Zentralblatt fur Chirurgie最新文献_第10页

[Chylothorax]. [乳糜胸]。

IF 0.5 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2024-03-05 DOI: 10.1055/a-1990-4896

David B Ellebrecht, Michael Hoge, Sönke von Weihe

引用次数: 0

[Watch and Wait for Rectal Cancer]. [直肠癌的观察与等待]。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2024-03-05 DOI: 10.1055/a-2241-0334

Carolin Kastner, Michael Meir, Sven Flemming, Joachim Reibetanz, Christoph Thomas Germer, Armin Wiegering

{"title":"[Watch and Wait for Rectal Cancer].","authors":"Carolin Kastner, Michael Meir, Sven Flemming, Joachim Reibetanz, Christoph Thomas Germer, Armin Wiegering","doi":"10.1055/a-2241-0334","DOIUrl":"10.1055/a-2241-0334","url":null,"abstract":"About one third of all colorectal carcinomas (CRC) are localised in the rectum. As part of a multimodal therapy concept, neoadjuvant therapy achieves downstaging of the tumour in 50-60% of cases and a so-called complete clinical response (cCR), defined as clinically (and radiologically) undetectable residual tumour after completion of neoadjuvant therapy, in 10-30% of cases.In view of the perioperative morbidity and mortality associated with radical rectal resection, including the occurrence of a symptom complex known as low anterior resection syndrome (LARS) and the need for deviation, at least temporarily, the question of the risk-benefit balance of organ resection in the presence of cCR has been raised. In this context, the therapeutic concept of a \"watch-and-wait\" approach with omission of immediate organ resection and inclusion in a structured surveillance regime, has emerged.For a safe, oncological implementation of this option, it is necessary to develop standards in the definition of a suitable patient clientele and the implementation of the concept. In addition to the initial correct selection of the patient group that is suitable for a primarily non-surgical procedure, the inherent goal is the early and sufficient detection of tumour recurrence (so-called local regrowth) during the \"watch-and-wait\" phase (surveillance).In this context, in this paper we address the questions of: 1. the optimal timing of initial re-staging, 2. the criteria for assessing the clinical response and selecting the appropriate patient clientele, 3. the rhythm and design of the surveillance protocol.","PeriodicalId":23956,"journal":{"name":"Zentralblatt fur Chirurgie","volume":"149 1","pages":"75-82"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Das neue Ehegattennotvertretungsrecht. 新的配偶代表法。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2024-03-05 DOI: 10.1055/a-2178-7084

Jörg Staatsmann

引用次数: 0

Editorial. 社论

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2024-03-05 DOI: 10.1055/a-2171-7766

Michael Ghadimi

引用次数: 0

Hygienestandards im OP – führen sie nachhaltig zur Verbesserung der Qualität? 手术室的卫生标准--是否能持续提高质量？

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2024-03-05 DOI: 10.1055/a-2219-4023

Mathias Holz, Sebastian Lippross, Andreas Seekamp

{"title":"Hygienestandards im OP – führen sie nachhaltig zur Verbesserung der Qualität?","authors":"Mathias Holz, Sebastian Lippross, Andreas Seekamp","doi":"10.1055/a-2219-4023","DOIUrl":"10.1055/a-2219-4023","url":null,"abstract":"Background: In Germany, nosocomial infections and postoperative wound infections are a significant burden for the healthcare system and the patients affected. A postoperative wound infection is often accompanied by a massive deterioration in the quality of the treatment success of surgical measures in terms of patient stress, the functional results and the cost-effectiveness of a treatment for the service provider. The aim of this article is to present the current hygiene requirements for the perioperative setting in a comprehensible manner and to explain them to everyone involved in the surgical procedure.Method: First of all, the importance of hygienic measures is explained, as well as a brief overview of the development up to modern hygiene concepts of today. Then the current recommendations of the KRINKO (Commission for Hospital Hygiene and Infection Prevention at the Robert Koch Institute): \"Prevention of postoperative wound infections, recommendation of the Commission for Hospital Hygiene and Infection Prevention (KRINKO) at the Robert Koch Institute\" are presented.Conclusion: Hygienic work is a basic prerequisite for work in the surgical area, because convincing treatment results with good functional results cannot be achieved in many areas (e.g. modern endoprosthetics) without sufficient hygiene. The modern requirements for hygienic work are complex and affect all areas of the hospital. The best possible degree of process quality can only be guaranteed if all pillars of modern hygiene concepts are observed.","PeriodicalId":23956,"journal":{"name":"Zentralblatt fur Chirurgie","volume":"149 1","pages":"7-13"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Endoscopic Resection Techniques for Precancerous and Early Cancerous Lesions in the Rectum]. [直肠癌前病变和早期癌变的内窥镜切除技术]。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2024-03-05 DOI: 10.1055/a-2256-6724

Jürgen Hochberger, Martin Loss, Elena Kruse

{"title":"[Endoscopic Resection Techniques for Precancerous and Early Cancerous Lesions in the Rectum].","authors":"Jürgen Hochberger, Martin Loss, Elena Kruse","doi":"10.1055/a-2256-6724","DOIUrl":"10.1055/a-2256-6724","url":null,"abstract":"Today, endoscopy plays a decisive role not only in the detection of colorectal adenomas and carcinomas, but also in the treatment of precancerous lesions, in particular flat adenomas and early carcinomas. In recent years, endoscopic submucosal dissection (ESD) has become increasingly important alongside classic polypectomy and mucosal resection after saline injection using a snare (EMR). Using ESD the lesion is marked, injected submucosally using viscous substances and the mucosa incised and tunneled with a transparent cap and a fine diathermy knife. Particularly in the case of widespread and high-risk lesions ESD enables a quasi-surgical \"en bloc\" resection almost regardless of size, with a histological R0 resection rate of far over 90% in specialized centers. ESD enables an excellent histopathological evaluation and has a low recurrence risk of 1-3%. Endoscopic full-thickness resection using a dedicated device (FTRD system) represents another addition to the armamentarium. It can be used for circumscribed submucosal, suspicious or scarred changes up to 2 cm in the middle and upper rectum. Endoscopic intermuscular dissection (EID) enables histopathological analysis of the complete submucosa beyond the mucosa and upper submucosal layer by including the circular inner muscle layer within the resection specimen. It reduces basal R1 situations and offers a new perspective for T1 carcinomas through curative, organ-preserving endoscopic therapy, especially in the case of deep submucosal infiltration alone, without other risk factors for metastases. Indications, the procedure itself and significance of the various techniques for premalignant and early malignant lesions in the rectum are presented.","PeriodicalId":23956,"journal":{"name":"Zentralblatt fur Chirurgie","volume":"149 1","pages":"46-55"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mitteilungen der DGT im Zentralblatt für Chirurgie. 在 Zentralblatt für Chirurgie 上发布 DGT 公告。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2024-03-05 DOI: 10.1055/a-2236-8265

引用次数: 0

[Minimally Invasive Resection of Cystic Pancreatic Neoplasia]. 【囊性胰腺肿瘤的微创切除】。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2023-11-15 DOI: 10.1055/a-2194-0682

Maximilian Brunner, Christian Krautz, Robert Grützmann, Georg F Weber

引用次数: 0

[Staging and Diagnostics of Rectal Cancer]. [直肠癌的分期和诊断]。

IF 0.5 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2024-03-05 DOI: 10.1055/a-2252-2320

Omar Al-Bourini, Lorenz Biggemann, Ali Seif Amir Hosseini

{"title":"[Staging and Diagnostics of Rectal Cancer].","authors":"Omar Al-Bourini, Lorenz Biggemann, Ali Seif Amir Hosseini","doi":"10.1055/a-2252-2320","DOIUrl":"10.1055/a-2252-2320","url":null,"abstract":"The review titled \"Staging and Diagnostics of Rectal Cancer\" aims to provide insight to imaging techniques in patients with rectal cancer.Rectal cancer is among the most common malignancies, with one of the highest mortality rates worldwide. Timely diagnosis and therapy of this cancer therefore has important socio-economic implications.Radiological imaging plays a major role in the planning of subsequent therapy. Modern tomographic imaging is used not only for initial diagnosis, but also for staging.The individual role of different imaging techniques in diagnosis of rectal cancer will be explained in detail, and their function in general. Furthermore, we will present relevant radiological research related.The increasing role of MRI-based local staging will be presented in detail in this review. Defined diagnostic criteria, based on common recommendations, will be explained. We will show how MRI-based local staging can support the initial diagnosis and follow-up examinations in collaboration with other medical specialties in therapeutic planning. In particular, we describe how MRI is capable of substantially influencing the determination of surgical procedures in rectal cancer.","PeriodicalId":23956,"journal":{"name":"Zentralblatt fur Chirurgie","volume":"149 1","pages":"37-45"},"PeriodicalIF":0.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Correction: Status Quo of Surgical Navigation]. [更正：手术导航的现状]。

IF 0.5 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2023-12-14 DOI: 10.1055/a-2227-0305

Philipp Anthony Wise, Alexander Studier-Fischer, Thilo Hackert, Felix Nickel

引用次数: 0