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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 AccessComparing a virtual reality head-mounted display to on-screen three-dimensional visualization and two-dimensional computed tomography data for training in decision making in hepatic surgery: a randomized controlled study
Evaluation of the benefits of a virtual reality (VR) environment with a head-mounted display (HMD) for decision-making in liver surgery.
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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 AccessLymphoepithelial cyst of the pancreas: can common imaging features help to avoid resection?
Differentiation of cystic pancreatic neoplasms remains a challenging task for radiologists regarding the main aim of identifying malignant and premalignant lesions.
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Article
Pankreatische neuroendokrine Neoplasien
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Article
Open AccessState-of-the-art surgery for pancreatic cancer
The d evelopment of surgical techniques and specialization and specifically complication management in pancreatic surgery have improved surgical outcomes as well as oncological results in pancreatic surgery in...
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Article
Technical progress in robotic pancreatoduodenectomy: TRIANGLE and periadventitial dissection for retropancreatic nerve plexus resection
The resection of retropancreatic nerve plexuses for pancreatic head cancer became standard of care during open pancreatoduodenectomy to minimize local recurrences. Since more surgical centers are progressing o...
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Article
Open AccessSplenorenal shunt for reconstruction of the gastric and splenic venous drainage during pancreatoduodenectomy with resection of the portal venous confluence
Resection of the portal venous confluence is frequently necessary for radical resection during pancreatoduodenectomy for cancer. However, ligation of the splenic vein can cause serious postoperative complicati...
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Article
Open AccessSevere acute pancreatitis: surgical indications and treatment
Acute pancreatitis (AP) is defined as an acute inflammatory attack of the pancreas of sudden onset. Around 25% of patients have either moderately severe or severe disease with a mortality rate of 15–20%.
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Article
Open AccessMeta-analysis of primary open versus closed cannulation strategy for totally implantable venous access port implantation
There is still no reference standard for the implantation of totally implantable venous access ports (TIVAPs). A recently published multicentre randomised controlled trial (RCT) revealed a significantly greate...
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Article
Image-guided minimally invasive endopancreatic surgery using a computer-assisted navigation system
Minimally invasive endopancreatic surgery (EPS), performing a pancreatic resection from inside the pancreatic duct, has been proposed as an experimental alternative to duodenum-preserving pancreatic head resec...
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Chapter
Einführung
Seit den 1980er-Jahren begann in der Chirurgie die Entwicklung und Einführung minimal-invasiver Operationsverfahren, die zunächst über gynäkologische Eingriffe in die Viszeralchirurgie Einzug hielten, bevor si...
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Chapter
Pankreaschirurgie
Nach der Erstbeschreibung von robotischen Eingriffen am Pankreas im Jahr 2003 hat sich dieses innovative Gebiet der operativen Medizin stetig weiterentwickelt. Über die Jahre ist die Operationszeit, die Konver...
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Article
Open AccessCavernous transformation of the portal vein in pancreatic cancer surgery—venous bypass graft first
In recent years, several techniques have been introduced to allow safe oncologic resections of cancers of the pancreatic head. While resections of the mesenterico-portal axis became now a part of the routine t...
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Article
Kolonischämie nach offener und endovaskulärer Aortenchirurgie
Die Kolonischämie gehört trotz erfolgreicher Etablierung der endovaskulären Techniken weiterhin zu den schwerwiegenden Komplikationen der Aortenchirurgie. Zu den Risikofaktoren zählen neben der Aortenaneurysma...
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Article
Pancreatic resection for cancer—the Heidelberg technique
Pancreatic cancer is associated with high recurrence rates, and any surgery should aim to prevent local recurrence. However, systematic resection of putatively tumor-infiltrated soft tissue adjacent to the cel...
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Article
Evolution of oncosurgical management of pancreatic cancer
Pancreatic cancer is the third leading cause of cancer-related death in the Western world and is projected to soon become the second commonest cause of cancer mortality. During the past two decades, there have...
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Article
Open AccessSurgical and local therapeutic concepts of oligometastatic pancreatic cancer in the era of effective chemotherapy
Pancreatic cancer (PC) remains a disease characterized by an extremely poor prognosis, which is often limited by advanced tumor stage at diagnosis. As surgery remains the only option for long-term survival, in...
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Article
Pancreatic surgery: we need clear definitions
Pancreatic surgery has undergone substantial changes during the last decades. Improved surgical techniques and perioperative care have contributed to improved outcomes and allow safe surgery with mortality rat...
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Article
Neoadjuvant and adjuvant chemotherapy in pancreatic cancer
Only 15–20% of patients with pancreatic ductal adenocarcinoma (PDAC) have a resectable tumor at the time of diagnosis. Effective multimodal treatment concepts including neoadjuvant chemotherapy are therefore n...