4区医学

Chirurg Pub Date : 2022-03-01 Epub Date: 2021-08-10 DOI: 10.1007/s00104-021-01468-9

Maik Sahm, Constanze Schneider, Stephan Gretschel, Rainer Kube, Andreas Becker, Marlis Günther, Andreas Loew, Kristoph Jahnke, Rene Mantke

引用次数: 0

[Fridays for future! - All days for surgery! : Thoughts of young surgeons on a modern promotion of the next generation]. 星期五以后！-整天都在做手术！【青年外科医生对下一代现代提升的思考】。

4区医学

Chirurg Pub Date : 2022-03-01 Epub Date: 2022-02-07 DOI: 10.1007/s00104-022-01577-z

Tobias Huber, Florentine Hüttl, Benedikt Braun, Beate Blank, Stefanie Schierholz, Tobias Fritz, Juliane Kroeplin

引用次数: 0

[Ethical, legal and social implications in the use of artificial intelligence-based technologies in surgery : Principles, implementation and importance for the user]. [在外科手术中使用基于人工智能的技术的伦理、法律和社会影响：原则、实施和对用户的重要性]。

4区医学

Chirurg Pub Date : 2022-03-01 Epub Date: 2022-02-11 DOI: 10.1007/s00104-022-01574-2

Dirk Wilhelm, Regine Hartwig, Stuart McLennan, Sven Arnold, Philip Mildner, Hubertus Feußner, Thomas Neumuth, Richard Bieck

{"title":"[Ethical, legal and social implications in the use of artificial intelligence-based technologies in surgery : Principles, implementation and importance for the user].","authors":"Dirk Wilhelm, Regine Hartwig, Stuart McLennan, Sven Arnold, Philip Mildner, Hubertus Feußner, Thomas Neumuth, Richard Bieck","doi":"10.1007/s00104-022-01574-2","DOIUrl":"10.1007/s00104-022-01574-2","url":null,"abstract":"Ethical, legal and social aspects are gaining increasingly more attention in the development and during the initial clinical application of medical devices. The introduction of elements of artificial intelligence (AI) and systems which are using AI makes this already complex topic even more challenging. The introduction of so-called dynamic AI or dynamic machine learning (ML) algorithms in this respect represents a turning point. Unlike conventional medical devices, the development of systems using dynamic AI is not yet complete at the beginning of the clinical application. The aim of a dynamic AI system is to continuously improve through practical use and by the processing of usage data. This continuous evolution, along with the lack of transparency regarding internal work processes, could make it difficult to understand the underlying rationale for the assessments made by the algorithms. This aspect affects the acceptance of the technology both by clinicians and patients and furthermore questions the autonomy of patients and clinicians in the course of the treatment process. A way out of this ethical and regulatory dilemma must urgently be found and will require extreme efforts from all stakeholders. At present, no consensual solution is apparent. What is quite certain, however, is that users, i.e. in concrete terms surgeons, must play a much more active role than they have done in the past when dealing with AI-based medical devices and should prepare themselves to actively accompany the software life cycle of AI technologies.","PeriodicalId":50700,"journal":{"name":"Chirurg","volume":"93 3","pages":"223-233"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39909557","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

[Obituary on Prof. Dr. Volker Schumpelick : 1944-2022]. [Volker Schumpelick教授的讣告:1944-2022]。

4区医学

Chirurg Pub Date : 2022-03-01 Epub Date: 2022-02-23 DOI: 10.1007/s00104-022-01609-8

J R Siewert

引用次数: 0

[Palliative endoscopy]. (姑息内镜)。

4区医学

Chirurg Pub Date : 2022-03-01 Epub Date: 2021-06-17 DOI: 10.1007/s00104-021-01426-5

Benno Arnstadt, Hans-Dieter Allescher

引用次数: 0

Erratum zu: Intraoperative Faszientraktion (IFT) zur Behandlung großer ventraler Hernien. 可以用于多发性脑室综合症(IFT)。

4区医学

Chirurg Pub Date : 2022-03-01 DOI: 10.1007/s00104-022-01607-w

Henning Niebuhr, Zaid Omar Malaibari, Ferdinand Köckerling, Wolfgang Reinpold, Halil Dag, Dietmar Eucker, Thomas Aufenberg, Panagiotis Fikatas, René H Fortelny, Jan Kukleta, Hansjörg Meier, Christian Flamm, Guido Baschleben, Marius Helmedag

引用次数: 0

[Caustic ingestion of the upper gastrointestinal tract]. [上胃肠道的腐蚀性摄入]。

4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2022-01-20 DOI: 10.1007/s00104-022-01580-4

W Schröder, S Brunner, C J Bruns

引用次数: 0

[Complete response after neoadjuvant therapy of rectal cancer: implications for surgery]. [直肠癌新辅助治疗后的完全缓解：对手术的影响]。

4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2021-12-08 DOI: 10.1007/s00104-021-01540-4

Carolin Kastner, Bernhard Petritsch, Joachim Reibetanz, Christoph-Thomas Germer, Armin Wiegering

{"title":"[Complete response after neoadjuvant therapy of rectal cancer: implications for surgery].","authors":"Carolin Kastner, Bernhard Petritsch, Joachim Reibetanz, Christoph-Thomas Germer, Armin Wiegering","doi":"10.1007/s00104-021-01540-4","DOIUrl":"10.1007/s00104-021-01540-4","url":null,"abstract":"For (locally advanced) rectal cancer, a multimodal therapy concept comprising neoadjuvant radiotherapy/chemoradiotherapy, radical surgical resection with partial/complete mesorectal excision and subsequent adjuvant chemotherapy represents the current international standard of care. Further developments in neoadjuvant therapy concepts, such as the principle of total neoadjuvant therapy, lead to an increasing number of patients who show a complete clinical response in restaging after neoadjuvant therapy without clinically detectable residual tumor. In view of the risk associated with radical surgical resection in terms of perioperative morbidity and a potentially non-continence-preserving procedure, the question of the oncological justifiability of an organ-preserving procedure in the case of a complete clinical response under neoadjuvant therapy is increasingly being raised. The therapeutic principle of watch and wait, defined by refraining from immediate radical surgical resection and inclusion in a close-meshed, structured follow-up program, currently appears to be oncologically justifiable based on the current study situation; however, for the initial evaluation of the extent of the clinical response and for the structuring of the close-meshed follow-up program, further optimization and standardization based on broadly designed studies appear necessary in order to be able to provide this concept to a clearly defined patient collective as an oncologically equivalent therapy principle also outside specialized centers.","PeriodicalId":50700,"journal":{"name":"Chirurg","volume":"93 2","pages":"144-151"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39579675","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

[Radical resection versus organ preservation by short-course radiotherapy followed by transanal tumor resection for early stage rectal cancer-Results of the randomized TREC study]. [早期直肠癌根治性切除与短期放疗保器官后经肛门肿瘤切除术的对比研究]。

4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2022-01-18 DOI: 10.1007/s00104-022-01578-y

C T Germer

引用次数: 0

[What (general/abdominal) surgeons should know about occupational medicine? : General vaccine recommendations and postexposure prophylaxis of hepatitis B, C and HIV]. 关于职业医学，(普通外科医生/腹部外科医生)应该知道些什么?:乙肝、丙肝和艾滋病毒的一般疫苗建议和接触后预防]。

4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2021-09-15 DOI: 10.1007/s00104-021-01502-w

Beatrice Thielmann, Frank Meyer, Irina Böckelmann

{"title":"[What (general/abdominal) surgeons should know about occupational medicine? : General vaccine recommendations and postexposure prophylaxis of hepatitis B, C and HIV].","authors":"Beatrice Thielmann, Frank Meyer, Irina Böckelmann","doi":"10.1007/s00104-021-01502-w","DOIUrl":"https://doi.org/10.1007/s00104-021-01502-w","url":null,"abstract":"This article deals with the general recommendations on vaccination and postexposure prophylaxis, which can be utilized for cuts and needlestick injuries. Cuts and needlestick injuries among surgeons are common occupational accidents. These should be interpreted as acute or emergency situations, especially if there was contact with infectious index patients or the danger of infection cannot be excluded. This results in high economic costs but also in the individual confrontation with an infectious disease that is definitely incurable. The aim of this review is to highlight the general and occupational vaccine recommendations for surgeons. In addition, background information and legal principles are presented. There is a duty to provide and to obtain information about effective protective measures against infectious diseases from cuts and needlestick injuries even for surgeons. In addition, primary prophylaxis, vaccination recommendations, and postexposure prophylaxis after cuts and needlestick injuries as well as the TOP principle are presented. The TOP principle comprises technical, organizational and person-related protective measures.","PeriodicalId":50700,"journal":{"name":"Chirurg","volume":"93 2","pages":"158-164"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8442515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39418978","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

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