Chirurgie (Heidelberg, Germany)最新文献

[Robotic-assisted rectal resection in rectal cancer: current evidence : A narrative review]. [机器人辅助直肠癌直肠切除术：当前证据：叙述性回顾]。

Chirurgie (Heidelberg, Germany) Pub Date : 2026-05-07 DOI: 10.1007/s00104-026-02508-y

Hannes Philipp Neeff

引用次数: 0

[Technological advances in amputation medicine]. [截肢医学的技术进步]。

Chirurgie (Heidelberg, Germany) Pub Date : 2026-05-06 DOI: 10.1007/s00104-026-02496-z

Marcus Örgel, Christian Krettek, Harun Hawi, Horst-Heinrich Aschoff, Christine Radtke, Emmanouil Liodakis

{"title":"[Technological advances in amputation medicine].","authors":"Marcus Örgel, Christian Krettek, Harun Hawi, Horst-Heinrich Aschoff, Christine Radtke, Emmanouil Liodakis","doi":"10.1007/s00104-026-02496-z","DOIUrl":"https://doi.org/10.1007/s00104-026-02496-z","url":null,"abstract":"Amputation medicine has evolved into a specialized, technology-driven discipline. With increasing global amputation rates, advanced surgical techniques, innovative prosthetic solutions and digital rehabilitation are gaining importance. Transcutaneous osseointegrated prosthetic systems (TOPS) can improve mobility, proprioception and quality of life but carry risks such as stomal infections or periprosthetic fractures. Neuroreconstructive procedures including targeted muscle reinnervation (TMR), targeted sensory reinnervation (TSR), regenerative peripheral nerve interface (RPNI), agonist-antagonist myoneural interface (AMI) and nerve caps enable intuitive prosthesis control and reduce neuroma and phantom pain. Preoperative diagnostics and careful patient selection are essential. Guidelines emphasize structured rehabilitation and interdisciplinary follow-up. Virtual reality (VR) and extended reality (XR) procedures extend the treatment spectrum and support motor function and phantom pain reduction. Overall, this results in an integrated treatment concept with clear functional and psychosocial advantages.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846847","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}

引用次数: 0

[Outpatient surgery-Patient selection and perioperative safety]. 【门诊手术-患者选择及围手术期安全】。

Chirurgie (Heidelberg, Germany) Pub Date : 2026-05-06 DOI: 10.1007/s00104-026-02501-5

Christian Deindl

引用次数: 0

OMW: Reduce, refuse, recycle, reuse – Wie werden wir nachhaltiger in der Chirurgie? 减少、拒绝、回收、重用——我们如何在手术中变得更可持续？

Chirurgie (Heidelberg, Germany) Pub Date : 2026-05-04 DOI: 10.1007/s00104-026-02504-2

Annette Eidmann, Maximilian Rudert, Lea Usov

引用次数: 0

[Safety culture as a core element of surgical patient safety]. 【安全文化作为手术患者安全的核心要素】。

Chirurgie (Heidelberg, Germany) Pub Date : 2026-05-04 DOI: 10.1007/s00104-026-02500-6

Ruth Hecker, Kira Tosberg

{"title":"[Safety culture as a core element of surgical patient safety].","authors":"Ruth Hecker, Kira Tosberg","doi":"10.1007/s00104-026-02500-6","DOIUrl":"https://doi.org/10.1007/s00104-026-02500-6","url":null,"abstract":"Safety culture is considered a key factor for sustainable patient safety. It encompasses the shared values, attitudes and behaviors of an organization in dealing with risks, errors and responsibility. In highly complex clinical systems adverse events rarely result from individual failure alone but typically arise from the interaction of structural, organizational and communicative factors. An effective safety culture therefore relies on systemic thinking, transparent communication, a nonpunitive approach to errors, the active promotion of speak-up behavior and psychological safety. The discrepancy between formal procedures (work as imagined) and everyday practice (work as done) highlights that safety can only be achieved when standards are designed to reflect real-world conditions and are regularly reviewed. Tools such as checklists are effective only within an environment characterized by psychological safety. Staff surveys, feedback systems, interprofessional training and committed leadership are key levers for continuously measuring, developing and sustainably embedding safety culture. Safety culture is not a one-time initiative but an ongoing organizational development process.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824239","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}

引用次数: 0

[Patient safety in the operating room]. [手术室的病人安全]。

Chirurgie (Heidelberg, Germany) Pub Date : 2026-05-04 DOI: 10.1007/s00104-026-02506-0

András K Szabó, Sven Flemming

引用次数: 0

OMW: Rektumkarzinom.

Chirurgie (Heidelberg, Germany) Pub Date : 2026-05-04 DOI: 10.1007/s00104-026-02505-1

Joachim Reibetanz, Matthias Kelm

引用次数: 0

[Unilateral resection in sporadic clinically node-negative (cN0) medullary thyroid gland carcinoma is sufficient]. [单侧切除散发性临床淋巴结阴性（cN0）甲状腺髓样癌是足够的]。

Chirurgie (Heidelberg, Germany) Pub Date : 2026-05-01 Epub Date: 2026-03-04 DOI: 10.1007/s00104-026-02483-4

Natia Kvirkvelia, Detlef K Bartsch

引用次数: 0

[Influencing factors and results of conversions in minimally invasive liver surgery : A single-center analysis of over 1200 consecutive cases]. [微创肝脏手术中转归的影响因素及结果：1200多例连续病例的单中心分析]。

Chirurgie (Heidelberg, Germany) Pub Date : 2026-05-01 Epub Date: 2025-09-11 DOI: 10.1007/s00104-025-02374-0

Nils Haep, Lucas Illies, Yun Jung Choi, Sebastian Knitter, Philipp Haber, Felix Krenzien, Nathanael Raschzok, Johann Pratschke, Wenzel Schöning

{"title":"[Influencing factors and results of conversions in minimally invasive liver surgery : A single-center analysis of over 1200 consecutive cases].","authors":"Nils Haep, Lucas Illies, Yun Jung Choi, Sebastian Knitter, Philipp Haber, Felix Krenzien, Nathanael Raschzok, Johann Pratschke, Wenzel Schöning","doi":"10.1007/s00104-025-02374-0","DOIUrl":"10.1007/s00104-025-02374-0","url":null,"abstract":"Background: Minimally invasive liver surgery is associated with lower complication rates compared to open liver surgery. Due to the growing acceptance and increasing experience with minimally invasive liver resections, open conversions have become rare but are associated with inferior postoperative outcomes.Objectives: We aimed to investigate the risk factors for conversion and outcomes in patients undergoing minimally invasive liver resections.Material and methods: We performed a post hoc analysis of 1209 consecutive minimally invasive liver resections at our center between 2015 and 2024. The factors and perioperative outcomes of conversion to open procedures were analyzed.Results: The conversion rate was 4.1% and left hemihepatectomy was associated with an increased conversion rate. The Harmonic Ace® and Waterjet® parenchyma dissectors were associated with lower conversion rates. The most common reasons for conversion were technical and adhesions. Major complications (Clavien Dindo ≥ III) within the first 90 days occurred in 18.3% of cases and conversions were associated with an increased complication rate.Conclusion: In conclusion, this study highlights the influencing factors which correlate to open conversion in minimally invasive liver resections. Open conversion was an independent predictor of an increased complication rate.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"397-404"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13106248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066655","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}

引用次数: 0

[Current diagnostics and treatment of adrenal tumors]. [当前肾上腺肿瘤的诊断和治疗]。

Chirurgie (Heidelberg, Germany) Pub Date : 2026-05-01 Epub Date: 2026-04-23 DOI: 10.1007/s00104-026-02475-4

Detlef K Bartsch

引用次数: 0