Chirurgie (Heidelberg, Germany)最新文献_第2页

[Surgical treatment of primary malignant bone tumors : Local therapeutic considerations with respect to extent of resection and reconstruction in a multimodal treatment concept]. [原发性恶性骨肿瘤的外科治疗：在多模式治疗概念中考虑局部治疗切除和重建的范围]。

Chirurgie (Heidelberg, Germany) Pub Date : 2026-11-01 Epub Date: 2026-09-22 DOI: 10.1007/s00104-026-02579-x

Arne Streitbürger, Jendrik Hardes, Nina Myline Engel

引用次数: 0

[Resection of locally advanced soft tissue sarcomas of the extremities : Surgical strategies to avoid postoperative complications]. 肢体局部进展期软组织肉瘤切除术：避免术后并发症的手术策略

Chirurgie (Heidelberg, Germany) Pub Date : 2026-11-01 Epub Date: 2026-09-17 DOI: 10.1007/s00104-026-02577-z

Julian Kylies, Anna Duprée, Matthias Priemel

引用次数: 0

[Neoadjuvant treatment of MMR-proficient rectal cancer : Focus on cancer of the middle and lower third segments]. 【精通mmr的直肠癌的新辅助治疗：以中下三节段癌为主】。

Chirurgie (Heidelberg, Germany) Pub Date : 2026-11-01 Epub Date: 2026-09-22 DOI: 10.1007/s00104-026-02560-8

Sigmar Stelzner

引用次数: 0

[When and how are pulmonary metastases surgically treated in sarcomas?] 肺转移性肉瘤何时及如何手术治疗？］

Chirurgie (Heidelberg, Germany) Pub Date : 2026-11-01 Epub Date: 2026-09-16 DOI: 10.1007/s00104-026-02578-y

Matthias Grott, Hauke Winter

引用次数: 0

[Pancreatic trauma : Review of the diagnostic and therapeutic challenges]. [胰腺创伤：诊断和治疗挑战的回顾]。

Chirurgie (Heidelberg, Germany) Pub Date : 2026-10-28 DOI: 10.1007/s00104-026-02600-3

Yazan Amin, Anke Mittelstädt, Maximilian Brunner, Robert Grützmann

{"title":"[Pancreatic trauma : Review of the diagnostic and therapeutic challenges].","authors":"Yazan Amin, Anke Mittelstädt, Maximilian Brunner, Robert Grützmann","doi":"10.1007/s00104-026-02600-3","DOIUrl":"https://doi.org/10.1007/s00104-026-02600-3","url":null,"abstract":"Pancreatic trauma represents a rare but clinically relevant entity within abdominal trauma. It predominantly occurs in association with severe abdominal injuries and is diagnostically demanding due to the retroperitoneal position of the organ and the frequently unspecific clinical manifestations. The diagnosis is often delayed as initially only unspecific clinical signs are mostly present. Contrast-enhanced computed tomography is currently considered the gold standard in the initial diagnostics, whereby the sensitivity with respect to pancreatic injuries is limited, especially in the early phase. Magnetic resonance imaging (MRI with MR cholangiopancreatography, MRCP) and endoscopic retrograde CP provide valuable supplementary information for assessment of ductal involvement. The treatment approach depends on the severity of the injury according to the American Association for the Surgery of Trauma (AAST) classification, the integrity of the pancreatic duct and the presence of accompanying intra-abdominal injuries. Low-grade pancreatic lesions can frequently be treated conservatively but high-grade traumatic injuries and duct involvement usually require surgical or interventional measures. Despite progress in the diagnostics and treatment, pancreatic trauma is still associated with a high morbidity. An early diagnosis and an interdisciplinary management in specialized centers are decisive for the prognosis.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149302548","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

[Consequences from the reform of hospital structure for surgery: what does centralization offer university visceral surgery departments?] 外科医院体制改革的后果：集中化给高校内脏外科带来了什么？］

Chirurgie (Heidelberg, Germany) Pub Date : 2026-10-21 DOI: 10.1007/s00104-026-02607-w

Astrid Bauschke, Michael Ardelt, Aladdin Ali-Deeb, Falk Rauchfuss, Oliver Rohland, Laura Schwenk, Utz Settmacher

{"title":"[Consequences from the reform of hospital structure for surgery: what does centralization offer university visceral surgery departments?]","authors":"Astrid Bauschke, Michael Ardelt, Aladdin Ali-Deeb, Falk Rauchfuss, Oliver Rohland, Laura Schwenk, Utz Settmacher","doi":"10.1007/s00104-026-02607-w","DOIUrl":"https://doi.org/10.1007/s00104-026-02607-w","url":null,"abstract":"The centralization of complex surgical procedures at universities improves treatment quality and prognosis. Numerous studies have confirmed that this is accompanied by a reduction in the length of hospital stays and treatment costs. In addition to the positive impact on patient care, the universities' roles in teaching and research are also experiencing changes; however, risks and limitations should also be addressed. Without extensive cooperation with outpatient and inpatient partners regarding diagnostics, emergency care and the implementation of multimodal treatment under the coordination of university visceral surgery departments, the effects on visceral surgery training must also be considered, so as not to negatively affect the attractiveness of the surgical profession and to avoid staff turnover. Significant changes and restructuring regarding new logistics requirements are emerging. There are indications of significant changes and restructuring regarding new requirements for logistics, interdisciplinary cooperation with portal clinics and collaboration in the interdisciplinary tumor board, which cannot yet be fully assessed.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240658","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

[Multimodal outpatient prehabilitation during neoadjuvant chemotherapy prior to gastrectomy in advanced gastric cancer]. [晚期胃癌切除术前新辅助化疗期间的多模式门诊康复]。

Chirurgie (Heidelberg, Germany) Pub Date : 2026-10-14 DOI: 10.1007/s00104-026-02604-z

Mario Kaufmann, Christoph Reißfelder

引用次数: 0

[Multimodal treatment of locally advanced and oligometastatic esophageal cancer]. 局部晚期和少转移食管癌的多模式治疗。

Chirurgie (Heidelberg, Germany) Pub Date : 2026-10-13 DOI: 10.1007/s00104-026-02595-x

Nerma Crnovrsanin, Henrik Nienhüser

{"title":"[Multimodal treatment of locally advanced and oligometastatic esophageal cancer].","authors":"Nerma Crnovrsanin, Henrik Nienhüser","doi":"10.1007/s00104-026-02595-x","DOIUrl":"https://doi.org/10.1007/s00104-026-02595-x","url":null,"abstract":"Esophageal cancer is one of the most striking examples of the success of multimodal treatment concepts in gastrointestinal oncology. For locally advanced, resectable adenocarcinoma, perioperative chemotherapy with the FLOT regimen has replaced neoadjuvant chemoradiotherapy according to CROSS following the ESOPEC trial and represents the current standard, whereas for squamous cell carcinoma neoadjuvant chemoradiotherapy followed by surgery remains established. Immunotherapy is expanding the treatment spectrum: adjuvant nivolumab is established for residual disease after neoadjuvant chemoradiotherapy (CheckMate-577); perioperative durvalumab combined with FLOT improves event-free survival in gastric and gastroesophageal junction cancer (MATTERHORN). The SANO trial demonstrated noninferiority of active surveillance versus standard esophagectomy with respect to 2‑year overall survival in clinical complete responders; however, a decision analytical model based on the SANO data published in 2026 suggests potential long-term advantages of standard resection. In oligometastatic disease, FLOT5/RENAISSANCE showed no overall survival benefit for supplementary surgical resection and in this situation patient selection remains the central challenge. Future strategies will concentrate more on biological criteria, with a more precise definition of oligometastatic constellations, integrated immunotherapy and emerging biomarkers such as circulating tumor DNA.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186642","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

[Modern concepts in the surgical treatment of esophageal cancer]. 食管癌手术治疗的现代观念

Chirurgie (Heidelberg, Germany) Pub Date : 2026-10-08 DOI: 10.1007/s00104-026-02591-1

Hans A Schlößer, Lars M Schiffmann, Hans F Fuchs, Christiane J Bruns

{"title":"[Modern concepts in the surgical treatment of esophageal cancer].","authors":"Hans A Schlößer, Lars M Schiffmann, Hans F Fuchs, Christiane J Bruns","doi":"10.1007/s00104-026-02591-1","DOIUrl":"https://doi.org/10.1007/s00104-026-02591-1","url":null,"abstract":"The surgical treatment of esophageal cancer is still one of the most demanding surgical procedures with poor long-term survival and considerable perioperative morbidity and mortality. The McKeown and Ivor Lewis procedures have been described decades ago and are currently mainly applied in multimodal treatment settings. A systematic lymph node dissection is indispensable and prognostically relevant and is adapted to the primary localization of the tumor. The systematic approach to lymph node resection is discussed based on the Japanese classification of the anatomical lymph node location, whereby lymphatic oligometastasis is also specifically addressed. The use of modern techniques has already led to a substantial improvement in the results and the underlying surgical strategies can also be used for laparoscopic, thoracoscopic and robotic procedures. A reduction of perioperative morbidity by the use of minimally invasive procedures is well-established for the abdominal as well as the thoracic phase of the surgery. Innovative visualization systems for assessment of the vascularization or lymphatic drainage ducts and the use of artificial intelligence are expected to further improve safety and oncological precision of surgery for esophageal cancer.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139570","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

[Long-term phonation status after reconstruction of the recurrent laryngeal nerve]. 喉返神经重建后的长期发声状况。

Chirurgie (Heidelberg, Germany) Pub Date : 2026-10-05 DOI: 10.1007/s00104-026-02596-w

Natia Kvirkvelia, Detlef K Bartsch

引用次数: 0