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Article
Open AccessStructured feedback and operative video debriefing with critical view of safety annotation in training of laparoscopic cholecystectomy: a randomized controlled study
The learning curve in minimally invasive surgery (MIS) is lengthened compared to open surgery. It has been reported that structured feedback and training in teams of two trainees improves MIS training and MIS ...
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Article
Open AccessChallenges in multi-centric generalization: phase and step recognition in Roux-en-Y gastric bypass surgery
Most studies on surgical activity recognition utilizing artificial intelligence (AI) have focused mainly on recognizing one type of activity from small and mono-centric surgical video datasets. It remains spec...
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Article
Open AccessLong-term quality of life after hybrid robot-assisted and open Ivor Lewis esophagectomy for esophageal cancer in a single center: a comparative analysis
Due to improved survival of esophageal cancer patients, long-term quality of life (QoL) is increasingly gaining importance. The aim of this study is to compare QoL outcomes between open Ivor Lewis esophagectom...
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Article
Educational challenges and opportunities for the future generation of surgeons: a sco** review
Surgery offers exciting opportunities but comes with demanding challenges that require attention from both surgical program administrators and aspiring surgeons. The hashtag #NoTrainingTodayNoSurgeonsTomorrow ...
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Article
Open AccessIntraoperative liver deformation and organ motion caused by ventilation, laparotomy, and pneumoperitoneum in a porcine model for image-guided liver surgery
Image-guidance promises to make complex situations in liver interventions safer. Clinical success is limited by intraoperative organ motion due to ventilation and surgical manipulation. The aim was to assess i...
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Article
Open AccessAn international Delphi consensus for surgical quality assessment of lymphadenectomy and anastomosis in minimally invasive total gastrectomy for gastric cancer
Minimally invasive total gastrectomy (MITG) is a mainstay for curative treatment of patients with gastric cancer. To define and standardize optimal surgical techniques and further improve clinical outcomes thr...
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Article
Open AccessEvidence map** on how to perform an optimal surgical repair of large hiatal hernias
Symptomatic and large hiatal hernia (HH) is a common disorder requiring surgical management. However, there is a lack of systematic, evidence-based recommendations summarizing recent reviews on surgical treatm...
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Article
Open AccessViral load of SARS-CoV-2 in surgical smoke in minimally invasive and open surgery: a single-center prospective clinical trial
At the beginning of the COVID-19 pandemic, it was assumed that SARS-CoV-2 could be transmitted through surgical smoke generated by electrocauterization. Minimally invasive surgery (MIS) was targeted due to pot...
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Article
Open AccessActive learning for extracting surgomic features in robot-assisted minimally invasive esophagectomy: a prospective annotation study
With Surgomics, we aim for personalized prediction of the patient's surgical outcome using machine-learning (ML) on multimodal intraoperative data to extract surgomic features as surgical process characteristi...
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Article
Open AccessEndothelial Notch1 signaling in white adipose tissue promotes cancer cachexia
Cachexia is a major cause of morbidity and mortality in individuals with cancer and is characterized by weight loss due to adipose and muscle tissue wasting. Hallmarks of white adipose tissue (WAT) remodeling,...
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Article
Open AccessTelestration with augmented reality improves the performance of the first ten ex vivo porcine laparoscopic cholecystectomies: a randomized controlled study
The learning curve in minimally invasive surgery (MIS) is steep compared to open surgery. One of the reasons is that training in the operating room in MIS is mainly limited to verbal instructions. The iSurgeon...
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Article
Open AccessRobot-assisted versus laparoscopic living donor nephrectomy: superior outcomes after completion of the learning curve
The use of robots in donor nephrectomy has increased in recent years. However, whether robot-assisted methods have better outcomes than traditional laparoscopic methods and how surgical experience influences t...
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Article
Open AccessMid-Term Outcomes After Conversion Procedures Following Laparoscopic Sleeve Gastrectomy
In the long term, laparoscopic sleeve gastrectomy (SG) may be associated with insufficient weight loss (IWL), gastroesophageal reflux disease (GERD), and persistence or relapse of associated medical problems. ...
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Article
Open AccessSurgical outcomes in elective sigmoid resection for diverticulitis stratified according to indication: a propensity-score matched cohort study with 903 patients
Weighing the perioperative risk of elective sigmoidectomy is done regardless of the specific diverticulitis classification. The aim of this study is to evaluate surgical outcomes according to the classificatio...
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Article
Open AccessCrossover-effects in technical skills between laparoscopy and robot-assisted surgery
Robot-assisted surgery is often performed by experienced laparoscopic surgeons. However, this technique requires a different set of technical skills and surgeons are expected to alternate between these approac...
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Article
Open AccessForce-based assessment of tissue handling skills in simulation training for robot-assisted surgery
Although robotic-assisted surgery is increasingly performed, objective assessment of technical skills is lacking. The aim of this study is to provide validity evidence for objective assessment of technical ski...
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Article
Open AccessManagement of paraesophageal hiatus hernia: recommendations following a European expert Delphi consensus
There is considerable controversy regarding optimal management of patients with paraesophageal hiatus hernia (pHH). This survey aims at identifying recommended strategies for work-up, surgical therapy, and pos...
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Article
Open AccessPerioperative chemotherapy with 5-FU, leucovorin, oxaliplatin, and docetaxel (FLOT) for esophagogastric adenocarcinoma: ten years real-life experience from a surgical perspective
According to the results of FLOT4 trial, perioperative FLOT chemotherapy improved overall survival (OS) in locally advanced, resectable esophagogastric adenocarcinoma (EGA) compared to perioperative ECF/ECX. W...
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Chapter and Conference Paper
Abstract: Tattoo-Tomographie
Photoakustische Tomographie (PAT) ist eine neuartige Bildgebung, die es ermöglicht, morphologische und funktionelle Gewebeeigenschaften wie zum Beispiel die Sauerstoffsättigung in Echtzeit und räumlich aufgelö...
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Article
Open AccessInteractive visual exploration of surgical process data
Integrated operating rooms provide rich sources of temporal information about surgical procedures, which has led to the emergence of surgical data science. However, little emphasis has been put on interactive vis...