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Article
Open AccessCan you feel the force just right? Tactile force feedback for training of minimally invasive surgery—evaluation of vibration feedback for adequate force application
Tissue handling is a crucial skill for surgeons and is challenging to learn. The aim of this study was to develop laparoscopic instruments with different integrated tactile vibration feedback by varying differ...
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Article
Open AccessThe development of tissue handling skills is sufficient and comparable after training in virtual reality or on a surgical robotic system: a prospective randomized trial
Virtual reality is a frequently chosen method for learning the basics of robotic surgery. However, it is unclear whether tissue handling is adequately trained in VR training compared to training on a real robo...
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Article
Open AccessPreoperative anaemia in distal pancreatectomy: a propensity-score matched analysis
Preoperative anaemia is a prevalent morbidity predictor that adversely affects short- and long-term outcomes of patients undergoing surgery. This analysis aimed to investigate preoperative anaemia and its detr...
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Article
Open AccessImpact of dehydration on laparoscopic performance: a prospective, open-label, randomized cross-over trial
During laparoscopic surgery, surgeons may experience prolonged periods without fluid intake, which might impact surgical performance, yet there are no objective data investigating this issue. Therefore, the ai...
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Article
Open AccessSatisfaction of surgeons with the current state of training in minimally invasive surgery: a survey among German surgeons
Minimally invasive surgery (MIS) requires intense education and training with structured supervision and feedback. However, a standardized training structure is lacking in Germany. This nationwide survey aimed...
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Article
Open AccessPreoperative IL-8 levels as prognostic indicators of overall survival: an extended follow-up in a prospective cohort with colorectal liver metastases
CRC with liver metastases is a major contributor to cancer-related mortality. Despite advancements in liver resection techniques, patient survival remains a concern due to high recurrence rates. This study see...
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Article
Open AccessInterleukin-8 is superior to CRP for the prediction of severe complications in a prospective cohort of patients undergoing major liver resection
Early detection of severe complications may reduce morbidity and mortality in patients undergoing hepatic resection. Therefore, we prospectively evaluated a panel of inflammatory blood markers for their value ...
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Article
Open AccessDoes practice make perfect? Laparoscopic training mainly improves motion efficiency: a prospective trial
Training improves skills in minimally invasive surgery. This study aimed to investigate the learning curves of complex motion parameters for both hands during a standardized training course using a novel measu...
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Article
Open Access3D liver model-based surgical education improves preoperative decision-making and patient satisfaction—a randomized pilot trial
Hepatobiliary surgery bares obstacles to informed consent for the patients due to its complexity and related risk of postoperative complications. 3D visualization of the liver has been proven to facilitate com...
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Article
Antibiotic resistance patterns of bacterial bile cultures during pancreatic surgery—a single center analysis and systematic review
Septic complications after pancreatic surgery are common. However, it remains unclear if and how a shift of the microbiological spectrum affects morbidity. The aim of the present study was to assess the microb...
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Article
Open AccessDoes caffeine consumption affect laparoscopic skills in a motion tracking analysis? A prospective, randomized, blinded crossover trial
Coffee can increase vigilance and performance, especially during sleep deprivation. The hypothetical downside of caffeine in the surgical field is the potential interaction with the ergonomics of movement and ...
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Article
International survey evaluating treatment of primary superficial skin abscesses
Skin and soft-tissue infections (SSTI) present regularly as cutaneous abscesses which require surgical drainage. These abscesses often affect younger patients and interfere with their independency substantiall...
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Article
Perception of quality of intraoperative fluoroscopy and the influence on postoperative management: an international survey
Intraoperative precise visualization of fractures and assessment of the quality of reduction is essential in orthopedic trauma surgery. Fluoroscopic skills will lead to an increased detection rate of minimal a...
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Article
Impact of pulmonary embolism on morbidity and mortality in patients undergoing pancreatic surgery
Postoperative pulmonary embolism (PE) after pancreatic surgery is a potentially life-threatening complication. However, the magnitude of morbidity and mortality of PE is still uncertain. The present study aims...
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Article
Factors predicting adverse outcome in complete intra-articular distal radius fractures
To determine risk factors associated with adverse functional and radiological outcome in complete intra-articular distal radius fractures (AO 23 C2–3) with a minimum follow-up of 1 year.
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Article
Open AccessPrognostic impact of para-aortic lymph node metastases in non-pancreatic periampullary cancer
Resection of the para-aortic lymph node (PALN) group Ln16b1 during pancreatoduodenectomy remains controversial because PALN metastases are associated with a worse prognosis in pancreatic cancer patients. The p...
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Article
Open AccessSwiss chocolate and free beverages to increase the motivation for scientific work amongst residents: a prospective interventional study in a non-academic teaching hospital in Switzerland
The success of a clinical trial depends on its recruitment of eligible patients; therefore, the recruitment period requires special attention. We hypothesized that with a new approach focused on continuous inf...
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Article
Results of portosystemic shunts during extended pancreatic resections
Patients with borderline resectable pancreatic cancer are increasingly explored after neoadjuvant treatment protocols. A complete resection, then, frequently includes the resection of the mesentericoportal axi...
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Article
Is there a need for standardized postoperative radiographs after operative treatment of wrist or ankle fractures?
The purpose of this study was to evaluate the frequency of changes in treatment plan due to standardized postoperative radiographs. A secondary aim was to compare our results with a national benchmark.
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Chapter and Conference Paper
Using 3D Convolutional Neural Networks to Learn Spatiotemporal Features for Automatic Surgical Gesture Recognition in Video
Automatically recognizing surgical gestures is a crucial step towards a thorough understanding of surgical skill. Possible areas of application include automatic skill assessment, intra-operative monitoring of...
