to avoid this serious complication, with its high morbidity and even mortality. One of the safest methods to avoid bile duct lesions is to establish the so called "critical view of safety" before cutting any structures. This method shall be demonstrated in this instructional video. PMID: 32052395 [PubMed - as supplied by pub...
Source: Zentralblatt fur Chirurgie - February 12, 2020 Category: Surgery Authors: Grass K, Oeckl K, Kersting S Tags: Zentralbl Chir Source Type: research

[Reliability of DRG Routine Data to Analyse Treatment Outcome and Complications of Thyroid Surgery. A Critical Analysis of Data of Patient Records Compared to Administrative Data].
CONCLUSION: Quality assurance of clinical routine data of the thyroid surgery shows deficiencies in sensitivity accompanied by high specificity. It is necessary to increase the validity of administrative routine data to carry out a reliable clinic quality analysis or to prepare volume-outcome relationships in clinical health service research. The parameter of hypocalcaemia shows the most limitations due to quality assurance of clinical routine data. PMID: 32040965 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - February 10, 2020 Category: Surgery Authors: Sahm M, Riegel C, Mantke A, Reissig K, Hunger R, Mantke R Tags: Zentralbl Chir Source Type: research

[Morbidity and Mortality of Single Incision Cholecystectomy: Results of a 3-Year Register Analysis].
e R Abstract INTRODUCTION: Two decades ago, single-incision surgery was established as a new concept in minimally invasive surgery. Single incision cholecystectomy is the most frequently performed procedure in clinical routine. Most of the results have been based on randomised trials. Large prospective multicentre observational datasets from clinical routine do not exist. This analysis of clinical health service research is based on the SILAP study (single-incision multiport/single port laparoscopic abdominal surgery study). PATIENTS AND METHODS: The data of the register were collected in 47 hospitals in the ...
Source: Zentralblatt fur Chirurgie - February 3, 2020 Category: Surgery Authors: Sahm M, Reinsch AK, Otto R, Mönch C, Gerdes M, Winde G, Lancee S, Meyer L, Mantke A, Lippert H, Croner R, Mantke R Tags: Zentralbl Chir Source Type: research

[Robotic Assisted Proctocolectomy with Ileal Pouch-Anal Anastomosis in a Case of Suspected Hereditary Polyposis].
CONCLUSIONS: With respect to the surgical treatment of classic FAP, restorative proctocolectomy (RPC) with ileal J-pouch construction can be regarded as an established standard procedure, despite controversy regarding various technical aspects. Minimally invasive strategies should be considered as an equivalent option compared to conventional techniques. PMID: 32000267 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - January 30, 2020 Category: Surgery Authors: Rolinger J, Jansen K, von Keller J, Axt S, Falch C, Kirschniak A, Wilhelm P Tags: Zentralbl Chir Source Type: research

[Monitoring Radiation Exposure During Surgery with Real Time Measurements: Opportunities and Limitations].
The objective of our study was to monitor the accuracy of the measurements taken from the real-time dosimeter and to determine the radiation scatter for individual members of the surgical staff. MATERIALS AND METHODS: Prospective measurements of the operating team's exposure to radiation were carried out using a real-time dosimeter system in an operating room for vascular surgery equipped with a C-arm. Firstly the calibration of the RTD at the operating table was checked using a water phantom. Subsequently, measurements were taken during vascular interventions and surgery. RESULTS: When calibrated, the values of ...
Source: Zentralblatt fur Chirurgie - January 15, 2020 Category: Surgery Authors: Pedraza de Leistl MC, Silber M, Knez P, Adili F Tags: Zentralbl Chir Source Type: research

[The Treatment of Aneurysms of the Extremities Arteries - a Systematic Overview - New Therapies for Isolated Iliac Artery Aneurysm Employing a New Classification].
Abstract Aneurysms of arteries in the extremities have a low incidence and are often manifest through complications. The most serious complications are rupture and extremity-threatening ischemia. Both usually lead to the diagnosis. Absolute indications for therapy are symptomatic aneurysms and asymptomatic aneurysms of 2 cm diameter or more. The extrailiacal gold standard is interponat or bypass with venous graft material. Endovascular methods are reserved for inoperable patients and clinical decisions on special cases. In contrast, complex endovascular techniques have been established in isolated iliac ane...
Source: Zentralblatt fur Chirurgie - January 13, 2020 Category: Surgery Authors: Pfabe FP Tags: Zentralbl Chir Source Type: research

[Treatment of Peripheral Aneurysms - Dual Supera for Popliteal Artery Aneurysms: Immediate and Long-Term Results].
Abstract Popliteal aneurysms have the highest incidence of all peripheral aneurysms. The clinical symptoms are dominated by chronic embolism, resulting in irreversible ischemia with the associated risk of amputation and mortality, but rupture is less important. Acute aneurysm thrombosis bears a high risk of amputation and mortality. Endovascular exclusion with covered stents instead of open surgery has gained widespread acceptance and is based on reliable data. The principle of flow diversion for aneurysm treatment is well known for the cerebral vasculature, and is now emerging as a potential alternative with prom...
Source: Zentralblatt fur Chirurgie - December 16, 2019 Category: Surgery Authors: Tessarek J Tags: Zentralbl Chir Source Type: research

[The Future of Vascular Medicine - Role of 3D Printing].
Abstract Digitalisation is one of the key challenges in current surgery and will impact the future of surgical care as well as upcoming generations of surgeons. 3D printing is a technology that has recently been transferred from industrial prototyping into cardiovascular medicine. The digital model of the anatomical structure which needs to be engineered represents the inherent link of 3D printing to digital medicine. 3D printing technology is able to provide the surgeon with patient-specific models of anatomy and disease for surgical planning and patient informed consent as well as training templates for students...
Source: Zentralblatt fur Chirurgie - December 9, 2019 Category: Surgery Authors: Dorweiler B, El Beyrouti H, Vahl CF, Baque P, Ghazy A Tags: Zentralbl Chir Source Type: research

[Health-Related Quality of Life in Patients with Non-Small Cell Lung Cancer before and after Surgery - a Comparison between Thoracotomy and Video-Assisted Thoracoscopic Surgery].
CONCLUSION: With respect to health-related quality of life, thoracotomy and video-assisted thorascopic surgery are equivalent in the long term. But there was a trend to improvement with both summary scores that might indicate superiority of video-assisted thoracoscopic surgery. PMID: 31791091 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - December 2, 2019 Category: Surgery Authors: Hoeffkes D, Welcker K, Hendrix H, Kamlak V, Prisadov G, Noack F, Meyer A Tags: Zentralbl Chir Source Type: research

[Laparoscopic Right Hemicolectomy with Complete Mesocolic Excision (CME)].
CONCLUSION: The proposed standardisation of laparoscopic right hemicolectomy with complete mesocolic excision accommodates the increased complexity of the right colon and structures it into well-defined steps with critical safety assessments, which may result in minimised intraoperative complications and increased patient safety and should improve training. PMID: 31791092 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - December 2, 2019 Category: Surgery Authors: Brunner M, Weber GF, Wiesmüller F, Weber K, Maak M, Kersting S, Grützmann R, Krautz C Tags: Zentralbl Chir Source Type: research