Chirurgie (Heidelberg, Germany)最新文献_第8页

[Surgeon well-being and mindfulness-A narrative review on how come, for what reason, why in times of surgeon shortage]. [外科医生的幸福感与心态--关于外科医生短缺时期的 "来龙去脉 "的叙述性回顾]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-20 DOI: 10.1007/s00104-024-02177-9

Benedikt J Braun, Steven C Herath, Maximilian M Menger, Mika F R Rollmann, Tina Histing, Eva Marie Braun

引用次数: 0

[Effects of working time recording from the perspective of surgeons]. [从外科医生的角度看工作时间记录的影响]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-11 DOI: 10.1007/s00104-024-02154-2

Ralf Kramer, Swen Günther, Ilker Yasin Eyüpoglu, Tareq Juratli, Witold Polanski

{"title":"[Effects of working time recording from the perspective of surgeons].","authors":"Ralf Kramer, Swen Günther, Ilker Yasin Eyüpoglu, Tareq Juratli, Witold Polanski","doi":"10.1007/s00104-024-02154-2","DOIUrl":"https://doi.org/10.1007/s00104-024-02154-2","url":null,"abstract":"Background: Since 2023 the law in Germany has required that working times are recorded in the field of surgery.Objectives: The consequences of recording of the working hours in surgery are the main topic of this study. The search for ways of harmonization in the team to counteract a limited availability of personnel requires knowledge of the position of surgeons on the issue in question.Material and methods: The study design is based on the situational approach of organizational research and encompasses 20 qualitative interviews and 186 datasets of an online questionnaire with 24 questions. For the evaluation group comparisons were carried out using the ANOVA analysis. The target groups were surgeons working in German hospitals. The study has an explorative character due to the targeted selection of samples.Results: The results of the online survey showed a strong support for working time recording among surgeons with a general agreement of 82% and a consensus at all levels from residents to medical directors. Less than 50% of the assistants and medical specialists saw an improvement via an in-house dialogue, in comparison to senior physicians and medical directors. The right to compensatory time off by other employees represents a greater burden for senior physicians and chief physicians.Discussion: The decisive result shows that there is a preference for transponder-based systems, especially among surgeons with long working hours. The problems of transparency and the right to compensatory time off, often associated with a lack of personnel, demonstrate the necessity for an improved communication and strategic personnel planning in hospitals. Surgeons have differentiated views on the transparent exchange on the topic of the working hours performed.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302305","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 : 2024-09-05 DOI: 10.1007/s00104-024-02169-9

C Benignus, H Griesemann, A Merscher, C Marquardt, S Retter, T Schiedeck

引用次数: 0

[Sex differences in pancreatic cancer]. [胰腺癌的性别差异]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-15 DOI: 10.1007/s00104-024-02150-6

Magdalena Holze, Azaz Ahmed, Martin Loos, Christoph W Michalski, Rosa Klotz

引用次数: 0

[PD-L1 expression in cutaneous angiosarcoma : Systematic review with meta-anakysis]. [皮肤血管肉瘤中的 PD-L1 表达：系统综述与元分析]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-07-16 DOI: 10.1007/s00104-024-02131-9

Melissa Harbrücker, Christoph Reißfelder, Jens Jakob

引用次数: 0

[Gender medicine in peritoneal diseases]. [腹膜疾病中的性别医学]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-01 DOI: 10.1007/s00104-024-02142-6

Franziska Köhler, Beate Rau

{"title":"[Gender medicine in peritoneal diseases].","authors":"Franziska Köhler, Beate Rau","doi":"10.1007/s00104-024-02142-6","DOIUrl":"10.1007/s00104-024-02142-6","url":null,"abstract":"Diseases of the peritoneum are divided into benign and malignant, whereby malignant diseases are more frequent. The incidence of peritoneal metastases is difficult to determine as they are frequently not listed separately in cancer databases and registries. Peritoneal metastases can be caused by many primary tumors but are particularly frequent in gastric, ovarian and colorectal carcinomas. Systemic chemotherapy shows gender-specific differences in the tolerability, especially gastrointestinal side effects and hematological toxicity occur more often in women. Surgical treatment options in selected patients include cytoreductive surgery with or without hyperthermic intraperitoneal chemoperfusion (HIPEC). The treatment recommendations depend on the primary tumor entity and the stage of the disease. Hysterectomy and/or salpingo-oophorectomy is often necessary during cytoreductive surgery. As the incidence of cancerous diseases is increasing in younger patients, the aspect of fertility is becoming increasingly more important. The iatrogenically induced menopause is another aspect that needs to be addressed after these types of procedures. Women with gastric and colorectal cancer tend to have a slightly better survival rate, especially in localized tumors; however, in advanced tumor stages the survival rates are comparable. Even if gender-specific differences in incidence, treatment response and adverse events are conspicuous, there is so far no exact explanation for these differences. More studies are needed in order to treat both genders as adequately as possible, with low adverse events and to achieve the best possible outcome.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"742-747"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876860","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

[Gender medicine: endocrine and neuroendocrine diseases : Implications for surgery and perioperative management]. [性别医学：内分泌和神经内分泌疾病：对手术和围手术期管理的影响]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-05 DOI: 10.1007/s00104-024-02140-8

Frederike Butz, Charlotte Friederieke Müller-Debus, Martina T Mogl

引用次数: 0

[Importance of gender medicine for surgery and perioperative management]. [性别医学对外科手术和围手术期管理的重要性]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-19 DOI: 10.1007/s00104-024-02160-4

Ines Gockel

引用次数: 0

[Gender-specific differences in the development of colorectal cancer in Lynch syndrome patients-A systematic review]. [林奇综合征患者罹患结直肠癌的性别差异--系统回顾]。

Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-15 DOI: 10.1007/s00104-024-02159-x

Jonas Dohmen, Nils Sommer, Katrin van Beekum, Jacob Nattermann, Christoph Engel, Jörg C Kalff, Robert Hüneburg, Tim O Vilz

{"title":"[Gender-specific differences in the development of colorectal cancer in Lynch syndrome patients-A systematic review].","authors":"Jonas Dohmen, Nils Sommer, Katrin van Beekum, Jacob Nattermann, Christoph Engel, Jörg C Kalff, Robert Hüneburg, Tim O Vilz","doi":"10.1007/s00104-024-02159-x","DOIUrl":"10.1007/s00104-024-02159-x","url":null,"abstract":"Background: Lynch syndrome (LS) is the most frequent hereditary tumor syndrome and is associated with an increased risk of colorectal cancer (CRC). While gene-specific and age-specific differences are considered in patient surveillance, gender-specific risks in the development of CRC have been reported in many studies but are not consistently documented.Objective: This systematic review aims to investigate gender-specific differences in CRC development among LS patients.Material and methods: A systematic literature search following PRISMA 2020 guidelines was conducted in the PubMed, Ovid, The Cochrane Library and Web of Science databases. A total of 688 studies were screened, and 41 met the inclusion criteria.Results: Men have a higher risk of CRC and develop CRC earlier compared to women.Conclusion: These findings indicate gender-specific differences in the risk of CRC among LS patients, although they do not currently justify separate surveillance strategies.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"696-708"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984070","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

[Deficit of trainees in thoracic surgery : Do we need to adapt or become extinct?] [胸外科学员不足：我们需要适应还是灭绝？］

Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-05-31 DOI: 10.1007/s00104-024-02106-w

Romina Maria Rösch, Raffaella Griffo, Josephine Berger-Groch, Lena Brendel, Maria Ada Presotto, Isabella Metelmann, Hauke Winter, Laura Valentina Klotz

{"title":"[Deficit of trainees in thoracic surgery : Do we need to adapt or become extinct?]","authors":"Romina Maria Rösch, Raffaella Griffo, Josephine Berger-Groch, Lena Brendel, Maria Ada Presotto, Isabella Metelmann, Hauke Winter, Laura Valentina Klotz","doi":"10.1007/s00104-024-02106-w","DOIUrl":"10.1007/s00104-024-02106-w","url":null,"abstract":"Background: Although thoracic surgery is a challenging and versatile surgical specialty, a shortage of qualified and motivated thoracic surgery residents is expected in the coming years. In the inpatient setting, a shortage of approximately 7300 surgeons is expected. Therefore, there is an urgent need to attract more interested young medical students and improve the medical training of our next generation of surgeons.Methods: To assess the current nationwide status quo among medical students, an online survey with 39 questions on participant demographics, medical education, interest in surgical and thoracic surgery training, and attractiveness of residency was designed.Results: In all, 224 questionnaires were analyzed. Overall, there was a high level of interest in (thoracic-) surgery at the start of training. It should be noted that one third of the respondents did not know that the 'thoracic surgeon' is an independent specialist. This statement raises further questions about the presence of thoracic surgery in medical studies. When asked about typical characteristics that students associate with thoracic surgery, the majority answered 'a high level of practical activity'. The main reason they gave for not pursuing further surgical training was the unfavorable work-life balance.Conclusion: Students know exactly what they want for their future and where surgery has its weaknesses. They want transparent and practical training, a work-life balance, and recognition of their work and themselves.","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"748-755"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181731","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