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

{"title":"[Reality of care of colorectal cancer in the State of Brandenburg : With special consideration of the number of hospital cases and certification as a colorectal cancer center].","authors":"Maik Sahm, Constanze Schneider, Stephan Gretschel, Rainer Kube, Andreas Becker, Marlis Günther, Andreas Loew, Kristoph Jahnke, Rene Mantke","doi":"10.1007/s00104-021-01468-9","DOIUrl":"https://doi.org/10.1007/s00104-021-01468-9","url":null,"abstract":"Analysis of the quality of care for colorectal cancer is an essential foundation for further development and is based on the comparison of the goals set and the actual quality of care. This publication presents the reality of care in the State of Brandenburg covering the complete spectrum of treating clinics based on the data of the clinical cancer register. This study analyzed the number of resected and examined lymph nodes, the quality of total mesorectal excision (TME), the residual tumor (R0) resection rate and the proportion of adjuvant therapy of colon cancer in Union internationale contre le cancer (UICC) stage III depending on the operation quota of hospitals and the certification as bowel cancer center according to Onkozert. Apart from the R status, the analyses showed no differences in the qualitative operation data from the clinical cancer register depending on the hospital volume.","PeriodicalId":50700,"journal":{"name":"Chirurg","volume":"93 3","pages":"274-285"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00104-021-01468-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39297453","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

[Living guideline on ulcerative colitis]. 【溃疡性结肠炎生活指南】。

4区医学

Chirurg Pub Date : 2022-03-01 Epub Date: 2022-02-15 DOI: 10.1007/s00104-022-01594-y

Torsten Kucharzik

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: 2

[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":"https://doi.org/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: 1

[Rare differential diagnosis of an acute abdomen]. 急腹症的罕见鉴别诊断。

4区医学

Chirurg Pub Date : 2022-02-01 Epub Date: 2021-07-23 DOI: 10.1007/s00104-021-01467-w

M Vogtt

引用次数: 0

[Complete response after neoadjuvant therapy for esophageal cancer : Implications for surgery]. 食管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: 2021-10-01 DOI: 10.1007/s00104-021-01509-3

Julian Hipp, Michael Thomaschewski, Richard Hummel, Jens Hoeppner

{"title":"[Complete response after neoadjuvant therapy for esophageal cancer : Implications for surgery].","authors":"Julian Hipp, Michael Thomaschewski, Richard Hummel, Jens Hoeppner","doi":"10.1007/s00104-021-01509-3","DOIUrl":"https://doi.org/10.1007/s00104-021-01509-3","url":null,"abstract":"A relevant number of patients with locally advanced esophageal squamous cell carcinoma and adenocarcinoma show a locoregional complete response of the tumor in the resected material after neoadjuvant therapy with modern chemotherapy and chemoradiation protocols. Due to a high rate of perioperative morbidity and decreased long-term quality of life following esophagectomy, the current treatment algorithm with neoadjuvant therapy and post-neoadjuvant esophagectomy on principle is critically questioned. An individualized treatment algorithm with extended clinical evaluation of post-neoadjuvant remission status and esophagectomy as needed is discussed. Patients with complete remission after neoadjuvant therapy are identified in an extended restaging protocol. Cases of clinical complete remission are treated with an active surveillance concept with esophagectomy as needed, i.e. surgery only when a local tumor recurrence is detected. Retrospective cohort studies have suggested that the active surveillance concept with esophagectomy as needed does not lead to a deterioration of overall survival rates in the patient collective. European prospective randomized, controlled, noninferiority studies with an oncological endpoint are currently evaluating the possibilities of organ-preserving concepts for clinical complete remission of esophageal cancer.","PeriodicalId":50700,"journal":{"name":"Chirurg","volume":"93 2","pages":"132-137"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39477298","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

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