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Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress最新文献

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[Endoscopically-assisted lipoma removal]. 【内镜辅助脂肪瘤切除】。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
A Berger, U Tanzella
{"title":"[Endoscopically-assisted lipoma removal].","authors":"A Berger,&nbsp;U Tanzella","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since 1994 we have been removing large capsulated lipomas which are localised in an esthetically exposed and/or functional region using endoscopically assisted technique. This technique is minimally invasive and allows optimal visualisation of the tumour during the removal. Only a small incision is required to prepare the tumour in toto with capsula. With the endoscopic control of the wound we can avoid greater haematomas, which is very important for wound healing.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1538-40"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837384","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
[New aspects of laparoscopic cholangiography]. [腹腔镜胆道造影的新进展]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
S Klima, B Schyra
{"title":"[New aspects of laparoscopic cholangiography].","authors":"S Klima,&nbsp;B Schyra","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cholangiography does not prevent bile duct injury, but if performed properly, it can identify impending injury before hand. We present a modified form of laparoscopic cholecystcholangiography; only 5 min are required to perform this technique. Some 408 consecutive peroperative cholangiographies are analyzed. We recommend this method, which decreases the risk of bile duct injuries, reveals occult bile duct stones in 4.2%, and gives the opportunity to approximate the gold standard of cholecystectomies.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1550-3"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837388","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
[Do patients with changes in the vertebral arteries have an increased risk in carotid artery obliteration?]. 椎动脉改变的患者颈动脉闭塞的风险增加吗?
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
A Hoffmann, W Lang
{"title":"[Do patients with changes in the vertebral arteries have an increased risk in carotid artery obliteration?].","authors":"A Hoffmann,&nbsp;W Lang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There was no difference between the groups investigated in terms of the preoperative neurological stages. In patients with VA involvement, both the 30-day mortality rate (p < 0.01) and the long-term survival rate (p < 0.01) were significantly poorer. In the study group, the incidence of shunt procedures was three times as high as in the control group (p < 0.01).</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1246-8"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837524","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
[Special therapeutic approaches for interrupting the cascade--from systemic inflammatory response syndrome to multiple organ failure]. [阻断级联反应的特殊治疗方法——从全身炎症反应综合征到多器官衰竭]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
H Bartels, N Zantl, B Holzmann, J R Siewert
{"title":"[Special therapeutic approaches for interrupting the cascade--from systemic inflammatory response syndrome to multiple organ failure].","authors":"H Bartels,&nbsp;N Zantl,&nbsp;B Holzmann,&nbsp;J R Siewert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>SIRS, sepsis and MOF are clinical sequelae related to persistent, uncontrolled inflammation. Therefore, different strategies for treatment were designed to block the cascade from SIRS to MOF (anti-inflammatory therapies). However, clinical trials using these agents have failed to demonstrate any benefit. In sepsis the body also mounts an anti-inflammatory response, which has been largely ignored. If the anti-inflammatory reaction is sufficiently severe, we might increase the susceptibility to infection or even exacerbate immunosuppression by using anti-inflammatory agents. In contrast, agents to stimulate the immune system--like IFN-gamma or G-SCF--may prove beneficial.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"615-8"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837650","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
[Surgical anatomy in lung resections]. [肺切除术的外科解剖学]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
C Engelmann
{"title":"[Surgical anatomy in lung resections].","authors":"C Engelmann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When thoracic/lung surgery is performed autodidactically, intraoperative catastrophes and complications are to be expected. Atypical partial resections must be distinguished from typical resections of anatomical parechyma units (standard operations). More extensive operations which involve additional lung structures (lung lobes, trachea, bronchi) or attached organs (chest wall, heart, diaphragm etc.) are technically demanding. The larger the anatomical unit, the closer to the heart all vessels have to be arranged and, not seldom this means intrapericardially with clamping of the left atrium. All structures of the hilus are suitable for closing with staplers or suture. In the case of pneumonectomies, central lung structures can be cut most easily by cutting ligaments (Lig. anterior superius, Lig. pulmonale inferius). Pictures and photographs demonstrate specialties of topography of bilateral central lung structures in the context of extended resections.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"956-62"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837652","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
[Optimized laser-induced thermotherapy in treatment of liver metastases of colorectal carcinomas, an interdisciplinary responsibility--a clinical study]. 【优化激光热疗治疗大肠癌肝转移的跨学科责任——临床研究】。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
D Albrecht, C T Germer, A Roggan, C Isbert, J P Ritz, H J Buhr
{"title":"[Optimized laser-induced thermotherapy in treatment of liver metastases of colorectal carcinomas, an interdisciplinary responsibility--a clinical study].","authors":"D Albrecht,&nbsp;C T Germer,&nbsp;A Roggan,&nbsp;C Isbert,&nbsp;J P Ritz,&nbsp;H J Buhr","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a clinical study, it was investigated whether local tumor control is attainable with laser-induced thermotherapy (LITT) in the treatment of colorectal liver metastasis tumors. Local control of tumor growth was obtainable in completely hyperthermic tumors. Due to the small and inhomogeneous patient population (n = 32), an assessment of the method regarding prognostic gain for the patient is not possible in such a short follow-up period.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1438-40"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837690","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
[Current therapeutic strategy in primary intestinal non-Hodgkin's lymphoma]. [目前原发性肠道非霍奇金淋巴瘤的治疗策略]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
W U Schmidt, W Heise, S Daum, F P Müller, T Steinke, D R Wassenberg, P R Verreet
{"title":"[Current therapeutic strategy in primary intestinal non-Hodgkin's lymphoma].","authors":"W U Schmidt,&nbsp;W Heise,&nbsp;S Daum,&nbsp;F P Müller,&nbsp;T Steinke,&nbsp;D R Wassenberg,&nbsp;P R Verreet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Of all surgical interventions of intestinal non-Hodgkin's lymphomas 58% (15 or 26 patients) are performed in an emergency situation. In 42% of cases, examination by ultrasonography, endosonography, intestinoscopy. Sellink's enema, thoracic, abdominal/pelvic CT and bone marrow puncture could determine the stage preoperatively. This could also be done by examining the regional and juxtaregional lymph nodes or performing a liver biopsy intraoperatively. Crucial for the therapy is in all cases the adequate staging even in emergency situations. Only special knowledge of the intestinal non-Hodgkin's lymphoma can lead to the necessary stage-adapted multimodal therapy--operation/irradiation/chemotherapy.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1421-5"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837770","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
[Diameter of metastases is decisive for local treatment outcome of cryotherapy of colorectal liver metastases]. 【转移灶直径对结直肠肝转移瘤冷冻治疗的局部疗效有决定性影响】。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
J K Seifert, T Junginger, D L Morris
{"title":"[Diameter of metastases is decisive for local treatment outcome of cryotherapy of colorectal liver metastases].","authors":"J K Seifert,&nbsp;T Junginger,&nbsp;D L Morris","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a retrospective analysis we aimed to assess the incidence of local recurrence at the cryosite as well as possible prognostic indicators for the disease-free interval at the cryosite following hepatic cryotherapy for non-resectable colorectal metastases. At a median follow-up of 22 months, 66 of 85 patients had developed tumor recurrence, involving local recurrence at the cryosite in 28 patients, with cryoablated metastases of > 3 cm being associated with shorter disease-free intervals at the cryosite. Improvements in probe placement and monitoring of the freezing process are required to allow successful treatment of large liver metastases.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1455-7"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20838244","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
[Genetic methods in experimental xenogenic nerve transplantation]. 实验性异种神经移植的遗传方法。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
D Hebebrand, D Wagner, N F Jones, H U Steinau
{"title":"[Genetic methods in experimental xenogenic nerve transplantation].","authors":"D Hebebrand,&nbsp;D Wagner,&nbsp;N F Jones,&nbsp;H U Steinau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The ready availability of xenografts and the promising results of genetic engineering both may offer new methods in peripheral xenotransplantation. FK506 and RS61443 are able to prolong survival of nerve xenografts. The incorporation of adenoviral sequences in xenogeneic tissues is possibly a new option for decreasing the toxicity of immunosuppressive drugs and immunogenicity of grafts.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1279-81"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20836820","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
[Laparoscopic anti-reflux surgery in gastroesophageal reflux. Diagnosis, surgical technique and outcome in 143 patients]. 腹腔镜反流手术治疗胃食管反流。143例患者的诊断、手术技术及预后分析[j]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
E Kleimann, H J Halbfass
{"title":"[Laparoscopic anti-reflux surgery in gastroesophageal reflux. Diagnosis, surgical technique and outcome in 143 patients].","authors":"E Kleimann,&nbsp;H J Halbfass","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Within the period March 1994 to March 1998, 143 patients with gastroesophageal reflux disease (GERD) underwent laparoscopic antireflux surgery. According to manometric studies, 76 patients underwent short-floppy laparoscopic Nissen fundoplication, 42 patients with impaired motility had a Toupet hemifundoplication, and 25 patients had an anterior Dor hemifundoplication. Recurrent reflux symptoms appeared in 6.3% after 16.7 +/- 12 months of follow-up (Nissen 2.6%, Toupet 2.3%, Dor 24%, p < 0.01). Persistent dysphagia with reoperation occurred in 2.1% (Nissen 2.6%, Toupet 2.3%, Dor = 0%, n.s.). Follow-up included assessment of the Visick score and patient satisfaction with operation results. Excellent or good results were found in 92% of the patients.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1520-2"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20836833","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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