Komplikationsmanagement in der Chirurgie
Allgemeinchirurgie - Viszeralchirurgie - Thoraxchirurgie
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47 Result(s)
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Jens Werner
Abdominal Surgery
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Article
Successful ablation of lymph nodes using irreversible electroporation (IRE) in a porcine survival model
Irreversible electroporation (IRE), a nonthermal injury ablation technique, has been shown to be effective and safe in various organs, such as in the kidney, liver, prostate, or in pancreas. In contrast to rad...
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Article
Temporary Intraoperative Porto-Caval Shunts in Piggy-Back Liver Transplantation Reduce Intraoperative Blood Loss and Improve Postoperative Transaminases and Renal Function: A Meta-Analysis
The value of temporary intraoperative porto-caval shunts (TPCS) in cava-sparing liver transplantation is discussed controversially. Aim of this meta-analysis was to analyze the impact of temporary intraoperati...
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Article
Autologous but not Fibrin Sealant Patches for Stump Coverage Reduce Clinically Relevant Pancreatic Fistula in Distal Pancreatectomy: A Systematic Review and Meta-analysis
Postoperative pancreatic fistula (POPF) causes significant morbidity and mortality after distal pancreatectomy. Patch coverage of the pancreatic stump is often used with the intention to prevent POPF. Despite ...
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Article
Rescue management of early complications after liver transplantation—key for the long-term success
Postoperative complications may have not only immediate but also long-term effects on the outcomes. Here, we analyzed the effect of postoperative complications requiring a reoperation (grade 3b) within the fir...
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Article
Isolation and culture of primary human pancreatic stellate cells that reflect the context of their tissue of origin
Pancreatic stellate cells (PSCs) play a critical role in pancreatic ductal adenocarcinoma (PDAC). Activated PSCs are the main source of fibrosis in chronic pancreatitis and of desmoplasia in PDAC. The majority...
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Article
Surgical resection strategies for locally advanced pancreatic cancer
Despite all improvements in tumor diagnostics and treatment, pancreatic cancer is still the fourth leading cause of cancer-related death in the Western world. It is mostly diagnosed at a locally advanced or me...
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Book
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Article
Outcome, complications, and mortality of an intrathoracic anastomosis in esophageal cancer in patients without a preoperative selection with a risk score
Esophagectomy for esophageal cancer remains a challenge with relatively high morbidity. We analyzed outcome, complications, and mortality after abdominothoracic esophagectomy with intrathoracic anastomosis. No...
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Article
Radiologic versus endoscopic evaluation of the conduit after esophageal resection: a prospective, blinded, intraindividually controlled diagnostic study
Anastomotic leakage is a major complication in esophageal surgery. Although contrast swallow is performed by many surgical centers before reintroduction of oral intake to exclude anastomotic leakage postoperat...
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Chapter
Evidenzbasierte offene und minimal-invasive Nekrosektomie bei akuter Pankreatitis
Patienten mit nekrotisierender schwerer Pankreatitis benötigen heute nur noch selten eine interventionelle oder chirurgische Therapie. Bei Verdacht auf infizierte Nekrosen und septischem Krankheitsbild sollte ...
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Chapter
Indikationen zur operativen Therapie zystischer Pankreasneoplasien
Bei den meisten zystischen Neoplasien des Pankreas ist aufgrund des signifikanten Malignitätsrisikos eine chirurgische Resektion des Tumors indiziert. So sollten alle muzinös-zystischen Neoplasien (MCN) und al...
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Chapter
Klinische Manifestation der Autoimmunpankreatitis
Die Klinik der Autoimmunpankreatitis (AIP) ist äußerst variabel, wodurch die Diagnosestellung erschwert wird. Als Leitsymptome gelten ein Verschlussikterus und mittelgradige abdominelle Schmerzen in Verbindung...
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Chapter
Risiko und Ergebnisse der operativen Tumorentfernung des Pankreaskarzinoms
Pankreasresektionen bei duktalem Adenokarzinom sind bis heute als große viszeralchirurgische Eingriffe zu werten. Ein wichtiger Faktor für die postoperative 30-Tage-Mortalität ist die Erfahrung des operierende...
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Chapter
Langzeitverlauf nach operativer Tumorentfernung und Chemotherapie des duktalen Pankreaskarzinoms
Die Kombination aus operativer Tumorentfernung und systemischer Chemotherapie ist die einzige potenziell kurative Therapieoption beim Pankreaskarzinom, das als systemische Erkrankung betrachtet werden muss. Du...
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Article
Prognosis of resected pancreatic cancer: is the refined resection margin status dispensable?
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Article
Distal pouch reconstruction with transverse jejunoplasty after experimental gastrectomy
Various reconstruction methods with or without reservoir formation after total gastrectomy have been established. Transverse intestinoplasty has benefits as a functional peristalsis modification in rectal rese...
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Article
Enucleation in pancreatic surgery: indications, technique, and outcome compared to standard pancreatic resections
Pancreatic surgery is a technically challenging intervention with high demands for preoperative diagnostics and perioperative management. A perioperative mortality rate below 5% is achieved in high-volume cent...
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Article
Pancreas Divisum: A Differentiated Surgical Approach in Symptomatic Patients
Some patients with pancreas divisum (PD) develop symptoms of recurrent pancreatitis. This is probably caused by insufficient drainage of the pancreatic duct. We report the results of our follow-up of patients ...
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Article
The need for extended intensive care after pancreaticoduodenectomy for pancreatic ductal adenocarcinoma
Pancreaticoduodenectomy (PD) is standard for patients with resectable pancreatic ductal adenocarcinoma (PDAC) in the pancreatic head, neck, and uncinate process, but it is associated with a relatively high mor...
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Article
Uncinate process first—a novel approach for pancreatic head resection
Partial pancreatico-duodenectomy is the standard treatment for malignancies of the pancreatic head. We describe a technical modification with a retrograde dissection of the pancreatic head as a novel surgical ...
