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Article
Navigierte Leberchirurgie
Die präoperative computergestützte Resektionsplanung ist die Grundlage für jede Navigation. Dank moderner Algorithmen sind die Voraussetzungen geschaffen, eine virtuelle Resektionsplanung und Risikoanalyse vor...
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Article
Vorgehen bei Leber‑, Milz‑ und Pankreasverletzungen inklusive „damage control surgery“ bei Terroranschlägen
Die Terroranschlagwelle in Europa lässt nicht nach. Geprägt durch die Erfahrungen aus Kriegsgebieten und den aktuellen Ereignissen ist ein Verständnis für die spezielle Situation des Terroranschlagtraumas und ...
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Article
Single center experience of endoscopic submucosal dissection (ESD) in early Barrett´s adenocarcinoma
Endoscopic mucosal resection (EMR) or radical surgical resection are the standard treatment options for patients with early Barrett´s adenocarcinoma (EBAC). Endoscopic submucosal dissection (ESD) is a new endo...
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Article
Impact of model-based risk analysis for liver surgery planning
A model-based risk analysis for oncologic liver surgery was described in previous work (Preim et al. in Proceedings of international symposium on computer assisted radiology and surgery (CARS), Elsevier, Am...
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Chapter and Conference Paper
First Resection of a Non Visible, Non Palpable Liver tumour Using Modern Visualization Techniques and Navigation
As recent chemotherapy regimens for metastatic colorectal cancer become more and more effective in a neoadjuvant setting before liver surgery, a „complete“ clinical response is sometimes documented on imaging....
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Article
Adipositaschirurgie: Indikation, Therapieverfahren und Nachsorge
Unter „Adipositaschirurgie“ versteht man operative Maßnahmen, die darauf gerichtet sind, die Erkrankungsursache oder die Folgen der krankhaften Fettleibigkeit zu behandeln. Die Adipositaschirurgie ist symptomo...
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Article
Hepatic resection using heat coagulative necrosis. First report of successful trisegmentectomy after hypertrophy induction
Intraoperative blood loss has been identified as one of the major mortality predictors for liver surgery. Different strategies have been used in the past to minimize blood loss during resection. A new method u...
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Chapter and Conference Paper
Resection proposals for oncologic liver surgery based on vascular territories
We describe the generation and visualization of resection proposals for oncologic liver surgery which are based on vascular territories of the portal and hepatic vein. Resection proposals are interactively con...
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Chapter and Conference Paper
Intraoperative Bestrahlung beim Schwein-Toleranz zentraler Gallenwege und biliodigestiver Anastomosen
Nach Resektion extrahepatischer Gallengangskarzinome stellt das Lokalrezidiv ein wesentliches Problem dar. Eine Verbesserung der lokalen Tumorkontrolle ermöglicht die intraoperative Radiotherapie (IORT). In di...
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Article
Ex situ Resektion und Resektion an der in situ perfundierten Leber – Gibt es noch Indikationen?
Most liver tumors can be removed with conventional resection techniques employing partial or total vascular occlusion when needed. Duration of tolerable warm ischemia has not yet been defined, but it seems to...
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Article
Native pyeloureterostomy after kidney transplantation: experience in 48 cases
Necrosis and stenosis of the ureter are severe complications after kidney transplantation and occur with mean incidence of 2,9–13,4 %. Several surgical techniques like simple nephrostomy or complex urinary tr...
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Article
Ausgedehnte Leberresektionen bei Kleinkindern im Kreislaufstillstand und unter Low-flow-Kreislaufbedingungen an der Herz-Lungen-Maschine
In order to perform resections of tumors at critical sites in the liver in young children, liver resections in cardiac arrest and deep hypothermia under cardiopulmonary bypass have been developed. We report o...
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Article
Ex-vivo resection techniques in tissue-preserving surgery for liver malignancies
Some primary and secondary liver tumours are not absolutely irresectable, but cannot be resected using a conventional approach because of the limited warm ischaemia tolerance of the liver or poor accessibility...
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Article
Individuelle Planung leberchirurgischer Eingriffe an einem virtuellen Modell der Leber und ihrer Leitstrukturen
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Chapter and Conference Paper
Biohybrider Leberersatz — Einsatz im Großtiermodell
A major problem in the treatment of acute liver failure is a lack of therapeutic options for increasing intracerebral pressure (ICP). This animal model shows the efficacy of a bioartificial liver support syste...
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Article
Total hepatectomy and liver transplantation for metastatic neuroendocrine tumors of the pancreas – a single center experience with ten patients
Background: Metastatic neuroendocrine pancreatic tumors have a poor prognosis. We have studied retrospectively the efficacy of liver transplantation as ultimate therapy of otherwise untreatable symptomatic neur...
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Article
Dreidimensionale (3-D) Visualisierung der Leber zur Planung erweiterter Leberresektionen
Preoperative planning of liver resections in patients with liver tumors is based on sonography, computed tomography and magnetic resonance imaging. A new three-dimensional (3D) visualization program was devel...
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Article
In-situ, ante-situm, and ex-situ surgical approaches for otherwise irresectable hepatic tumors
Background: Primary liver tumors or liver metastases may be either irresectable, or only resectable at high risk because of their local relation to important vascular structures (hilum of liver, venous confluens,...
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Chapter and Conference Paper
Asanguineous Isolated Hyperthermic Perfusion of the Liver: Results of an Experimental Study in Pigs
Asanguineous hyperthermic liver perfusion was performed in five and seven pigs for 30 and 45 min respectively. Laboratory data, including changes of liver enzyme levels and results of liver function tests, as ...
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Chapter and Conference Paper
The Surgical Technique of Isolated Hyperthermic Arterial Liver Perfusion in Humans
Various techniques of isolated liver perfusions have been described, using hepatic artery or both hepatic artery and portal vein. In this paper the technique of isolated arterial liver perfusion is presented. ...