Chirurgie (Heidelberg, Germany)最新文献

{"title":"[10-year results of the SM-BOSS study on Roux-en-Y gastric bypass vs. sleeve gastrectomy for obesity].","authors":"Alida Finze, Mirko Otto, Christoph Reissfelder","doi":"10.1007/s00104-025-02290-3","DOIUrl":"10.1007/s00104-025-02290-3","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"520-521"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059355","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":"[The further course (natural history) after ileoanal pouch surgery for ulcerative colitis: results of a population-based study].","authors":"C Germer, J Reibetanz","doi":"10.1007/s00104-025-02298-9","DOIUrl":"10.1007/s00104-025-02298-9","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"516-517"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035902","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":"[Randomized comparison of oncologic robotic vs. laparoscopic distal gastrectomy: results of a prospective phase 2 study].","authors":"L M Schiffmann, C J Bruns","doi":"10.1007/s00104-025-02299-8","DOIUrl":"10.1007/s00104-025-02299-8","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"518-519"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061342","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":"[Localized soft tissue sarcomas].","authors":"Madelaine Hettler, Jens Jakob","doi":"10.1007/s00104-025-02267-2","DOIUrl":"10.1007/s00104-025-02267-2","url":null,"abstract":"<p><p>Soft tissue sarcomas are rare malignant tumors originating from mesenchymal tissue. They are mostly located in the extremities, followed by the trunk and retroperitoneal regions. The group of soft tissue sarcomas comprises over 80 distinct histological subtypes, each with unique biological characteristics, with liposarcomas and leiomyosarcomas being the most frequent subtypes. In the clinical practice the algorithm from image, biopsy and (sarcoma) board has become established for the diagnostics of any soft tissue space-occupying lesion exceeding 3 cm in size. This enables the planning of a wide R0 resection, which can be defined as the standard for sarcoma surgery. For locally advanced and/or frequently metastasizing tumors, (neo)adjuvant radiotherapy and/or chemotherapy are usually indicated. Patients benefit from a sarcoma board to determine the treatment strategy. After treatment, clinical and radiological follow-ups should be conducted every 3-6 months, depending on the grade of the primary tumor.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"524-534"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665454","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":"[Kasai-hepatoportoenterostomy for the treatment of biliary atresia - What is important?]","authors":"Omid Madadi-Sanjani, Uta Herden, Marie Uecker","doi":"10.1007/s00104-025-02259-2","DOIUrl":"10.1007/s00104-025-02259-2","url":null,"abstract":"<p><p>Biliary atresia (BA) is a rare disease in neonates of unknown etiology. BA is defined by the extent of extra- and intrahepatic bile duct destruction, which results in liver deterioration and cirrhosis within the first years of life. Liver transplantation (LT) is the only curative treatment for BA, accompanied by LT-associated risks and complications; however, more than 60 years after it's first report, the Kasai hepatoportoenterostomy (KPE) is still an essential procedure in the sequential management of BA, as the primary surgical treatment option that can achieve long-term survival with a native liver. We highlight the key surgical steps of KPE and discuss relevant aspects.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"474-481"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525220","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}

{"title":"[A cold nodule, a dramatic course and a curious finding].","authors":"Julia Goller, U Müller, F Butz, C Kunze, A Abazid, J Pratschke, N Huschitt, M Mogl","doi":"10.1007/s00104-025-02262-7","DOIUrl":"10.1007/s00104-025-02262-7","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"500-503"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560222","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":"[Is the procedure or the patient decisive for prehabilitation?]","authors":"Lara Braun, Lucrezia De Santis, Alexander Semaan, Jörg C Kalff, Tim O Vilz","doi":"10.1007/s00104-025-02293-0","DOIUrl":"10.1007/s00104-025-02293-0","url":null,"abstract":"<p><p>Various studies on structured prehabilitation programs indicate positive effects on performance status, postoperative complication rates and possibly overall survival in patients with gastrointestinal carcinomas. Older and multimorbid patients in particular could benefit from a trimodal approach that addresses physical fitness, nutritional status and mental health. Challenges exist in the possibly limited ability to participate due to pre-existing physical or mental limitations. Previous studies have shown reduced complication rates and shorter hospital stays for this patient group but the data remain heterogeneous and limited. Future research should further investigate the benefits for specific patient groups and different procedures as well as the long-term oncological outcome.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"448-453"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998371","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":"[Prehabilitation for nononcological patients in visceral surgery].","authors":"Charlotte Detemble, Andreas A Schnitzbauer","doi":"10.1007/s00104-025-02292-1","DOIUrl":"10.1007/s00104-025-02292-1","url":null,"abstract":"<p><strong>Background: </strong>Prehabilitation is rehabilitation before surgery. This emerging discipline within the canon of perioperative patient optimization is increasingly being incorporated into treatment strategies for patients undergoing major surgical procedures. This narrative review primarily presents the evidence for nononcological patients.</p><p><strong>Methods: </strong>Thie article gives a systematic review of the literature.</p><p><strong>Results: </strong>The specific evidence for prehabilitation in nononcological visceral surgery is low. Most publications have examined mixed patient populations. Nevertheless, across the publications, patients benefit from prehabilitation measures and significantly fewer complications are observed. One group that particularly benefits are patients with pre-existing frailty. Prehabilitation should be incorporated into the preparation for major surgery, regardless of whether for oncological or nononcological patients, especially considering that only 10% of all guideline recommendations are based on high-quality evidence.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"470-473"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051175","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":"[App-based prehabilitation: implementation and adherence].","authors":"Sven Flemming","doi":"10.1007/s00104-025-02296-x","DOIUrl":"10.1007/s00104-025-02296-x","url":null,"abstract":"<p><p>In recent years prehabilitation before oncological visceral surgery has become increasingly more in the clinical focus. The aim of prehabilitation is to significantly increase patient's physical and mental performance status through multimodal treatment resulting in a decrease of postoperative complications and faster rehabilitation. As prehabilitation requires a high level of personnel and economic resources in the healthcare system, app-based prehabilitation might be a suitable alternative. The currently available evidence shows a high patient adherence to app-based prehabilitation with an improvement of functional performance status; however, further studies with more patients especially from Germany are necessary to confirm the preliminary data and to become established in the clinical routine.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"459-463"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035901","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":"[Specialty-specific knowledge as prerequisite for effective treatment of critically ill patients].","authors":"Sonja Vonderhagen, Uwe Hamsen, Andreas Markewitz, Ingo Marzi, Gerrit Matthes, Andreas Seekamp, Georg Trummer, Felix Walcher, Christian Waydhas, René Wildenauer, Jens Werner, Wolfgang H Hartl, Thomas Schmitz-Rixen","doi":"10.1007/s00104-025-02286-z","DOIUrl":"10.1007/s00104-025-02286-z","url":null,"abstract":"<p><p>Since the last meeting of the German Medical Association in May 2024, there has been a discussion in Germany about the shortening of primary specialty training and a transfer of the contents of additional supra-specialty training to the existing primary specialty training. This also affects intensive care medicine, with the prospect of creating a subspecialty for subspecialties in intensive care medicine (e.g., a specialty in surgical intensive care medicine). We consider the associated reduction of general specialty-specific contents to be inappropriate for several reasons. Knowledge of the specialty-specific trigger factors (foci) of a critical illness (organ dysfunction) as well as knowledge of the respective trigger factor-specific symptoms, diagnostics and pathways for initiating a causal treatment, are decisive for the prognosis. Recent evidence suggests that in the case of septic foci a time span between making the diagnosis and treatment of the focus should not exceed ca. 6h in order to avoid a worsening of the prognosis. To ensure that the time between symptom onset and effective treatment of the causal factors is not too long, an in-depth expertise in the primary specialty is required throughout the process. This expertise is independent of training in intensive care medicine and can only be acquired through adequate training in the specialty, followed by additional training in intensive care medicine. Expertise in the primary specialty is a prerequisite for the effective treatment of critically ill patients. Maintaining the training specific to the primary specialty and the associated acquisition of specific knowledge in the respective specialty also enables a wider deployment of specialists in clinical practice and a more economical use of diagnostic and therapeutic resources. The additional training in intensive care medicine (supraspecialty) should not be at the expense of content specific to the primary specialty and must remain accessible to all surgical specialties in the field of surgery in the next revision of the training regulations. Due to the unavoidable extent, the additional training in intensive care medicine can itself only be provided on a full-time basis.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"504-513"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051209","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}