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[Gastroenteropancreatic neuroendocrine neoplasms-Surgery in a multimodal concept]. [胃肠胰神经内分泌肿瘤--多模式概念下的手术]。
Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-06-27 DOI: 10.1007/s00104-024-02117-7
K Holzer, D K Bartsch
{"title":"[Gastroenteropancreatic neuroendocrine neoplasms-Surgery in a multimodal concept].","authors":"K Holzer, D K Bartsch","doi":"10.1007/s00104-024-02117-7","DOIUrl":"10.1007/s00104-024-02117-7","url":null,"abstract":"<p><p>Gastroenteropancreatic neuroendocrine neoplasms (GEP-NEN) are mainly found in the small intestine and pancreas. The course of the disease in patients is highly variable and depends on the degree of differentiation (G1-G3) of the neoplasm. The potential for metastasis formation of GEP-NEN is high even with good differentiation (G1). Lymph node metastases and, in many cases, liver metastases are also often found. Less common are bone metastases or peritoneal carcinomas. The treatment of these GEP-NENs is surgical, whenever possible. If an R0 resection with removal of all lymph node and liver metastases is successful, the prognosis of the patients is excellent. Patients with diffuse liver or bone metastases can no longer be cured by surgery alone. The long-term survival of these patients is nowadays possible due to the availability of drugs (e.g., somatostatin analogues, tyrosine kinase inhibitors), peptide receptor radionuclide therapy (PRRT) and liver-directed procedures, with a good quality of life.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"773-782"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141461135","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
[Sudden liver ischemia 30 years after polytrauma]. [多发性创伤 30 年后突发肝缺血]。
Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-07-08 DOI: 10.1007/s00104-024-02115-9
Anita Oppenauer, Markus Fellner, Alessio Amoruso, Reinhard Mittermair
{"title":"[Sudden liver ischemia 30 years after polytrauma].","authors":"Anita Oppenauer, Markus Fellner, Alessio Amoruso, Reinhard Mittermair","doi":"10.1007/s00104-024-02115-9","DOIUrl":"10.1007/s00104-024-02115-9","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"756-759"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560442","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
[Antibiotic treatment vs. observation in uncomplicated diverticulitis: results of a meta-analysis]. [无并发症憩室炎的抗生素治疗与观察：荟萃分析结果]。
Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-09 DOI: 10.1007/s00104-024-02147-1
J Reibetanz
{"title":"[Antibiotic treatment vs. observation in uncomplicated diverticulitis: results of a meta-analysis].","authors":"J Reibetanz","doi":"10.1007/s00104-024-02147-1","DOIUrl":"10.1007/s00104-024-02147-1","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"764-765"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908437","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
[Influence of portal hypertension on the postoperative outcome after liver resection for hepatocellular carcinoma: a meta-analysis of matched cohorts and prospective studies]. [门静脉高压对肝细胞癌肝脏切除术后结果的影响：匹配队列和前瞻性研究的荟萃分析]。
Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-05 DOI: 10.1007/s00104-024-02157-z
Laura Schwenk, Michael Ardelt, Utz Settmacher
{"title":"[Influence of portal hypertension on the postoperative outcome after liver resection for hepatocellular carcinoma: a meta-analysis of matched cohorts and prospective studies].","authors":"Laura Schwenk, Michael Ardelt, Utz Settmacher","doi":"10.1007/s00104-024-02157-z","DOIUrl":"10.1007/s00104-024-02157-z","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"762-763"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891155","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
[Vascular complications and 30-day morbidity in patients after general surgery from the noncardiac spectrum]. [非心脏类普外科手术后患者的血管并发症和 30 天发病率]。
Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-01 DOI: 10.1007/s00104-024-02144-4
Patrick S Plum, Matthias Mehdorn, Ines Gockel
{"title":"[Vascular complications and 30-day morbidity in patients after general surgery from the noncardiac spectrum].","authors":"Patrick S Plum, Matthias Mehdorn, Ines Gockel","doi":"10.1007/s00104-024-02144-4","DOIUrl":"10.1007/s00104-024-02144-4","url":null,"abstract":"","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"760-761"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876862","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 in diseases of the upper gastrointestinal tract]. [上消化道疾病中的性别医学]。
Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-09 DOI: 10.1007/s00104-024-02158-y
Patrick S Plum, Stefan P Mönig, Ines Gockel, Gisela Keller, Katja Ott
{"title":"[Gender medicine in diseases of the upper gastrointestinal tract].","authors":"Patrick S Plum, Stefan P Mönig, Ines Gockel, Gisela Keller, Katja Ott","doi":"10.1007/s00104-024-02158-y","DOIUrl":"10.1007/s00104-024-02158-y","url":null,"abstract":"<p><p>Benign and malignant diseases of the upper gastrointestinal tract show gender-specific differences. The frequent gastroesophageal reflux disease is a prime example: men have an erosive reflux disease more often than women and are also younger at the time of onset. The rate of progression to a metaplastic Barrett's esophagus is also higher in men. In the case of achalasia, there are indications that surgical treatment by laparoscopic Heller's myotomy and semifundoplication 180° according to Dor leads to a markedly better improvement in the symptoms in women compared to men, although they showed a more pronounced dilation of the tubular esophagus. The female hormone status influences the localization and histopathology of adenocarcinoma of the esophagogastric junction and gastric carcinoma. Premenopausal and postmenopausal carcinomas differ significantly in women. In addition, high microsatellite instability (MSI high) is more frequent in women and is associated with a generally significantly better prognosis. The MSI high gastric carcinomas of women show better survival than MSI high carcinomas of men. The future inclusion of gender-specific aspects in studies of the upper gastrointestinal tract is desirable in order to generate adequate data and to enable differentiated treatment stratification in the future.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"685-695"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908515","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-specific differences in bariatric surgery: epidemiology, treatment and results]. [减肥手术中的性别差异：流行病学、治疗和结果]。
Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-08 DOI: 10.1007/s00104-024-02149-z
Patrick Téoule, Ema Pozek, Thomas Hielscher, Christoph Reißfelder, Christine Stier, Mirko Otto, Sebastian Schölch
{"title":"[Gender-specific differences in bariatric surgery: epidemiology, treatment and results].","authors":"Patrick Téoule, Ema Pozek, Thomas Hielscher, Christoph Reißfelder, Christine Stier, Mirko Otto, Sebastian Schölch","doi":"10.1007/s00104-024-02149-z","DOIUrl":"10.1007/s00104-024-02149-z","url":null,"abstract":"<p><p>This study investigates gender-specific differences in obesity and the treatment by metabolic bariatric surgery (MBS). The database includes 2393 patients (1725 women, 668 men) from for a high-volume center for bariatric surgery. Demographic, perioperative and follow-up data were retrospectively analyzed. Men had a significantly higher body mass index (BMI) and more frequent obesity-associated diseases. Despite the higher prevalence of obesity in men, women accounted for 80% of the surgical patients. On average men had longer operation times but with the same complication rates. Postoperatively, both sexes experienced a significant reduction in excess body weight, which was slightly more pronounced in women. The study particularly emphasizes the need to better motivate men to undergo obesity treatment in order to reduce the health consequences of morbid obesity in this population group.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"721-729"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903763","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
[Sex differences in hepatobiliary and transplantation surgery]. [肝胆和移植手术中的性别差异]。
Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-01 DOI: 10.1007/s00104-024-02139-1
H Linge, N Nevermann, M Schmelzle, M Quante
{"title":"[Sex differences in hepatobiliary and transplantation surgery].","authors":"H Linge, N Nevermann, M Schmelzle, M Quante","doi":"10.1007/s00104-024-02139-1","DOIUrl":"10.1007/s00104-024-02139-1","url":null,"abstract":"<p><p>Gender-specific differences in hepatobiliary and transplantation surgery are decisive for the diagnosis, treatment and long-term outcomes. Men exhibit a higher risk of late recurrences and cancer-specific death after liver cancer resection. The emphasis on screening recommendations and ensuring equal access to treatment options are vital to minimize disparities. In kidney and liver transplantations, women are less frequently listed and endure longer waiting times, while men dominate the waiting list. Gender-specific disparities in drug compatibility necessitate differentiated dosing. Further studies are needed to ensure equity in transplantation treatment. Individualized treatment considering these differences can enhance treatment outcomes and the quality of life of patients.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"715-720"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876861","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 in lung diseases]. [肺部疾病中的性别医学］
Chirurgie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-01 DOI: 10.1007/s00104-024-02141-7
Laura V Klotz, Henrike Deissner, Florian Eichhorn
{"title":"[Gender medicine in lung diseases].","authors":"Laura V Klotz, Henrike Deissner, Florian Eichhorn","doi":"10.1007/s00104-024-02141-7","DOIUrl":"10.1007/s00104-024-02141-7","url":null,"abstract":"<p><p>Gender-specific differences in the diagnostics and treatment must be considered for various lung diseases. In the case of pneumothorax, in addition to differences in etiology there are also relevant differences in treatment and recurrence rates between men and women. For example, to achieve low recurrence rates catamenial pneumothorax requires interdisciplinary collaboration with gynecology. The incidence of lung cancer has equalized in recent years and in addition, various gender-specific prognostic factors have become relevant. Several meta-analyses have identified female gender as a positive prognostic factor for lung cancer, in addition to the higher prevalence of various driver mutations in women. In current trials of multimodal treatment for lung cancer, gender differences in tolerability and patient outcome are already apparent. In subgroup analyses better event-free survival was observed in women, although immune-mediated adverse events were more common in women.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":"730-735"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876859","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
[Learn playfully, operate seriously : The new era of surgical training]. [寓教于乐，认真操作：外科培训的新时代]。
Chirurgie (Heidelberg, Germany) Pub Date : 2024-08-14 DOI: 10.1007/s00104-024-02153-3
Pascal Burri, Dimitrios Chatziisaak, Moritz Sparn, Stephan Bischofberger
{"title":"[Learn playfully, operate seriously : The new era of surgical training].","authors":"Pascal Burri, Dimitrios Chatziisaak, Moritz Sparn, Stephan Bischofberger","doi":"10.1007/s00104-024-02153-3","DOIUrl":"https://doi.org/10.1007/s00104-024-02153-3","url":null,"abstract":"<p><strong>Background: </strong>Traditional surgical training and further education has historically involved long working hours and hands-on experience within the framework of a teacher-apprentice relationship; however, changes in regulatory policy in the USA and subsequently in Switzerland and the European Union from 2003, led to restrictions in the working hours of medical residents. As a result the traditional method of surgical training \"see one, do one, teach one\" has come under scrutiny, prompting a search for alternative training methods beyond the confines of the operating theater.</p><p><strong>Objective: </strong>This publication highlights the possibilities and limitations associated with the use of virtual reality (VR) and gamification in surgical training and further education. It examines the ability of these technological resources to enhance the effectiveness and engagement of medical residents and the feasibility of incorporating them into the surgical training curriculum.</p><p><strong>Material and methods: </strong>The study was based on a literature search for current developments in surgical training, VR and gamification. Furthermore, various studies and projects that investigated the use of VR and gamification in medical training and further education were analyzed.</p><p><strong>Results and discussion: </strong>In this investigation it could be shown that the use of VR reduces the perioperative risks and improves the training environment and learning. The use of gamification also increases the motivation and engagement of the medical residents. As a result the quality of medical education can be improved by the fusion of VR and gamification.</p>","PeriodicalId":72588,"journal":{"name":"Chirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977350","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
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