Hruy Menghesha, F. Dörr, M. Heldwein, G. Schlachtenberger, T. Wahlers, Khosro Hekmat
{"title":"Abstracts DGT","authors":"Hruy Menghesha, F. Dörr, M. Heldwein, G. Schlachtenberger, T. Wahlers, Khosro Hekmat","doi":"10.1515/iss-2022-2007","DOIUrl":"https://doi.org/10.1515/iss-2022-2007","url":null,"abstract":"Non-Small Cell Lung Cancer is still one of the leading causes for death worldwide. Therapy-determining staging systems underly necessarily continuous reevaluation. In particular, tumor size, lymph node involvement, and distant metastasis are paramount in defining therapy. Recent studies have shown that Haemangiosis Carcinomatosa (V1) impacts the long-term survival of patients with Non-Small Cell Lung Cancer (NSCLC). The aim of the present study was to emphasize blood-vessel invasion (BVI) as an independent risk factor. We analyzed the effect of V1 on survival in UICC stage I, II and III postoperative NSCLC-patients","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"1 1","pages":"288 - 296"},"PeriodicalIF":1.3,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88308135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maximilian Kückelhaus, Matthias Aitzetmueller, Alexander Dermietzel, Marie-Luise Klietz, Charalampos Varnava, Philipp Wiebringhaus, Tobias Hirsch, Oliver Scheufler, Julian Ramin Andresen, Reimer Andresen, Vlad Stefan, Florian Bönke, Feras Taqatqeh, Adrian Dragu, Olimpiu Bota, Verena Kassiopeia Horner, Nicolas Eckert, Julia Beatrice Limmer, Sheena Kreuzaler, Eva Smudde, Johannes Zeller, Jurij Kiefer, S. U. Eisenhardt
{"title":"Abstracts DGPRÄC","authors":"Maximilian Kückelhaus, Matthias Aitzetmueller, Alexander Dermietzel, Marie-Luise Klietz, Charalampos Varnava, Philipp Wiebringhaus, Tobias Hirsch, Oliver Scheufler, Julian Ramin Andresen, Reimer Andresen, Vlad Stefan, Florian Bönke, Feras Taqatqeh, Adrian Dragu, Olimpiu Bota, Verena Kassiopeia Horner, Nicolas Eckert, Julia Beatrice Limmer, Sheena Kreuzaler, Eva Smudde, Johannes Zeller, Jurij Kiefer, S. U. Eisenhardt","doi":"10.1515/iss-2022-2006","DOIUrl":"https://doi.org/10.1515/iss-2022-2006","url":null,"abstract":",","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"306 1","pages":"270 - 287"},"PeriodicalIF":1.3,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77122463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Image-guided surgery and novel intraoperative devices for enhanced visualisation in general and paediatric surgery: a review.","authors":"Laura Privitera, Irene Paraboschi, Divyansh Dixit, Owen J Arthurs, Stefano Giuliani","doi":"10.1515/iss-2021-0028","DOIUrl":"10.1515/iss-2021-0028","url":null,"abstract":"<p><p>Fluorescence guided surgery, augmented reality, and intra-operative imaging devices are rapidly pervading the field of surgical interventions, equipping the surgeon with powerful tools capable of enhancing the surgical visualisation of anatomical normal and pathological structures. There is a wide range of possibilities in the adult population to use these novel technologies and devices in the guidance for surgical procedures and minimally invasive surgeries. Their applications and their use have also been increasingly growing in the field of paediatric surgery, where the detailed visualisation of small anatomical structures could reduce procedure time, minimising surgical complications and ultimately improve the outcome of surgery. This review aims to illustrate the mechanisms underlying these innovations and their main applications in the clinical setting.</p>","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"6 4","pages":"161-172"},"PeriodicalIF":1.7,"publicationDate":"2022-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9294338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10717552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marie Uecker, Benno Ure, Julia Hannah Quitmann, Jens Dingemann
{"title":"Need for transition medicine in pediatric surgery - health related quality of life in adolescents and young adults with congenital malformations.","authors":"Marie Uecker, Benno Ure, Julia Hannah Quitmann, Jens Dingemann","doi":"10.1515/iss-2021-0019","DOIUrl":"https://doi.org/10.1515/iss-2021-0019","url":null,"abstract":"<p><p>Survival rates of patients with visceral congenital malformations have increased considerably. However, long-term morbidity in these patients is high. In the last decades, these circumstances have led to a shift in goals of caretakers and researchers with a new focus on patients' perspectives and long-term morbidity. Health-related quality of life (HrQoL) is the most commonly used patient-reported outcome measure to assess the impact of chronic symptoms on patients' everyday lives. Most pediatric surgical conditions can cause a significantly decreased HrQoL in affected patients compared to the healthy population. In order to guarantee life-long care and to minimize the impact on HrQoL a regular interdisciplinary follow-up is obligatory. The period of transition from child-centered to adult-oriented medicine represents a critical phase in the long-term care of these complex patients. This scoping review aims to summarize relevant pediatric surgical conditions focusing on long-term-morbidity and HrQoL assessment in order to demonstrate the necessity for a well-structured and standardized transition for pediatric surgical patients.</p>","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":" ","pages":"151-160"},"PeriodicalIF":1.3,"publicationDate":"2022-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9294337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40593034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Uporov, S. Taber, Lope Estévez Schwarz, J. Groene, L. Pilz, Gregor Foerster, R. Bittner, J. Pfannschmidt
{"title":"Implication of FDG-PET/CT in patients with potentially operable colorectal lung metastases","authors":"A. Uporov, S. Taber, Lope Estévez Schwarz, J. Groene, L. Pilz, Gregor Foerster, R. Bittner, J. Pfannschmidt","doi":"10.1515/iss-2021-0029","DOIUrl":"https://doi.org/10.1515/iss-2021-0029","url":null,"abstract":"Abstract Objectives This prospective study assessed the role of F-18-FDG-PET/CT in clinical staging for patients with colorectal cancer planned for pulmonary metastasectomy by thoracotomy or video-assisted surgery. Patients and methods In addition to conventional imaging, we performed 86 F-18-FDG-PET/CT studies in 76 patients with potentially resectable metastatic colorectal lung metastases. We then investigated the effect that PET/CT had on further clinical management. Based on the results from the 47 thoracotomies performed, we compared the number of pulmonary metastases discovered after histologic examination with the number predicted by the conventional computed tomography (CT) as an independent part of the F-18-FDG-PET/CT examination and by the F-18-FDG-PET component. Results F-18-FDG-PET/CT led to changes in treatment regime and diagnostic planning in many patients. In five patients PET/CT revealed previously undetected local recurrence of the primary colorectal cancer, in four patients hepatic metastases, in three patients bone metastases, in two patients soft-tissue metastases, and in three patients histologically preoperatively proven N2 or N3 station lymph node involvement. These all constituted exclusion criteria, and consequently the previously planned pulmonary metastasectomy was not performed. The sensitivity and positive predictive value (PPV) for detection of pulmonary metastases were 84.2% and 36.4% for CT and 75.0% and 61.6% for F-18-FDG-PET study. The calculated sensitivity, specificity, PPV, and NPV of F-18-FDG-PET/CT for detecting thoracic lymph node involvement were 85.7%, 93.0%, 66.7%, and 97.5%, respectively. Furthermore, we found that F-18-FDG-PET/CT may predict thoracic lymph node involvement based on the SUV of pulmonary nodules. Conclusions F-18-FDG-PET/CT has a clear role in the diagnostic workup for pulmonary metastatic colorectal cancer and may save patients from futile surgery. It cannot, however, be relied on to detect all possible pulmonary and nodal metastases, which surgeons must always consider when making treatment decisions.","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"os-2 1","pages":"89 - 95"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87183297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}