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

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[Procedure Coding System (PCS): evaluation by the Ministry of Health]. 【程序编码系统:卫生部评价】。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
A Zaiss
{"title":"[Procedure Coding System (PCS): evaluation by the Ministry of Health].","authors":"A Zaiss","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It can be assumed that the German surgical procedure coding system OPS-301 must be replaced by a new coding system at the beginning of the next millennium. The \"Procedure Coding System (ICD-10-PCS)\" which is presently being developed in the USA was considered the most promising system by the German Curators for questions of classification in Public Health (KKG). Therefore, a working group with members representing all organisations of the KKG was established to evaluate the PCS with special reference to the German conditions. The working group found that PCS is at the moment the best available procedure coding system. The German version of PCS has been licensed by DIMDI in December 1997 and will therefore be in the public domain. The German version will be developed in co-operation with all involved organisations for pilot studies and accompanying scientific evaluation, thus a maximum of consensus should be achieved.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"764-6"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837299","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
[Legal aspects of prevention of thrombosis]. [预防血栓形成的法律方面]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
K Ulsenheimer
{"title":"[Legal aspects of prevention of thrombosis].","authors":"K Ulsenheimer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"779-84"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837301","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
[Promoting research in Germany]. [促进在德国的研究]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
B Konze-Thomas
{"title":"[Promoting research in Germany].","authors":"B Konze-Thomas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The DFG is the major funding organisation for research at German universities. A considerable amount of funds are spent on clinical research, including surgical research. Despite some success, the quality of clinical research in Germany is not considered to be satisfactory. Where are the deficits, and how is it possible to improve the situation? By which mechanisms could the DFG add to the improvement of clinical research?</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"741-3"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837363","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
[Results of two-stage thyroidectomy in differentiated thyroid gland carcinoma]. 分化型甲状腺癌的两期甲状腺切除术结果。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
H M Rau, J Fass, V Schumpelick
{"title":"[Results of two-stage thyroidectomy in differentiated thyroid gland carcinoma].","authors":"H M Rau,&nbsp;J Fass,&nbsp;V Schumpelick","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This retrospective study (1986-1996) investigated 60 patients after total thyroidectomy indicated by a differentiated thyroid carcinoma. Analyzing the rate of paralysis of the recurrent nerve after secondary thyroidectomy due to the timing of the second operation, we found that only patients with secondary thyroidectomy having their second operation at an interval > 7 days suffered from permanent paralysis of the recurrent nerve. In conclusion, a second radical surgical procedure must be performed as early as possible to minimize complications.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1061-2"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837369","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
[Magnetic resonance tomography in diagnosis of vascular infiltration in malignant pancreas tumors]. [磁共振断层扫描在胰腺恶性肿瘤血管浸润诊断中的应用]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
K Wendl, A Richter, J Gaa, J Sturm, M Trede
{"title":"[Magnetic resonance tomography in diagnosis of vascular infiltration in malignant pancreas tumors].","authors":"K Wendl,&nbsp;A Richter,&nbsp;J Gaa,&nbsp;J Sturm,&nbsp;M Trede","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study was undertaken to evaluate the accuracy of magnetic resonance angiography (MRA) in assessing venous or arterial infiltration in pancreatic cancer. In 90 patients MRA showed a sensitivity of 81.1%, a specificity of 90.2% and an accuracy of 85.9% in predicting venous infiltration and a sensitivity of 81.8%, a specificity of 90.7% and an accuracy of 88.1% in predicting arterial infiltration. From these data we conclude that MRA is an accurate method for detecting vascular infiltration in pancreatic cancer.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1328-30"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837380","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 ultrasound as the standard for intraoperative bile duct evaluation within the scope of laparoscopic cholecystectomy]. 【腹腔镜超声作为腹腔镜胆囊切除术范围内术中胆管评价的标准】。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
H F Weiser, M Birth
{"title":"[Laparoscopic ultrasound as the standard for intraoperative bile duct evaluation within the scope of laparoscopic cholecystectomy].","authors":"H F Weiser,&nbsp;M Birth","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1547-9"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837387","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
[Repeat interventions after decompression of the carpal tunnel]. [腕管减压后重复干预]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
C Wulle
{"title":"[Repeat interventions after decompression of the carpal tunnel].","authors":"C Wulle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>If after carpal tunnel release, symptoms continue or progress, or if new ones appear, they must be examined thoroughly and differentiated. Such symptoms may hint at incomplete splitting of the retinaculum flexorum, a more proximally located nerve compression (faulty diagnosis or double-crush syndrome), a general or a new disease, a previously unrecognized or a new hypertrophic synovialitis, a hypertrophically contracted scar, or a neuroma. Iatrogenic lesions have frequently been reported. A second follow-up operation is indicated only after all findings, including the neurophysiological assessment, have been taken into consideration: scar, neuroma resection, revision and neurolysis of the median nerve at all levels. The most difficult question is the coverage of the nerve in the scar tissue with thin and well-vascularised tissue. Various types of flaps using muscle or subcutaneous or synovial tissue have been suggested.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"641-6"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837508","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
[The problem of interactions in perioperative prophylaxis: reducing the risk or increasing the risk?]. 围手术期预防的相互作用问题:降低风险还是增加风险?
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
W Lorenz, B Stinner, D Duda, I Celik, W Dick, M Rothmund
{"title":"[The problem of interactions in perioperative prophylaxis: reducing the risk or increasing the risk?].","authors":"W Lorenz,&nbsp;B Stinner,&nbsp;D Duda,&nbsp;I Celik,&nbsp;W Dick,&nbsp;M Rothmund","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Risk research and risk analysis have to be modeled as a fairly complex system including multivariate regression modeling for risk factors in etiology, Markov models in pathogenesis, and a construct of mechanistic and hermeneutic variables for clinical outcome analysis. The McPeek index is proposed as an example. Several prophylaxes for risk reduction in the perioperative period produce risk reduction as well as risk augmentation in different types of outcome. These unexpected findings were observed not only in clinical trials, but also in animal experiments and in isolated tissues. This demonstrates a basic problem of handling complexity in the real clinical setting.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"647-54"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837509","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
[Transforming growth factor-beta controls pathogenesis of Crohn disease]. 转化生长因子- β控制克罗恩病的发病机制。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
H Friess, F F di Mola, B Egger, A Scheuren, J Kleeff, A Zimmermann, M W Büchler
{"title":"[Transforming growth factor-beta controls pathogenesis of Crohn disease].","authors":"H Friess,&nbsp;F F di Mola,&nbsp;B Egger,&nbsp;A Scheuren,&nbsp;J Kleeff,&nbsp;A Zimmermann,&nbsp;M W Büchler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The pathogenetic mechanisms which contribute to the progression of Crohn's disease are still not known. Transforming growth factor-beta (TGF-beta) and its subtypes are multifunctional polypeptides which regulate immunological processes as well as the synthesis of the extracellular matrix and fibrogenesis. In the present study, Crohn's disease tissue samples of 18 patients undergoing intestinal resection were analyzed by Northern blot analysis, in situ hybridization and immunostaining for TGF-beta 1-3 and the TGF-beta receptors type I-III (T beta R-I, T beta R-II, T beta R-III). There was a marked overexpression of TGF-beta 1, TGF-beta 3 and T beta R-II in 94% of the Crohn's disease tissue samples. TGF-beta 2 and T beta R-I ALK5 and T beta R-III were enhanced in 72%, 72% and 82% of the Crohn tissue samples, respectively. In situ hybridization and immunostaining revealed that there was frequent coexpression of TGF-beta with its signaling receptors. Our data indicate that TGF-beta and their receptors seem to be involved in the pathogenesis of Crohn's disease. Their enhanced expression might contribute to the increase in extracellular matrix resulting in fibrosis and subsequently in intestinal obstruction.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"994-7"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837513","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
[Can the extent of pancreatic tumors be evaluated reliably enough by positron emission tomography (PET)]. [正电子发射断层扫描(PET)能足够可靠地评估胰腺肿瘤的范围吗]。
Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1998-01-01
A Sendler, N Avril, J D Roder, M Schwaiger, J R Siewert
{"title":"[Can the extent of pancreatic tumors be evaluated reliably enough by positron emission tomography (PET)].","authors":"A Sendler,&nbsp;N Avril,&nbsp;J D Roder,&nbsp;M Schwaiger,&nbsp;J R Siewert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We made PET scans using 18 FDG for 46 patients admitted for pancreatic surgery. The method yielded a sensitivity of 86% and a specificity of 67%. PET does not allow precise exclusion of malignant tumors and therefore invasive diagnostic procedures may not be reduced.</p>","PeriodicalId":77239,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":"115 ","pages":"1485-7"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20837534","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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