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[COMPARE study: dV-RAS versus Lap/VATS and open]. [比较研究：dV-RAS与Lap/VATS和open]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-09-01 Epub Date: 2025-07-17 DOI: 10.1007/s00104-025-02358-0
Mika Henkenjohann, Michael Ardelt, Utz Settmacher
{"title":"[COMPARE study: dV-RAS versus Lap/VATS and open].","authors":"Mika Henkenjohann, Michael Ardelt, Utz Settmacher","doi":"10.1007/s00104-025-02358-0","DOIUrl":"10.1007/s00104-025-02358-0","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"781-782"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661147","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
[Hemorrhoidal disease and stage-dependent treatment (including anal prolapse)]. [痔疮病及分期治疗（包括肛门脱垂）]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-09-01 Epub Date: 2025-06-30 DOI: 10.1007/s00104-025-02335-7
Oliver Schwandner
{"title":"[Hemorrhoidal disease and stage-dependent treatment (including anal prolapse)].","authors":"Oliver Schwandner","doi":"10.1007/s00104-025-02335-7","DOIUrl":"10.1007/s00104-025-02335-7","url":null,"abstract":"<p><p>The treatment of hemorrhoidal disease is carried out depending on the symptoms and stage of the disease. Although conservative and interventional treatment options (including sclerotherapy, rubber band ligation) are indicated in early stages (stages I and II), surgical procedures are effective treatment options for advanced hemorrhoidal disease (stages III and IV). In this context, \"conventional\" hemorrhoidectomy procedures are increasingly in competition with minimally invasive techniques (e.g. hemorrhoidal artery ligation, laser hemorrhoidoplasty, radiofrequency ablation). In cases of acute anal prolapse, a conservative and topical approach is indicated. The ultimate goal of all treatment strategies for hemorrhoidal disease is symptom control and long-term absence of recurrence.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"709-720"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531340","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
[Primary small bowel malignancies]. 原发性小肠恶性肿瘤。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-09-01 Epub Date: 2025-07-14 DOI: 10.1007/s00104-025-02341-9
A Bauschke, M Ardelt, A Ali-Deeb, L J Schnitzler, L Schwenk, U Settmacher
{"title":"[Primary small bowel malignancies].","authors":"A Bauschke, M Ardelt, A Ali-Deeb, L J Schnitzler, L Schwenk, U Settmacher","doi":"10.1007/s00104-025-02341-9","DOIUrl":"10.1007/s00104-025-02341-9","url":null,"abstract":"<p><p>Primary small bowel tumors are extremely rare. They are often first manifested as symptomatic in advanced stages. To date, no screening options are available. The diagnostics include sectional imaging, various endoscopic procedures and positron emission tomography (PET). Depending on the histological type and tumor stage, endoscopic treatment options are available in addition to surgical resection. Following histological confirmation, discussion in the interdisciplinary tumor board is recommended for the planning of the treatment procedure. In emergency situations (hemorrhage, small bowel obstruction) laparotomy is usually performed prior to the elaborate diagnostics.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"789-796"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627878","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
[Is the adjuvant administration of imatinib more meaningful over 3 or 6 years in patients with high-risk for recurrent GIST?] 对于复发性GIST高危患者，伊马替尼辅助治疗3年或6年更有意义吗？]
Chirurgie (Heidelberg, Germany) Pub Date : 2025-09-01 Epub Date: 2025-07-09 DOI: 10.1007/s00104-025-02350-8
Melissa Harbrücker, Jens Jakob, Christoph Reissfelder
{"title":"[Is the adjuvant administration of imatinib more meaningful over 3 or 6 years in patients with high-risk for recurrent GIST?]","authors":"Melissa Harbrücker, Jens Jakob, Christoph Reissfelder","doi":"10.1007/s00104-025-02350-8","DOIUrl":"10.1007/s00104-025-02350-8","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"785-786"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593056","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
[Anal fistula disease : Anatomical foundations and surgical procedures]. [肛瘘疾病：解剖学基础和外科手术]。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-09-01 Epub Date: 2025-07-17 DOI: 10.1007/s00104-025-02338-4
Jessica Schneider, Tillmann Heinze, Tilman Laubert, Volker Kahlke, Thilo Wedel, Marvin Heimke
{"title":"[Anal fistula disease : Anatomical foundations and surgical procedures].","authors":"Jessica Schneider, Tillmann Heinze, Tilman Laubert, Volker Kahlke, Thilo Wedel, Marvin Heimke","doi":"10.1007/s00104-025-02338-4","DOIUrl":"10.1007/s00104-025-02338-4","url":null,"abstract":"<p><p>Perianal abscess and cryptoglandular fistula disease is among the most common proctological disorders and requires an in-depth knowledge of anorectal anatomy, particularly the relevant abscess spaces and fistula tracts, for precise diagnosis and successful treatment. The pathogenesis is attributed to an infection of the proctodeal glands within the anal sphincter apparatus. While immediate abscess drainage is the top priority in acute situations and fistula exposure by probing should not be forced to avoid a via falsa, definitive fistula treatment depends on the complexity of the fistula. The gold standard for fistula treatment includes fistulotomy, fistula excision (possibly with sphincter reconstruction) and advanced flap surgery. Success rates in experienced hands exceed 80%. Alternative procedures have been developed, particularly for sphincter preservation, with varying success rates.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"728-736"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12370549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661145","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
[Chronic anal fissure-Cremes or surgery?] 慢性肛裂-乳膏还是手术？］
Chirurgie (Heidelberg, Germany) Pub Date : 2025-09-01 Epub Date: 2025-07-18 DOI: 10.1007/s00104-025-02336-6
Marie Klein, Marcel Zadnikar, Lukas Marti
{"title":"[Chronic anal fissure-Cremes or surgery?]","authors":"Marie Klein, Marcel Zadnikar, Lukas Marti","doi":"10.1007/s00104-025-02336-6","DOIUrl":"10.1007/s00104-025-02336-6","url":null,"abstract":"<p><p>An anal fissure is a painful lesion of the anal canal. The acute form often heals spontaneously and should be treated conservatively. The treatment of chronic anal fissures is the subject of many studies but the treatment recommendations of international guidelines are contradictory. Conservative treatment consists of chemical sphincterotomy using sphincter-relaxing drugs, such as calcium channel antagonists, nitrates or botulinum toxin and leads to healing in only about 50% of patients with a prolonged healing time and a high rate of recurrence. In contrast surgical treatment is much more effective. Lateral internal sphincterotomy is the most effective treatment with a success rate of >90%. Fissurectomy with a success rate of 80% is preferred in German-speaking countries due to its much lower risk of incontinence.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"721-727"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661146","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
[Surgery of rectal prolapse : Which treatment procedure for which patient?] 直肠脱垂手术：哪一种治疗方法适合哪一种患者？］
Chirurgie (Heidelberg, Germany) Pub Date : 2025-09-01 Epub Date: 2025-07-25 DOI: 10.1007/s00104-025-02346-4
Mia Kim
{"title":"[Surgery of rectal prolapse : Which treatment procedure for which patient?]","authors":"Mia Kim","doi":"10.1007/s00104-025-02346-4","DOIUrl":"10.1007/s00104-025-02346-4","url":null,"abstract":"<p><strong>Background: </strong>External rectal prolapse is a rare condition that significantly impairs the quality of life. Surgery is the only curative treatment option.</p><p><strong>Objective: </strong>Due to the variety of surgical procedures and the heterogeneous study landscape, uncertainty persists regarding the optimal surgical strategy. This study analyzes the available surgical techniques concerning their recurrence and complication rates and functional results.</p><p><strong>Material and methods: </strong>Current studies, meta-analyses and randomized controlled trials on the surgical treatment of rectal prolapse were evaluated, considering both abdominal and perineal procedures.</p><p><strong>Results: </strong>Abdominal procedures tend to show lower recurrence rates than perineal approaches, particularly in mesh-supported rectopexy. Although perineal procedures are more frequently used in older and multimorbid patients, no significant advantage is observed regarding perioperative morbidity. Overall, however, the study landscape is characterized by a high risk of bias.</p><p><strong>Conclusion: </strong>The high methodological heterogeneity of the studies makes a definitive recommendation difficult. Therefore, it remains unclear which approach is superior in the long term.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"737-742"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709964","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
[Perineal diseases]. (会阴疾病)。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-09-01 Epub Date: 2025-08-21 DOI: 10.1007/s00104-025-02331-x
Christoph Reißfelder
{"title":"[Perineal diseases].","authors":"Christoph Reißfelder","doi":"10.1007/s00104-025-02331-x","DOIUrl":"https://doi.org/10.1007/s00104-025-02331-x","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":"96 9","pages":"707-708"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980881","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
S3-Leitlinie „Lagerungstherapie und Mobilisation von kritisch Erkrankten auf Intensivstationen“. “在重症监护室治疗和动员危重病人”。
Chirurgie (Heidelberg, Germany) Pub Date : 2025-09-01 DOI: 10.1007/s00104-025-02339-3
Marina Sander
{"title":"S3-Leitlinie „Lagerungstherapie und Mobilisation von kritisch Erkrankten auf Intensivstationen“.","authors":"Marina Sander","doi":"10.1007/s00104-025-02339-3","DOIUrl":"https://doi.org/10.1007/s00104-025-02339-3","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":"96 9","pages":"787-788"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980927","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
[Short summary of the new S2k guidelines on low-grade appendiceal mucinous neoplasms-What is important for the clinical practice?] [关于低级别阑尾黏液性肿瘤的新S2k指南的简短总结-对临床实践的重要性是什么？]］
Chirurgie (Heidelberg, Germany) Pub Date : 2025-09-01 Epub Date: 2025-07-16 DOI: 10.1007/s00104-025-02353-5
Sophie Müller, Carolin Kastner, Christoph-Thomas Germer, Johan Friso Lock, Sven Flemming
{"title":"[Short summary of the new S2k guidelines on low-grade appendiceal mucinous neoplasms-What is important for the clinical practice?]","authors":"Sophie Müller, Carolin Kastner, Christoph-Thomas Germer, Johan Friso Lock, Sven Flemming","doi":"10.1007/s00104-025-02353-5","DOIUrl":"10.1007/s00104-025-02353-5","url":null,"abstract":"<p><p>With the development and publication of the S2k guidelines of the Association of the Scientific Medical Societies in Germany (AWMF) on the diagnostics, treatment and aftercare of low-grade appendiceal mucinous neoplasm (LAMN), the currently available evidence about this rare disease is summarized. The guidelines serve as a foundation for an appropriate evidence-based oncological treatment of this patient cohort. This article provides a short summary of the most important points for the clinical practice.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"751-754"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12370791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644235","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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