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[DIVI recommendation: basic psychological care on the intensive care unit after severe injury and multiple trauma : A DIVI recommendation of the trauma and psychological care structures sections]. [DIVI建议：重症监护病房重型损伤和多重创伤后的基本心理护理：创伤和心理护理结构部分的DIVI建议]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-10-01 Epub Date: 2025-08-12 DOI: 10.1007/s00104-025-02359-z
Katharina Hinrichs, Uwe Hamsen, Teresa Deffner, Agnes Nojack, Anke Hierundar
{"title":"[DIVI recommendation: basic psychological care on the intensive care unit after severe injury and multiple trauma : A DIVI recommendation of the trauma and psychological care structures sections].","authors":"Katharina Hinrichs, Uwe Hamsen, Teresa Deffner, Agnes Nojack, Anke Hierundar","doi":"10.1007/s00104-025-02359-z","DOIUrl":"10.1007/s00104-025-02359-z","url":null,"abstract":"<p><p>Undetected and untreated mental disorders following severe trauma can significantly affect the healing and recovery of severely injured patients. After polytrauma every patient should be screened for psychological stress in the intensive care unit. The screening should be conducted early, after the patient has been awake, oriented, sufficiently attentive and not (no longer) delirious for 48 h. The Freiburg Screening Questionnaire (FSQ) should be used for the screening. No psychological specialist is required for this. The screening should be documented in the discharge report. In cases of abnormal screening results (red) a psychological specialists should be involved early in the patient's treatment. A psychopharmacological treatment is not recommended for acute psychological stress.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"837-842"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823322","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
[Oncological operation reports: minimum requirements, legal aspects and future developments]. 【肿瘤手术报告：最低要求、法律方面和未来发展】。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-10-01 Epub Date: 2025-06-16 DOI: 10.1007/s00104-025-02321-z
Johannes Klose, Sandra Böhm, Christiane J Bruns, Paul Chojecki, Lena-Christin Conradi, Stefan Fichtner-Feigl, Robert Grützmann, Jörg Heberer, Boris Jansen-Winkeln, Jens Jakob, Kay Kohlhaw, Astrid Oehme, Ulrich Ronellenfitsch, Susanne Roth, Christoph Rüger, Igor Sauer, Harald Schulz, Sven Zehnder, Jörg Kleeff
{"title":"[Oncological operation reports: minimum requirements, legal aspects and future developments].","authors":"Johannes Klose, Sandra Böhm, Christiane J Bruns, Paul Chojecki, Lena-Christin Conradi, Stefan Fichtner-Feigl, Robert Grützmann, Jörg Heberer, Boris Jansen-Winkeln, Jens Jakob, Kay Kohlhaw, Astrid Oehme, Ulrich Ronellenfitsch, Susanne Roth, Christoph Rüger, Igor Sauer, Harald Schulz, Sven Zehnder, Jörg Kleeff","doi":"10.1007/s00104-025-02321-z","DOIUrl":"10.1007/s00104-025-02321-z","url":null,"abstract":"<p><p>The establishment of comprehensive oncological centers for the interdisciplinary care of cancer patients is based on defined criteria that must undergo regular external review to ensure a uniform quality standard of cancer care in Germany. The quality of surgical performance is defined, among other factors, by the number of cases treated or the experience of individual surgeons; however, the operation reports made are highly heterogeneous, as no specific requirements need to be met for certification as an oncological center. The German Association for Surgical Oncology (ACO) has therefore set the goal of proposing a minimum standard for oncological operation reports. In addition to the aspects to be included in the operation reports, exemplified with respect to individual organ systems, legal considerations and the use of artificial intelligence should also be examined in greater detail.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"855-861"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303770","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
[Addition of brachytherapy to neoadjuvant chemoradiotherapy to increase the rate of organ preservation: results of the randomized OPERA study]. 【在新辅助放化疗的基础上增加近距离放疗以提高器官保存率：随机OPERA研究的结果】。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-10-01 Epub Date: 2025-08-15 DOI: 10.1007/s00104-025-02364-2
C T Germer, J Reibetanz
{"title":"[Addition of brachytherapy to neoadjuvant chemoradiotherapy to increase the rate of organ preservation: results of the randomized OPERA study].","authors":"C T Germer, J Reibetanz","doi":"10.1007/s00104-025-02364-2","DOIUrl":"10.1007/s00104-025-02364-2","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"872-873"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857146","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
[Contemporary approaches to competency development in emergency surgery]. [急诊外科能力发展的当代方法]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-10-01 Epub Date: 2025-06-23 DOI: 10.1007/s00104-025-02324-w
Felix Metzger, S Schaaf, C Güsgen, R Schwab, A Willms, D Bieler, C Reimertz, M Münzberg, U Schweigkofler
{"title":"[Contemporary approaches to competency development in emergency surgery].","authors":"Felix Metzger, S Schaaf, C Güsgen, R Schwab, A Willms, D Bieler, C Reimertz, M Münzberg, U Schweigkofler","doi":"10.1007/s00104-025-02324-w","DOIUrl":"10.1007/s00104-025-02324-w","url":null,"abstract":"<p><p>In light of the growing threat posed by terrorist attacks and the increasing likelihood of alliance or national defense operations, not only the armed forces but also civilian hospitals must be prepared to manage potentially large numbers of severely injured patients. This necessitates the development of comprehensive stand-by concepts that extend beyond the traditional boundaries of surgical specialties. At the same time, there is a noticeable decline in broadly trained general surgeons, largely driven by increasing specialization and subspecialization. As a result, current training structures tend to promote earlier specialization in order to meet the complex demands of modern medicine and to keep pace with rapid technological advancements. To address these opposing developments, innovative and adaptive training concepts are required. This article examines the current surgical training structures in Germany and presents contemporary approaches to the acquisition of competence in emergency surgery.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"843-854"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478043","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
[Anatomical variants of blood vessels and their surgical challenges related to oncological right hemicolectomy]. [血管解剖变异及其与肿瘤右半结肠切除术相关的手术挑战]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-10-01 Epub Date: 2025-08-07 DOI: 10.1007/s00104-025-02342-8
Tillmann Heinze, Marvin Heimke, Thilo Wedel, Stefan Rolf Benz
{"title":"[Anatomical variants of blood vessels and their surgical challenges related to oncological right hemicolectomy].","authors":"Tillmann Heinze, Marvin Heimke, Thilo Wedel, Stefan Rolf Benz","doi":"10.1007/s00104-025-02342-8","DOIUrl":"10.1007/s00104-025-02342-8","url":null,"abstract":"<p><p>Oncological right hemicolectomy requires central ligation of all blood vessels supplying the right colon. This includes the ileocolic, right and middle colic vessels. The vascular variants comprise the prevalence, number, origin as well as the trajectory and involve both the arterial and venous systems. The course of the ileocolic artery ventral or dorsal to the superior mesenteric vein, the frequent absence of the right colic artery, the variable bifurcation of the middle colic artery and the presence of an accessory middle colic artery are of particular relevance. Venous drainage of the ascending colon and right colic flexure is provided by the right/right superior colic veins which frequently drain together with veins from the greater gastric curvature and the pancreatic head into the gastropancreaticocolic trunk (trunk of Henle). The surgical vascular management requires detailed knowledge of these vascular variants. Prevention of vascular complications is best accomplished by a preoperative vascular mapping, e.g., computed tomography (CT) angiography, AMIGO system, 3D reconstruction and the application of the critical view/open book concept.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"815-826"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796241","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
[Results of the Oseberg study after 5 years on Roux-en-Y gastric bypass vs. sleeve gastrectomy for obesity with diabetes mellitus]. [Oseberg研究5年后Roux-en-Y胃旁路与袖式胃切除术治疗肥胖合并糖尿病的结果]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-10-01 Epub Date: 2025-07-14 DOI: 10.1007/s00104-025-02357-1
Rasim Khalilov, Mirko Otto, Christoph Reißfelder
{"title":"[Results of the Oseberg study after 5 years on Roux-en-Y gastric bypass vs. sleeve gastrectomy for obesity with diabetes mellitus].","authors":"Rasim Khalilov, Mirko Otto, Christoph Reißfelder","doi":"10.1007/s00104-025-02357-1","DOIUrl":"10.1007/s00104-025-02357-1","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"876-879"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627879","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
[Chilaiditi's syndrome-A rare anatomical variant of the colon]. [奇莱迪蒂综合征-一种罕见的结肠解剖变异]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-10-01 Epub Date: 2025-07-11 DOI: 10.1007/s00104-025-02344-6
Franziska Peters, Jörg-Peter Ritz
{"title":"[Chilaiditi's syndrome-A rare anatomical variant of the colon].","authors":"Franziska Peters, Jörg-Peter Ritz","doi":"10.1007/s00104-025-02344-6","DOIUrl":"10.1007/s00104-025-02344-6","url":null,"abstract":"<p><p>Chilaiditi's sign is a rare, usually asymptomatic anatomical variant in which a segment of the colon, most commonly the transverse colon, is interposed between the diaphragm and the liver. This interposition can be misinterpreted as a pneumoperitoneum on radiographic imaging, which therefore poses diagnostic challenges. While many cases are discovered incidentally and require no treatment, symptoms such as abdominal pain, nausea or constipation can occur. In such cases, the condition is referred to as Chilaiditi's syndrome. The causes are multifactorial and include liver atrophy, colonic redundancy or ligamentous laxity. The treatment depends on the symptoms: conservative management is the primary approach and surgical interventions are rarely necessary. Differentiated radiological diagnostics are essential to avoid complications.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"833-836"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610455","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
[Which anastomosis should be preferred? Anastomotic leakage rates of different reconstruction techniques following robot-assisted minimally invasive esophagectomy (RAMIE)]. [哪种吻合方式更合适？]机器人辅助微创食管切除术（RAMIE）后不同重建技术的吻合口漏率[j]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-10-01 Epub Date: 2025-07-30 DOI: 10.1007/s00104-025-02362-4
L M Schiffmann, C J Bruns
{"title":"[Which anastomosis should be preferred? Anastomotic leakage rates of different reconstruction techniques following robot-assisted minimally invasive esophagectomy (RAMIE)].","authors":"L M Schiffmann, C J Bruns","doi":"10.1007/s00104-025-02362-4","DOIUrl":"10.1007/s00104-025-02362-4","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"874-875"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746322","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
[The risk of recurrence of repeated resections of colorectal liver metastases]. 【反复切除结直肠肝转移瘤的复发风险】。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-10-01 Epub Date: 2025-08-21 DOI: 10.1007/s00104-025-02369-x
S Brand, M Ardelt, U Settmacher
{"title":"[The risk of recurrence of repeated resections of colorectal liver metastases].","authors":"S Brand, M Ardelt, U Settmacher","doi":"10.1007/s00104-025-02369-x","DOIUrl":"10.1007/s00104-025-02369-x","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"870-871"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980935","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
[Parathyroid glands and their anatomical positional variations : Preoperative diagnostics and surgical planning]. 甲状旁腺及其解剖位置变异：术前诊断和手术计划。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-10-01 Epub Date: 2025-07-24 DOI: 10.1007/s00104-025-02343-7
Christina Lenschow, Regina Pistorius, Michael Meir, Nicolas Schlegel
{"title":"[Parathyroid glands and their anatomical positional variations : Preoperative diagnostics and surgical planning].","authors":"Christina Lenschow, Regina Pistorius, Michael Meir, Nicolas Schlegel","doi":"10.1007/s00104-025-02343-7","DOIUrl":"10.1007/s00104-025-02343-7","url":null,"abstract":"<p><p>The identification of the parathyroid glands during neck surgery can be challenging due to their variable anatomical location. Knowledge of embryonic migration, typical positions and vascular supply is therefore essential for successful surgery of the parathyroid glands. This narrative review article, supported by a systematic literature search, addresses these aspects in detail. Anatomical orientation along the recurrent laryngeal nerve and the inferior thyroid artery as key landmarks, followed by systematic cervical exploration, improves intraoperative detection rates of parathyroid glands. The anatomical variability is higher for the inferior than for the superior parathyroid glands. In cases of primary hyperparathyroidism, preoperative localization using high-resolution ultrasound and functional imaging techniques (e.g., choline positron emission tomography/computed tomography, PET/CT) enables focused parathyroidectomy, leading to a significant reduction of operation times and complication rates.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"827-832"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700476","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
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