Chirurgie (Heidelberg, Germany)最新文献

{"title":"[Reinforced fascial suture after midline laparotomy-The Rein4CeTo1 trial].","authors":"Schaima Abdelhadi, Christoph Reißfelder","doi":"10.1007/s00104-025-02271-6","DOIUrl":"10.1007/s00104-025-02271-6","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"427-429"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574873","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":"[Secondary malignant neoplasms with underlying Lynch syndrome and coincidental ulcerative colitis].","authors":"Anne Kristin Fischer, Anton Kroesen, Reinhard Büttner","doi":"10.1007/s00104-025-02251-w","DOIUrl":"10.1007/s00104-025-02251-w","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"415-420"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544745","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":"[Neoadjuvant oxaliplatin-based chemotherapy vs. primary surgery for locally advanced colon cancer : Results of the randomized OPTICAL study].","authors":"C T Germer, J Reibetanz","doi":"10.1007/s00104-025-02281-4","DOIUrl":"10.1007/s00104-025-02281-4","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"423-424"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712387","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":"S3-Leitlinie „Diagnostik und Therapie des Morbus Crohn – Living Guideline“.","authors":"Pia van Leeuwen","doi":"10.1007/s00104-025-02273-4","DOIUrl":"https://doi.org/10.1007/s00104-025-02273-4","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":"96 5","pages":"430"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047423","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":"[Frozen sections in hepatobiliary surgery].","authors":"Sven A Lang, Lara R Heij, Jan Bednarsch, Ulf P Neumann","doi":"10.1007/s00104-025-02264-5","DOIUrl":"10.1007/s00104-025-02264-5","url":null,"abstract":"<p><p>Complete removal of the tumor (R0 resection) is one of the most important prognostic factors for overall and recurrence-free survival in patients with hepatobiliary malignancies. Accordingly, the intraoperative confirmation of tumor-free resection margins is of central importance. At the same time, despite extensive preoperative diagnostics intraoperative findings can arise that require immediate histological clarification. For example, the discovery of peritoneal carcinomatosis or previously unknown intrahepatic metastases often leads to the termination of the operation and thus to a change in the oncological concept. In addition, the estimation of the local tumor spread, particularly in the case of biliary tumors related to the liver hilum, is sometimes difficult based on preoperative imaging, so that a timely intraoperative assessment of tissue samples is necessary to confirm the resectability. The possibility of intraoperative frozen section diagnostics is, therefore, of particular importance, especially in complex surgical interventions in the hepatobiliary area.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"378-384"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631104","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":"[Surgical anatomy of the anorectum].","authors":"Tillmann Heinze, Marvin Heimke, Sigmar Stelzner, Thilo Wedel","doi":"10.1007/s00104-025-02244-9","DOIUrl":"10.1007/s00104-025-02244-9","url":null,"abstract":"<p><p>The anorectum corresponds to the last segment of the gastrointestinal tract and is responsible for mediating fecal continence and controlled defecation. An understanding of the complex topographic anatomy is an indispensable prerequisite for the surgical treatment of benign and malignant diseases in the anorectal region. The detailed description of perirectal fascia, anorectal blood supply and lymph vessel drainage, pelvic autonomic nerves and components of the anal canal and anal sphincter complex has significantly contributed to improvement of the oncological and functional surgical outcome. In this article the state of knowledge relating to the anorectal anatomy is outlined providing a practical basis for rectal and proctological surgical procedures.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"431-444"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569194","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":"[Relevance of frozen section diagnostics in pancreatic surgery].","authors":"Patricia Wyzlic, Alexander Damanakis, Alexander Quaas, Christiane J Bruns, Thomas Schmidt","doi":"10.1007/s00104-025-02265-4","DOIUrl":"10.1007/s00104-025-02265-4","url":null,"abstract":"<p><p>Frozen sections are performed in pancreatic surgery for three reasons: histopathological confirmation of previously unclear space-occupying lesions, determination of the extent of surgical resection in an operative exploration and for possible follow-up resections after previously carried out surgical resections. Overall, in the literature there are heterogeneous data with respect to an improvement in the prognosis of a secondary R0 resection by a repeat resection in comparison to a R1 resection. Nowadays, extended pancreatic resections including vascular resections are technically feasible and safe. Nevertheless, with respect to the precise radicality in the surgical procedure, all patient characteristics should be taken into consideration in addition to the histopathological diagnosis of the frozen sections.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"371-377"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588449","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":"[Perioperative chemotherapy or neoadjuvant chemoradiotherapy in the multimodal treatment of esophageal cancer-Results of the ESOPEC trial].","authors":"L M Schiffmann, C J Bruns","doi":"10.1007/s00104-025-02270-7","DOIUrl":"10.1007/s00104-025-02270-7","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"425-426"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588446","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":"[What competences do medical students acquire in a surgical internship?-Curriculum mapping with the National Competence-based Catalogue of Learning Objectives in Medicine (NKLM) 1.0].","authors":"Vanessa Britz, A-M Lübbehüsen, J Sterz, M-C Stefanescu, H Sterz, M Rüsseler","doi":"10.1007/s00104-024-02238-z","DOIUrl":"10.1007/s00104-024-02238-z","url":null,"abstract":"<p><strong>Background: </strong>Curriculum mapping describes the process indexing a curriculum to identify academic gaps. The first version of the National Competence-based Catalogue of Learning Objectives in Medicine (NKLM 1.0) was created to catalogue the content of medical studies and to promote the implementation of competence-oriented learning objectives. It is unclear and not transparent to what extent learning objectives are achieved in existing courses, particularly in clinical internships that cannot be standardized.</p><p><strong>Objective: </strong>The aim of the work was to map the achieved learning objectives of the NKLM 1.0. within a surgical internship from the students' perspectives.</p><p><strong>Material and methods: </strong>Medical students mapped their achieved learning objectives after a 2-week internship with an online questionnaire. In addition, sociodemographic data, the type of teaching hospital and the surgical specialty were recorded.</p><p><strong>Results: </strong>A total of 81 students participated in the mapping. After the internship 8.78 ± 5.10% (min. = 1.01%; max. = 29.84%) of all learning objectives were achieved by the students. Most of the learning objectives come from section 1 \"medical roles\" with 29.92 ± 15.22% (min. = 0.00%; max. = 63.10%). From section 2 \"medical knowledge, clinical skills and professional attitudes\", learning objectives from chapters 14b \"clinical practical skills\" (15.49 ± 7.78%, min. = 0.00%; max. = 41.30%) and 14c \"medical counseling technique\" (22.98 ± 16.47%, min. = 0.00%; max. = 70.69%) were primarily named. There were no significant differences between the sexes, the surgical specialty or the size of the teaching hospital.</p><p><strong>Conclusion: </strong>Students state that they mainly achieve learning objectives in the area of medical roles and clinical practical skills during an internship. Additional teaching formats seem to be necessary to teach specific surgical skills, diagnostics and treatment.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"405-414"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191307","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":"[Intraoperative frozen section diagnostics for low rectal cancer-Primary surgery vs. neoadjuvant pretreatment].","authors":"Franziska Eckert, Daniela Aust, Johanna Kirchberg, Jürgen Weitz, Johannes Fritzmann","doi":"10.1007/s00104-025-02272-5","DOIUrl":"10.1007/s00104-025-02272-5","url":null,"abstract":"<p><p>Depending on the extent of the tumor, the treatment strategies for rectal cancer include primary surgical resection or, in the case of locally advanced carcinoma, neoadjuvant chemo(radio)therapy (C[R]Tx) or total neoadjuvant therapy (TNT), usually followed by surgical treatment. During resection, it is important to find a balance between radicality and preservation of function. Current data show that shorter safety margins are possible for patients who received neoadjuvant treatment without compromising the oncological outcome. This enables continence-preserving surgery in many patients with low rectal cancer. In these cases in particular, intraoperative frozen section diagnostics play a central role in confirming tumor-free margins. However, frozen section diagnostics also play an important role in the transanal resection of early carcinomas or in the therapy of recurrent rectal cancer. It should not be performed routinely, but rather in a targeted maner for specific questions and the corresponding therapeutic consequences. The informative value of frozen section diagnostics in neoadjuvant treated rectal cancer may be limited, so that the final assessment of the resection status and thus the determination of further therapy must be based on paraffin-embedded sections.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"365-370"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673667","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}