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[Abdominal organ transplantation in multimorbid patients]. [腹部器官移植在多病患者中的应用]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2024-12-06 DOI: 10.1007/s00104-024-02201-y
Astrid Bauschke, Aladdin Ali-Deeb, Felix Dondorf, Falk Rauchfuss, Oliver Rohland, Utz Settmacher
{"title":"[Abdominal organ transplantation in multimorbid patients].","authors":"Astrid Bauschke, Aladdin Ali-Deeb, Felix Dondorf, Falk Rauchfuss, Oliver Rohland, Utz Settmacher","doi":"10.1007/s00104-024-02201-y","DOIUrl":"10.1007/s00104-024-02201-y","url":null,"abstract":"<p><p>Patients with an indication for transplantation of abdominal organs often suffer from terminal organ failure with a relevant number of comorbidities. This can be complicated by acute and underlying disease-related events or age-related comorbidities. The diagnostic assignment of symptoms is difficult and the available treatment options have to be adapted. During the evaluation, the waiting time for suitable donor organs and immediately prior to surgery, the treatment team, consisting of the referring physician and the interdisciplinary transplantation team needs to decide whether the transplantation can be performed.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"124-129"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792834","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
[Conversion therapies for initially unresectable hepatocellular carcinoma]. [最初不可切除的肝细胞癌的转化治疗]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1007/s00104-024-02207-6
J Fritsch, M Ardelt, U Settmacher
{"title":"[Conversion therapies for initially unresectable hepatocellular carcinoma].","authors":"J Fritsch, M Ardelt, U Settmacher","doi":"10.1007/s00104-024-02207-6","DOIUrl":"10.1007/s00104-024-02207-6","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"65-66"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775440","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
[Cost comparison of conservative vs. surgical treatment of chronic lymphedema]. [慢性淋巴水肿保守治疗与手术治疗的成本比较]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-01-01 Epub Date: 2024-06-28 DOI: 10.1007/s00104-024-02123-9
Rima Nuwayhid, Stefan Langer, Nikolaus von Dercks
{"title":"[Cost comparison of conservative vs. surgical treatment of chronic lymphedema].","authors":"Rima Nuwayhid, Stefan Langer, Nikolaus von Dercks","doi":"10.1007/s00104-024-02123-9","DOIUrl":"10.1007/s00104-024-02123-9","url":null,"abstract":"<p><strong>Background: </strong>Lymphedema is primarily treated conservatively using complex physical decongestion treatment (CDT). Lymphovenous anastomosis (LVA), vascularized lymph node transplantation (VLNT) and liposuction are available as surgical treatment methods; however, reimbursement in the diagnosis-related groups (DRG) system is sometimes inadequate or only possible following an individual application. The costs of these relatively new surgical procedures have not yet been set in relation to those of CDT.</p><p><strong>Method: </strong>The costs of conservative treatment were determined in accordance with the guidelines. The costs for LVA, VLNT and liposuction of the upper and lower extremities were estimated on the basis of the DRG reimbursement per case and the expected reduction in conservative measures according to current knowledge. The annual treatment costs were then compared.</p><p><strong>Results: </strong>The annual treatment costs of LVA and VLNT are already lower than conservative treatment alone in the second postoperative year. Liposuction reaches this point in the 6th (upper extremity) or 47th postoperative year (lower extremity).</p><p><strong>Conclusion: </strong>The evidence for the positive effects of lymphatic surgery is still limited; however, it is recognizable that the curative surgical approach can significantly reduce the treatment costs and improve the quality of life of lymphedema patients; however, there is a lack of adequate reflection of the surgical effort in the reimbursement.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"41-47"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473197","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
[New digital assistive systems: potential in visceral medicine]. [新的数字辅助系统：内脏医学的潜力]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-01-01 Epub Date: 2025-01-13 DOI: 10.1007/s00104-024-02220-9
Dirk Weyhe
{"title":"[New digital assistive systems: potential in visceral medicine].","authors":"Dirk Weyhe","doi":"10.1007/s00104-024-02220-9","DOIUrl":"10.1007/s00104-024-02220-9","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":"96 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973343","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
[The "oncological risks" of organ preservation in rectal cancer: results from two international registries]. [直肠癌器官保存的“肿瘤学风险”：来自两个国际登记处的结果]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-01-01 Epub Date: 2024-12-05 DOI: 10.1007/s00104-024-02206-7
C T Germer, J Reibetanz
{"title":"[The \"oncological risks\" of organ preservation in rectal cancer: results from two international registries].","authors":"C T Germer, J Reibetanz","doi":"10.1007/s00104-024-02206-7","DOIUrl":"10.1007/s00104-024-02206-7","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"67-68"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787952","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]. [增强和虚拟现实在手术中的应用：以VIVATOP为例的应用领域和探索性研究：围手术期手术计划和术中支持]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-01-01 Epub 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":"10.1007/s00104-024-02218-3","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"31-40"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924194","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
[From imaging to interaction with 3D models: technical aspects]. [从成像到与3D模型的交互：技术方面]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-01-01 Epub Date: 2024-12-23 DOI: 10.1007/s00104-024-02214-7
Andrea Schenk, Alexander Kluge, Sirko Pelzl, Gabriel Zachmann, Rainer Malaka
{"title":"[From imaging to interaction with 3D models: technical aspects].","authors":"Andrea Schenk, Alexander Kluge, Sirko Pelzl, Gabriel Zachmann, Rainer Malaka","doi":"10.1007/s00104-024-02214-7","DOIUrl":"10.1007/s00104-024-02214-7","url":null,"abstract":"<p><p>Augmented and virtual reality (AR and VR, respectively) are already being used or evaluated in some medical fields: however, the widespread application is still hampered by inconsistent and often confusing terminology, in particular for people who are not familiar with current developments. Additionally, the technical principles and requirements for its use are often insufficiently well known. This overview article therefore aims to clarify the most important terminology and presents the current technical state of the art, spanning from the requirements of medical imaging, through 3D models and the various forms of visualization to the interaction possibilities within VR and AR. This should help to facilitate a common language among developers and users and to ensure that the potentials offered by digital assistive technologies can be fully exploited in the future.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"3-10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883723","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
[Rare complication of a parastomal hernia in a patient with an ileal conduit]. [回肠导管患者罕见的吻合口旁疝并发症]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-01-01 Epub Date: 2024-09-05 DOI: 10.1007/s00104-024-02169-9
C Benignus, H Griesemann, A Merscher, C Marquardt, S Retter, T Schiedeck
{"title":"[Rare complication of a parastomal hernia in a patient with an ileal conduit].","authors":"C Benignus, H Griesemann, A Merscher, C Marquardt, S Retter, T Schiedeck","doi":"10.1007/s00104-024-02169-9","DOIUrl":"10.1007/s00104-024-02169-9","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"60-62"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134653","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
[Virtual reality in liver surgery-Planning, advanced training, testing]. [肝脏手术中的虚拟现实-计划，高级培训，测试]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-01-01 Epub 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
{"title":"[Virtual reality in liver surgery-Planning, advanced training, testing].","authors":"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","doi":"10.1007/s00104-024-02216-5","DOIUrl":"10.1007/s00104-024-02216-5","url":null,"abstract":"<p><p>Anatomical structures of the liver could be reconstructed three dimensionally from preoperative cross-sectional imaging for over 20 years. This three-dimensional (3D) representation not only optimizes the preoperative planning options but also the communication of specific operation-relevant structures can be improved using 3D models. In addition to a plastic and interactive visualization of 3D organ models, the disruptive technology of virtual reality (VR) can also provide a possibility for structured training and further education regarding surgical anatomy of the liver and operation planning. This makes examinations in virtual reality also seem tangible. The latest prototypes even enable patient-specific simulation of intraoperative sonography. This review article provides an overview of the current status of available technologies for training and further education using VR exemplified by liver surgery.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"16-22"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840424","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
Klinische Studien. 临床试验。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-01-01 DOI: 10.1007/s00104-024-02230-7
{"title":"Klinische Studien.","authors":"","doi":"10.1007/s00104-024-02230-7","DOIUrl":"https://doi.org/10.1007/s00104-024-02230-7","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":"96 1","pages":"71-76"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973508","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
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