Zentralblatt fur Chirurgie最新文献_第9页

[Technique of Colon Interposition for Oesophageal Replacement for Oesophageal Cancer]. [食道癌食道置换术中的结肠插管技术]。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-04-01 Epub Date: 2024-02-28 DOI: 10.1055/a-2262-8552

Jens Hoeppner

{"title":"[Technique of Colon Interposition for Oesophageal Replacement for Oesophageal Cancer].","authors":"Jens Hoeppner","doi":"10.1055/a-2262-8552","DOIUrl":"10.1055/a-2262-8552","url":null,"abstract":"Nowadays, it is only relatively rare and in selected situations that colonic interposition is chosen rather than the stomach as a reconstructive organ for replacing the oesophagus. The colon is a reliable organ for tubular replacement of the oesophagus when the stomach is not available for reconstruction. Colon interposition is a complex and complicated operation. It requires a specific indication and thorough preoperative preparation. From a technical point of view, colon interposition places high demands on the selection and surgical dissection of the vascular supply to the reconstructed organ. The reconstruction route and elevation of the interposition graft to the proximal oesophagus and the need to create 3 or 4 gastrointestinal anastomoses also place significantly higher demands than reconstruction using a gastric tube. Overall, despite the significant surgery-related morbidity, good functional results and a good quality of life can usually be achieved. The surgical technique applied in our own practice is described in detail. An overview from literature on the results of colonic interposition is given, particularly with regard to surgical complications and quality of life after colon interposition.","PeriodicalId":23956,"journal":{"name":"Zentralblatt fur Chirurgie","volume":" ","pages":"178-186"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991382","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

[How I Teach It: Robotic Surgery in the Upper GI Tract]. [我是怎么教的：上消化道机器人手术]。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-04-01 Epub Date: 2024-02-29 DOI: 10.1055/a-2258-0471

Justus Baecker, Richard Hummel

{"title":"[How I Teach It: Robotic Surgery in the Upper GI Tract].","authors":"Justus Baecker, Richard Hummel","doi":"10.1055/a-2258-0471","DOIUrl":"10.1055/a-2258-0471","url":null,"abstract":"In this manuscript, we present our concept for training in robotic surgery of the upper gastrointestinal tract. The training concept presented here focuses on the two surgical \"user groups\", assistants (table assists) and specialists (surgeons), and presents the core aspects of training for each group separately.For table assistants, we present opportunities for early involvement in robotics and our approach to learning the first steps in preparing for surgery, assisting during surgery, as well as communication as a key factor in robotic surgery and alternative training.For specialists who are to learn how to perform robotic procedures independently, we discuss virtual training using SimNow Trainer and our preferred early clinical application. We will also present assistance options such as the dual console setup and the telestration system. Finally, we present our training concept for developing robotic surgical skills in the upper gastrointestinal tract through a combination of partial steps and increasing difficulty of the procedures. In our view, it is essential to teach the stepstones of robotic surgery and to master them safely. To this end, training must be structured and regular so that more complex sub-steps and procedures can be taken over step by step.","PeriodicalId":23956,"journal":{"name":"Zentralblatt fur Chirurgie","volume":" ","pages":"187-194"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997576","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 Diagnosis and Treatment of Early Mucosal Neoplasms in the Oesophagus]. [食道早期黏膜肿瘤的内窥镜诊断和治疗]。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-04-01 Epub Date: 2024-03-06 DOI: 10.1055/a-2258-0531

Andreas Wannhoff, Karel Caca

引用次数: 0

[Locally Advanced Rectal Cancer: New Neoadjuvant Strategies and Total Neoadjuvant Therapy]. [局部晚期直肠癌：新的新辅助策略和全面新辅助治疗]。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2024-03-05 DOI: 10.1055/a-2241-0761

Ralf-Dieter Hofheinz

引用次数: 0

[Palliative Treatment of Metastatic Rectal Cancer]. [转移性直肠癌的姑息治疗]。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2024-03-05 DOI: 10.1055/a-2241-0128

Thomas Seufferlein, Thomas Jens Ettrich

引用次数: 0

[State of the Art Rectal Surgery]. [直肠外科手术现状]。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2024-03-05 DOI: 10.1055/a-2256-6809

Lena-Christin Conradi, Gwendolyn Haas, Johannes Robert Fleischer, Michael Ghadimi

引用次数: 0

[Statement Paper on the Implementation of a National Organized Program in Germany for the Early Detection of Lung Cancer in Risk Populations Using Low-dose CT Screening Including Management of Screening Findings]. [关于在德国实施一项国家组织计划的声明文件，该计划旨在利用低剂量CT筛查，包括筛查结果的管理，在风险人群中早期检测肺癌癌症]。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2023-10-10 DOI: 10.1055/a-2178-5907

Hans Hoffmann, Rudolf Kaaks, Stefan Andreas, Torsten T Bauer, Jörg Barkhausen, Volker Harth, Hans-Ulrich Kauczor, Wulf Pankow, Katrin Welcker, Jens Vogel-Claussen, Torsten Gerriet Blum

引用次数: 0

[Delphi Expert Consensus of the German Society for Thoracic Surgery on Segmentectomy for Non-small Cell Lung Cancer]. [德国胸外科学会关于非小细胞肺癌分段切除术的德尔菲专家共识]。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2023-07-04 DOI: 10.1055/a-2099-5793

Aris Koryllos, Stefanie Veit, Olaf Schega, Gunda Leschber, Corinna Ludwig

{"title":"[Delphi Expert Consensus of the German Society for Thoracic Surgery on Segmentectomy for Non-small Cell Lung Cancer].","authors":"Aris Koryllos, Stefanie Veit, Olaf Schega, Gunda Leschber, Corinna Ludwig","doi":"10.1055/a-2099-5793","DOIUrl":"10.1055/a-2099-5793","url":null,"abstract":"Background: Findings from two recently published randomised controlled trials have shown favourable oncological results of segmentectomy for early-stage NSCLC < 2 cm. This has generated a growing interest in this procedure, which is however considered technically more challenging than lobectomy. The aim of the working group of the German Society for Thoracic Surgery (DGT) was to address, via an expert consensus project, topics concerning implementation of segmentectomy in lung cancer surgery.Methods: The assigned group of the DGT designed and conducted two electronic rounds of questions in all major thoracic and lung cancer centres in Germany. The steering group predefined a priori the threshold of consensus of 75% or greater. The results were discussed in an expert meeting, leading to a final Delphi poll for selected topics and questions.Results: Thirty-eight questions on segmentectomy for NSCLC were proposed in two rounds and voted on. After the final Delphi process, a consensus was reached for the following topics: non-inferiority of segmentectomy vs. lobectomy for tumours < 2 cm, segmentectomy as an alternative if lobectomy is functionally not feasible, use of intraoperative techniques for identification of intersegmental borders. No consensus could be reached for topics such as frozen section for intraoperative ascertainment of radicality, as also for the indication of a re-do lobectomy in case of an occult N1 lymph node status.Conclusion: Our manuscript depicts the results of a Delphi process in 2020/2021 involving experts of the German Society for Thoracic Surgery on the implementation of segmentectomy in lung cancer patients. In general, a very high rate of consensus was documented for the majority of the topics concerning the indication and execution of lung segmentectomy.","PeriodicalId":23956,"journal":{"name":"Zentralblatt fur Chirurgie","volume":" ","pages":"123-127"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807464","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

[Thoracic Surgery during Pregnancy and Breastfeeding - an Interdisciplinary Consensus Paper]. [妊娠期和哺乳期胸外科手术--跨学科共识文件]。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2023-05-15 DOI: 10.1055/a-2074-7405

Isabella Metelmann, Uta-Carolin Pietsch, Silke Kappelmeyer, Sven Wessela, Maya Niethard, Laura Klotz

{"title":"[Thoracic Surgery during Pregnancy and Breastfeeding - an Interdisciplinary Consensus Paper].","authors":"Isabella Metelmann, Uta-Carolin Pietsch, Silke Kappelmeyer, Sven Wessela, Maya Niethard, Laura Klotz","doi":"10.1055/a-2074-7405","DOIUrl":"10.1055/a-2074-7405","url":null,"abstract":"If thoracic surgery is to remain an attractive career path for young physicians, it is essential to provide opportunities to balance work, residency, and family time. With an increasing proportion of women in thoracic surgery, it has become increasingly important to create a work environment that allows safe employment during pregnancy and breast feeding becomes an important concern.Based on the legal requirements of the German Maternity Protection Act (Mutterschutzgesetz), this interdisciplinary consensus paper was developed by representatives of thoracic surgery, anaesthesiology, and occupational medicine.The vast majority of thoracic operations can be performed by pregnant or breast-feeding surgeons. We established a risk-stratified list of operations with potentially acceptable risk, and a list of operations that pregnant or breast-feeding surgeons should not perform. A checklist aims to aid the individual implementation of thoracic surgery during pregnancy and breast feeding.Thoracic surgery can be performed by pregnant or breast-feeding surgeons when certain protective measures are observed. The prerequisite is the voluntary and independent decision of the surgeon, and the implementation of safety precautions by the employer.","PeriodicalId":23956,"journal":{"name":"Zentralblatt fur Chirurgie","volume":" ","pages":"128-132"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9823898","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

[Modern Perioperative Care Concepts in Thoracic Surgery: Enhanced Recovery After Thoracic Surgery (ERATS)]. [现代胸外科围手术期护理概念：胸外科手术后的强化恢复 (ERATS)]。

IF 0.7 4区医学

Zentralblatt fur Chirurgie Pub Date : 2024-02-01 Epub Date: 2022-06-22 DOI: 10.1055/a-1823-1207

Tomas Piler, Marcus Creutzenberg, Hans-Stefan Hofmann, Michael Ried

{"title":"[Modern Perioperative Care Concepts in Thoracic Surgery: Enhanced Recovery After Thoracic Surgery (ERATS)].","authors":"Tomas Piler, Marcus Creutzenberg, Hans-Stefan Hofmann, Michael Ried","doi":"10.1055/a-1823-1207","DOIUrl":"10.1055/a-1823-1207","url":null,"abstract":"In modern perioperative care concepts, multimodal ERAS (Enhanced Recovery After Surgery) is a multimodal perioperative treatment concept for improving postoperative recovery of surgical patients after an operation. This is managed by the so-called ERAS Society and through which hospitals can also be officially certified. The focus of the ERAS concept is on uniform patient care from admission to discharge, with the aim of improving perioperative processes by implementing evidence-based protocols involving a multidisciplinary treatment team. In 2019, ERAS guidelines were published for the first time by the European Society of Thoracic Surgery (ESTS), in cooperation with the ERAS Society, for specific lung resection procedures, and these identified a total of 45 graduated recommendations or Enhanced Recovery Pathways (ERP). The implementation of ERAS concepts in thoracic surgery (ERATS = Enhanced Recovery After Thoracic Surgery) is intended to establish standardised perioperative procedures based on study results and/or expert recommendations. These recommendations take into account organisational aspects as well as thoracic surgical and anaesthesiological procedures, with the overriding goal of creating a structured treatment plan tailored to the patient. All these measures should result in a multimodal overall concept, which should primarily lead to an improved outcome after elective thoracic surgery and secondarily to shorter hospital stays with correspondingly lower costs.This review article describes basic ERAS principles and provides a compact presentation of the most important European ERAS recommendations from the authors' point of view, together with typical obstacles to the implementation of the corresponding ERATS program in German thoracic surgery.","PeriodicalId":23956,"journal":{"name":"Zentralblatt fur Chirurgie","volume":" ","pages":"116-122"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40194337","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