Chirurgie (Heidelberg, Germany)最新文献

[The multimorbid patient-Risk stratification and indications in pancreatic surgery].

Chirurgie (Heidelberg, Germany) Pub Date : 2025-01-06 DOI: 10.1007/s00104-024-02223-6

Islam Labib, Jürgen Weitz, Sebastian Hempel

{"title":"[The multimorbid patient-Risk stratification and indications in pancreatic surgery].","authors":"Islam Labib, Jürgen Weitz, Sebastian Hempel","doi":"10.1007/s00104-024-02223-6","DOIUrl":"https://doi.org/10.1007/s00104-024-02223-6","url":null,"abstract":"Background: Pancreatic surgery is still associated with significant morbidity. In a simultaneously increasingly ageing population with elevated morbidity, the risk stratification and indications for surgery are of particular importance.Objective: Assessment of the impact of multimorbidity of patients on the postoperative outcome after pancreatic surgery.Material and methods: Evaluation and summary of the available literature.Results: The postoperative morbidity after pancreatic surgery remains high. Relevant comorbidities, such as liver cirrhosis, cardiac and pulmonary diseases and advanced renal insufficiency enormously increase the risk of perioperative morbidity and mortality; however, in high-volume centers with appropriate expertise in pancreatic surgery the mortality is below 5%.Conclusion: Pancreatic surgery with severe comorbidity can be safely performed in centers with proven expertise. Nevertheless, a careful interpretation of the indications and good patient selection are essential for the postoperative outcome.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933829","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

[Augmented and virtual reality in surgery: fields of application and exploratory studies exemplified by VIVATOP : Perioperative surgical planning and intraoperative support].

Chirurgie (Heidelberg, Germany) Pub Date : 2025-01-03 DOI: 10.1007/s00104-024-02218-3

Dirk Weyhe, Verena Hartmann, Verena Uslar, Navid Tabriz

{"title":"[Augmented and virtual reality in surgery: fields of application and exploratory studies exemplified by VIVATOP : Perioperative surgical planning and intraoperative support].","authors":"Dirk Weyhe, Verena Hartmann, Verena Uslar, Navid Tabriz","doi":"10.1007/s00104-024-02218-3","DOIUrl":"https://doi.org/10.1007/s00104-024-02218-3","url":null,"abstract":"Digital technologies, such as virtual and augmented reality (VR and AR) are mainly used in the preclinical and clinical phases in neurosurgery and orthopedics. In contrast, they are used less frequently in visceral surgery as the intraoperative deformation is challenging for the clinical use. The application of VR is used successfully particularly in education and training. In addition to current areas of application, this article highlights the results of the Federal Ministry of Education and Research (BMBF) project \"Versatile Immersive Virtual and Augmented Tangible OP (= surgery)\" (VIVATOP). In this project AR and VR technologies in combination with 3D printing as demonstrators were newly or further developed. A VR planning tool for partial liver resection, the development of 3D holograms for intraoperative AR support and an avatar telemedicine function as well as a 3D printed model for training purposes were developed. The clinical results of the intraoperative AR support with the primary endpoint of operation duration and the secondary endpoints of the duration of hospitalization and intensive care unit stay as well as complication rates are compared with a historical cohort and the results are contextualized.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924194","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

[Telemedicine and AI-supported diagnostics in the daily routine of visceral medicine].

Chirurgie (Heidelberg, Germany) Pub Date : 2024-12-30 DOI: 10.1007/s00104-024-02213-8

Matthias Grade, Verena Uslar

引用次数: 0

[Drain or no drain after gastrectomy-Results of the abdominal drain after gastrectomy (ADIGE) study].

Chirurgie (Heidelberg, Germany) Pub Date : 2024-12-28 DOI: 10.1007/s00104-024-02227-2

L M Schiffmann, C J Bruns

引用次数: 0

[A new approach for perioperative measurement of parathyroid hormone to establish a cure in patients with primary hyperparathyroidism].

Chirurgie (Heidelberg, Germany) Pub Date : 2024-12-23 DOI: 10.1007/s00104-024-02225-4

Sabine Wächter, Detlef K Bartsch

引用次数: 0

[From imaging to interaction with 3D models: technical aspects].

Chirurgie (Heidelberg, Germany) Pub Date : 2024-12-23 DOI: 10.1007/s00104-024-02214-7

Andrea Schenk, Alexander Kluge, Sirko Pelzl, Gabriel Zachmann, Rainer Malaka

引用次数: 0

[Virtual reality in liver surgery-Planning, advanced training, testing].

Chirurgie (Heidelberg, Germany) Pub Date : 2024-12-17 DOI: 10.1007/s00104-024-02216-5

Tobias Huber, Florentine Huettl, Lukas Vradelis, Verena Tripke, Danny Schott, Vuthea Chheang, Patrick Saalfeld, Mareen Allgaier, Sylvia Saalfeld, Bernhard Preim, Christian Hansen, Laura Isabel Hanke, Hauke Lang

引用次数: 0

[Surgery of premature infants-Perspectives and limitations].

Chirurgie (Heidelberg, Germany) Pub Date : 2024-12-16 DOI: 10.1007/s00104-024-02203-w

Konrad Reinshagen, Irwin Reiss

{"title":"[Surgery of premature infants-Perspectives and limitations].","authors":"Konrad Reinshagen, Irwin Reiss","doi":"10.1007/s00104-024-02203-w","DOIUrl":"https://doi.org/10.1007/s00104-024-02203-w","url":null,"abstract":"The continuous improvement in the quality of modern perinatology, sociodemographic changes and the increasing spread of reproductive medicine have resulted in an increasing number of premature infants to be treated. The treatment of preterm infants (< 37th week of pregnancy) and especially extremely premature infants (< 28th week of pregnancy) is challenging due to immature organ development, which differs considerably from that of other age groups. While the fate of premature infants and especially extremely premature infants was unfavorable 100 years ago, the survival of premature infants > 1000 g has now shifted to survival in over 80% of cases [30]. The main medical problem areas of immature patients are a fetal proinflammatory immune system, an immature gastrointestinal tract with reduced transport capability, an incompletely developed intestinal barrier and a developing intestinal flora (microbiome) as well as immature lungs, which was significantly limiting for the survival of premature infants before the development of synthetic pulmonary surfactants. Furthermore, the central nervous system (CNS), which is far from being fully developed in preterm infants, is particularly vulnerable to exogenous factors, such as inflammation, toxins and medications. In addition, the CNS requires an environment appropriate to the developmental stage of the neonate to ensure normal physiological psychomotor development in the future. The article presents the special aspects of surgery on premature infants, the indications, complications and outcome, taking the special general problems of prematurity into account. Finally, the ethical conflicts associated with the care of extremely premature infants are briefly discussed.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840416","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

[Geriatric traumatology-Principles of orthogeriatrics]. [老年创伤学--老年医学矫形原理]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-12-16 DOI: 10.1007/s00104-024-02204-9

Ulrich Christoph Liener, C Neuerburg, R Hoffmann, U Bökeler

引用次数: 0

[Effect of adapting the biliopancreatic loop to the total length of the small intestine compared to the standardized loop in one anastomotic gastric bypass-One Year results of the TAILOR RCT].

Chirurgie (Heidelberg, Germany) Pub Date : 2024-12-10 DOI: 10.1007/s00104-024-02210-x

Alida Finze, Mirko Otto, Christoph Reissfelder

引用次数: 0