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Chapter and Conference Paper
Tierexperimentelle Untersuchungen der Makro- und Mikrozirkulation nach orthotoper Lebertransplantation
Die Leber wird von 2 verschiedenen Blutgefäßsystemen versorgt, dem arteriellen Hochdruck- und dem portalvenösen Niedrigdrucksystem. Die Sinusoide stellen die gemeinsame Endstrecke beider Systeme dar. Die gleic...
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Article
Liver transplantation for Budd-Chiari syndrome-palliation or cure?
This report documents two cases of Budd-Chiari syndrome (BCS) with essential thrombocytosis and antithrombin (AT) III deficiency as underlying etiological factors. Orthotopic liver transplantation was successf...
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Chapter and Conference Paper
Lebertransplantation beim älteren Patienten: Indikationen, Risiken und Ergebnisse
This study analyzes the course of 62 patients aged over 60 years (i.e., 7% of all recipients) which were liver transplanted over the last 10 years. The data show that the results of transplantation in patients...
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Chapter and Conference Paper
Ist die Lebertransplantation als chirurgisches Therapiekonzept bei Metastasen neuroendokriner Tumoren gerechtfertigt?
Between 1982 and February 1996 11 patients underwent liver transplantation for irresectable neuroendocrine hepatic metastases. The operative mortality was one of 11, while two patients died due to sepsis respe...
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Article
Intraoperative ultrasound during ex situ liver resection
This report describes the application of intraoperative ultrasound at the explanted liver during ex situ liver surgery. A 55-year-old woman underwent extracorporeal liver resection for multilocular metastases ...
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Article
Indikationsstellung zur Lebertransplantation bei schwerer Knollenblätterpilzvergiftung
The clinical course of 12 patients with mushroom poisoning was evaluated in order to define the parameters considered to be relevant to the indication for liver transplantation. Eight patients recovered under...
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Article
Indikationsstellung zur Lebertransplantation bei schwerer Knollenblätterpilzvergiftung
The clinical course of 12 patients with mushroom poisoning was evaluated in order to define the parameters considered to be relevant to the indication for liver transplantation. Eight patients recovered under...
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Chapter
Kidney Retransplantation in Sensitized Patients: Experience with a New Immunosuppressive Protocol
The results of retransplantation in those patients with high panel reactive antibodies (PRA) are worse than in other recipients. Nevertheless the number of retransplantations and the number of sensitized patie...
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Chapter
Experience with Fourth Time Kidney Transplantation
Between December 68 and February 97, 2991 kidney transplantations were performed in our unit: 2514 were first transplants, 297 were second transplants, 63 third transplants, 15 fourth transplants and 2 fifth t...
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Chapter and Conference Paper
Tierexperimentelle Untersuchungen zur isolierten Leberperfusion mit Tumornekrosefaktor α
Die potentiell zytotoxische Wirkung von Tumornekrosefaktor alpha (TNFα) ist aus In vitro- und In vivo-Versuchen bekannt, wobei milde Hyperthermie einen synergistisch antineoplastischen Effekt bewirkt [1]. Die Gab...
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Chapter and Conference Paper
Chirurgische Rekonstruktion bei ischämie-ähnlichen Gallengangsläsionen nach Lebertransplantation
Nicht-anastomotische Gallengangsläsionen werden bei 2–20% der Patienten nach Lebertransplantation beobachtet [1–3]. Die pathologischen Veränderungen können sowohl den extra-als auch den intrahepatischen Anteil...
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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. ...
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Chapter and Conference Paper
Anesthesiological Management During Isolated Liver Perfusion
The treatment of irresectable hepatic metastases is limited by the systemic toxicity of anticancer agents. Isolated hyperthermic liver perfusion (IHLP) with anticancer agents is a new therapy for irresectable ...
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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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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
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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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
Individuelle Planung leberchirurgischer Eingriffe an einem virtuellen Modell der Leber und ihrer Leitstrukturen
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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...