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Article
“Prophylactic” transanal irrigation (TAI) to prevent symptoms of low anterior resection syndrome (LARS) after rectal resection: results at 12-month follow-up of a controlled randomized multicenter trial
Low anterior resection syndrome (LARS) is associated with a severe negative impact on patients’ quality of life (QOL). In a recent prospective randomized controlled trial (RCT) by our group, early (“prophylact...
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Article
Open AccessRating of camera navigation skills in colorectal surgery
In advanced minimally invasive surgery the laparoscopic camera navigation (LCN) quality can influence the flow of the operation. This study aimed to investigate the applicability of a scoring system for LCN (S...
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Article
Lymphadenektomie in der onkologischen Viszeralchirurgie – Teil 2
Bei Karzinomen des Intestinaltraktes ist das lymphogene Metastasierungsrisiko abhängig von der Histologie, dem Grading und der Infiltrationstiefe (T-Kategorie). Dem prätherapeutischen Staging kommt besondere B...
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Article
Transanale totale mesorektale Exzision – eine sinnvolle Operationstechnik zur individualisierten Behandlung von Patienten mit Rektumkarzinom
Trotz einer erheblichen Verbesserung der Resektionsqualität in der operativen Behandlung des Rektumkarzinoms besteht noch Optimierungspotenzial. Die transanale totale mesorektale Exzision (TaTME) ist ein neues...
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Article
Transanale totale mesorektale Exzision
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Article
Lymphadenektomie in der onkologischen Viszeralchirurgie – Teil 2
Bei Karzinomen des Intestinaltraktes ist das lymphogene Metastasierungsrisiko abhängig von der Histologie, dem Grading und der Infiltrationstiefe (T-Kategorie). Dem prätherapeutischen Staging kommt besondere B...
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Article
Structured assessment of laparoscopic camera navigation skills: the SALAS score
Tools are needed to assess laparoscopic camera navigation (LCN) in the operating room. Here, we aimed to develop an objective rating scale for LCN.
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Article
Prophylactic transanal irrigation for low anterior resection syndrome following rectal resection
Defecation disorders and incontinence are common following low anterior resection of the rectum. Transanal irrigation (TAI) has been reported to be a cheap and effective treatment for improving the quality of ...
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Article
Open AccessEstablishing PNB-qPCR for quantifying minimal ctDNA concentrations during tumour resection
The analysis of blood plasma or serum as a non-invasive alternative to tissue biopsies is a much-pursued goal in cancer research. Various methods and approaches have been presented to determine a patient’s tum...
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Article
Trainingskurs transanale totale mesorektale Exzision (TaTME)
In den letzten Jahren wurde der videoendoskopisch unterstützte transanale Zugang zur totalen mesorektalen Exzision (TME) in Kombination mit dem laparoskopischen Verfahren entwickelt und als Indikation bestätig...
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Article
Electrophysiology-based quality assurance of nerve-sparing in laparoscopic rectal cancer surgery: Is it worth the effort?
After low anterior resection for rectal cancer, visual assessment of pelvic autonomic nerve preservation can be difficult due to the complexity of neuroanatomy, as well as surgery- and patient-related factors....
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Article
Topographie der extrinsischen Nervenversorgung des inneren Analsphinkters während der laparoskopisch assistierten TAMIS TME
Die Schonung der extrinsischen autonomen Innervation des inneren Analsphinkters während der totalen mesorektalen Exzision ist für den Erhalt der Analsphinkterfunktion wichtig. Die vorliegende Studie bestätigte...
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Article
Open AccessContinuous intraoperative monitoring of pelvic autonomic nerves during TME to prevent urogenital and anorectal dysfunction in rectal cancer patients (NEUROS): a randomized controlled trial
Urinary, sexual and anorectal sequelae are frequent after rectal cancer surgery and were found to be related to intraoperative neurogenic impairment. Neuromonitoring methods have been developed to identify and...
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Article
Midterm functional results of taTME with neuromap** for low rectal cancer
Information on functional outcomes after laparoscopic-assisted transanal total mesorectal excision (taTME) is limited. This study analyzed the functional results in patients with low rectal cancer.
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Chirurgie von kolorektalen Lebermetastasen beim alten Patienten
Das kolorektale Karzinom hat seinen Erkrankungsgipfel in der 7. Lebensdekade und betrifft somit in über 50 % der Fälle den älteren Menschen. Im Jahr 2014 traten, basierend auf den Daten des Robert-Koch-Institu...
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Article
Preconditioning in laparoscopic surgery—results of a virtual reality pilot study
This prospective study investigated the effect of preconditioning in laparoscopic cholecystectomy (LC) and appendectomy (LA) based on pre- and postoperative virtual reality laparoscopy (VRL) performances, with...
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Article
Percutaneous nerve evaluation based on electrode placement under control of autonomic innervation
Foramen needle electrode placement for percutaneous nerve evaluation (PNE) is currently carried out while observing the somatic motor response. This study investigated electrode placement while observing the a...
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Article
Evaluation of two-dimensional intraoperative neuromonitoring for predicting urinary and anorectal function after rectal cancer surgery
The aim of this study was to compare the results of two-dimensional intraoperative neuromonitoring (IONM) with the postoperative urinary and anorectal function of rectal cancer patients.
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Article
Continuous intraoperative monitoring of autonomic nerves during low anterior rectal resection: an innovative approach for observation of functional nerve integrity in pelvic surgery
The aim of this study was to develop a methodological setup for continuous intraoperative neuromonitoring with intent to improve nerve-sparing pelvic surgery.
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Article
Virtual reality laparoscopy: which potential trainee starts with a higher proficiency level?
Minimally invasive surgery requires technical skills distinct from those used in conventional surgery. The aim of this prospective study was to identify personal characteristics that may predict the attainable...