Zentralblatt fur Chirurgie最新文献_第3页

Adipositastherapie im Wandel: Chirurgie und Medikamente – Ergänzung statt Konkurrenz. 癌症治疗：补充而不是竞争。

IF 0.8 4区医学

Zentralblatt fur Chirurgie Pub Date : 2026-08-01 Epub Date: 2026-03-30 DOI: 10.1055/a-2723-0522

Goran Marjanovic, Gabriel Seifert

引用次数: 0

[Postoperative Pain Syndromes After Thoracoscopy and Thoracotomy - Prevention and Management]. 胸腔镜和开胸术后疼痛综合征的预防和处理。

IF 0.8 4区医学

Zentralblatt fur Chirurgie Pub Date : 2026-08-01 Epub Date: 2026-04-01 DOI: 10.1055/a-2816-4930

Lisa-Lisett Schwarze, Robert Werdehausen, Bastian Fakundiny, Max Wacker

{"title":"[Postoperative Pain Syndromes After Thoracoscopy and Thoracotomy - Prevention and Management].","authors":"Lisa-Lisett Schwarze, Robert Werdehausen, Bastian Fakundiny, Max Wacker","doi":"10.1055/a-2816-4930","DOIUrl":"10.1055/a-2816-4930","url":null,"abstract":"Background: Despite minimally invasive techniques, chronic pain after thoracic surgery - often referred to as post-thoracoscopy/post-thoracotomy pain syndrome (PTPS) - remains an important clinical challenge.Methods: This narrative review summarises current evidence on the epidemiology, pathophysiology, prevention and treatment of chronic postoperative pain (CPSP) following thoracic surgical procedures. The focus is placed on analgesic strategies in the context of early mobilisation and fast-track concepts.Results: Acute postoperative pain is the most important predictor of pain chronification. Multimodal analgesia with paracetamol, NSAIDs/COX-2 inhibitors and opioid-sparing adjuncts form the basis of therapy. In thoracotomy, thoracic epidural analgesia (TEA) and paravertebral blockade provide the most reliable results. In thoracoscopy, single-shot techniques combined with multimodal analgesia are often sufficient, while catheter-based techniques offer advantages in high-risk patients or more extensive procedures. Alternative approaches, such as surgically placed intercostal catheters, may be pragmatic adjuncts.Conclusion: Prevention of chronic pain after thoracic surgery is primarily achieved through adequate acute pain management. Continuous regional techniques are crucial for early mobilisation and fast-track protocols, while established PTPS/CPSP requires a multimodal and interdisciplinary treatment.","PeriodicalId":23956,"journal":{"name":"Zentralblatt fur Chirurgie","volume":" ","pages":"S60-S68"},"PeriodicalIF":0.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594961","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

Perioperative Medizin in der Thoraxchirurgie – weniger invasiv, aber nicht weniger anspruchsvoll. 胸外科围手术期医学-侵入性更小，但要求同样高。

IF 0.8 4区医学

Zentralblatt fur Chirurgie Pub Date : 2026-08-01 Epub Date: 2026-08-21 DOI: 10.1055/a-2916-0785

Robert Werdehausen, Stefan Fischer

引用次数: 0

Übersicht zur Rechtsprechung in der Hygiene. 卫生领域的判例法。

IF 0.8 4区医学

Zentralblatt fur Chirurgie Pub Date : 2026-08-01 Epub Date: 2026-08-19 DOI: 10.1055/a-2897-2312

Christoph Heppekausen, Philipp Pürner

引用次数: 0

Mitteilungen der DGT im Zentralblatt für Chirurgie. 外科杂志上的DGT公告。

IF 0.8 4区医学

Zentralblatt fur Chirurgie Pub Date : 2026-08-01 Epub Date: 2026-08-21 DOI: 10.1055/a-2908-6707

引用次数: 0

[Non-intubated VATS from the Perspective of Anesthesiology Perspective - Methods, Advantages, Risks]. 【麻醉学视角下的非插管VATS——方法、优势、风险】。

IF 0.8 4区医学

Zentralblatt fur Chirurgie Pub Date : 2026-08-01 Epub Date: 2026-07-06 DOI: 10.1055/a-2892-0008

Uta-Carolin Pietsch, Isabella Metelmann, Tobias Piegeler, Sebastian Krämer, Maren Keller

引用次数: 0

[Value of Clinical Video Registries for Research and Teaching in Minimally Invasive and Robotic Surgery]. [临床视频注册在微创和机器人外科研究和教学中的价值]。

IF 0.8 4区医学

Zentralblatt fur Chirurgie Pub Date : 2026-08-01 Epub Date: 2026-08-19 DOI: 10.1055/a-2898-1512

Philipp Feodorovici, Lena Krings, Joachim Schmidt, Jörg C Kalff, Jan Arensmeyer, Hanno Matthaei

{"title":"[Value of Clinical Video Registries for Research and Teaching in Minimally Invasive and Robotic Surgery].","authors":"Philipp Feodorovici, Lena Krings, Joachim Schmidt, Jörg C Kalff, Jan Arensmeyer, Hanno Matthaei","doi":"10.1055/a-2898-1512","DOIUrl":"https://doi.org/10.1055/a-2898-1512","url":null,"abstract":"Abstract: The systematic recording and use of surgical videos is becoming increasingly important in international surgery. A clinical video registry - a structured collection of surgical videos linked with clinical data - provides valuable opportunities for research, education, and quality assurance. This review summarises the current international state of surgical video utilisation, discusses opportunities and limitations for generating new scientific insights, quality assessment through video documentation, and surgical training, and addresses technical, legal, and ethical challenges. It also outlines future perspectives, particularly the use of artificial intelligence for automated video analysis. As a specific example, the StuDoQ Video Registry of the German Society for General and Visceral Surgery is presented, which currently serves as a pilot project to evaluate the feasibility and added value of such a registry within the German healthcare system. Current evidence suggests that video registries can substantially improve surgical quality, training, and patient safety, provided that technical and legal requirements are met. In the future, integration into existing registries and the application of AI-based analysis may open new avenues for research and process optimisation. Unlike previous reviews, this work not only provides an overview of international developments, but also presents the StuDoQ Video Registry as a pioneering German pilot project.","PeriodicalId":23956,"journal":{"name":"Zentralblatt fur Chirurgie","volume":"151 4","pages":"364-371"},"PeriodicalIF":0.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798657","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

[Ergonomics in Robotic Surgery - A Practical Guide]. [机器人手术中的人体工程学-实用指南]。

IF 0.8 4区医学

Zentralblatt fur Chirurgie Pub Date : 2026-08-01 Epub Date: 2026-01-23 DOI: 10.1055/a-2768-9435

Dolores Krauss, David Sharif, Christiane Bruns, Hans Friedrich Fuchs

{"title":"[Ergonomics in Robotic Surgery - A Practical Guide].","authors":"Dolores Krauss, David Sharif, Christiane Bruns, Hans Friedrich Fuchs","doi":"10.1055/a-2768-9435","DOIUrl":"10.1055/a-2768-9435","url":null,"abstract":"Abstract: Ergonomics remain an underestimated challenge in medicine, particularly in robotic surgery. Despite technical advances, surgeons often suffer from musculoskeletal disorders often involving the neck, back, and wrist. Previous studies have shown that a lack of knowledge and awareness of ergonomic recommendations for the use of the console, unnatural or poor physiological postures, and a lack of training are common causes of poor posture and associated complaints. A physiological posture is the basis for a healthy workspace, both when standing and sitting. Of particular relevance are a neutral head, pelvis, and spine position, as well as core stability and regular training of the critical muscles for a stable posture.A comparison of different robotic systems revealed significant differences in console design and associated ergonomic challenges. Systems with adjustable headpieces, for example, improve neck posture, while open consoles facilitate communication in the operating room.In addition, the role of the bedside assistant is critical from an ergonomic perspective. The discrepancy between the motor and visual axes quickly leads to discomfort in the neck, shoulder, and arm areas. Structured training curricula and ergonomic guidelines are lacking in everyday surgical practice.To prevent musculoskeletal pain and potential disorders, targeted stretching and mobilization exercises can be performed during so-called micro breaks, which have been proven to reduce pain and improve concentration and performance. Correct adjustment of the console can also significantly improve the ergonomics in the robotic operating theatre.","PeriodicalId":23956,"journal":{"name":"Zentralblatt fur Chirurgie","volume":" ","pages":"372-378"},"PeriodicalIF":0.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041885","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

Digitale Chirurgie. 数字外科。

IF 0.8 4区医学

Zentralblatt fur Chirurgie Pub Date : 2026-08-01 Epub Date: 2026-08-19 DOI: 10.1055/a-2722-2385

Jörg C Kalff

引用次数: 0

[Robotic Assisted Repair of a Tracheobronchial Injury During Oesophagectomy]. [食管切除术中气管支气管损伤的机器人辅助修复]。

IF 0.8 4区医学

Zentralblatt fur Chirurgie Pub Date : 2026-08-01 Epub Date: 2026-03-09 DOI: 10.1055/a-2794-1516

Julia Umstadt, Jan Niklas Hochstein, Jan Hendrik Egberts

{"title":"[Robotic Assisted Repair of a Tracheobronchial Injury During Oesophagectomy].","authors":"Julia Umstadt, Jan Niklas Hochstein, Jan Hendrik Egberts","doi":"10.1055/a-2794-1516","DOIUrl":"10.1055/a-2794-1516","url":null,"abstract":"Aim: This case report shows a robotic assisted resection and repair of the pars mebranacea of the trachea with a bovine patch plastic.Indications: During a robotic assisted McKeown oesophagectomy of a 36-year-old patient with a squamous cell carcinoma after neoadjuvant radiochemotherapy the resection of the pars membranacea was necessary to achieve a R0 resection margin.Methods: The preparation, the resection and the repair were conducted completely with robotic assistance.Conclusion: Because of the close relation between oesophagus and trachea, in large T4-carcinomas partial resection of the trachea is not uncommon. Also, tracheobronchial injuries are a rare but dreaded complication during an oesophagectomy with potentially lethal consequences. Even though numbers of thoracoscopic and robotic assisted oesophagectomies are rising, the repair of a tracheobronchial injury usually makes a conversion to open thoracotomy necessary. This case report shows that a completely robotic assisted resection and reconstruction of the pars membranacea is safe and feasible.","PeriodicalId":23956,"journal":{"name":"Zentralblatt fur Chirurgie","volume":" ","pages":"345-350"},"PeriodicalIF":0.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391393","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