Mostly, cholecystectomy is an uncomplicated routine laparoscopic surgery for cholelithiasis. The term “difficult gallbladder” indicates that the procedure may be challenging and hazardous. However, there is no clear definition of what is meant by …
The increase in the elderly population has been remarkable in recent years. The average age is increasing significantly in industrialised countries. Life expectancy at birth in the European Union (EU) was estimated to be 80.9 in 2017, reaching …
Autoren:
M.D., PhD. Prof. Vladislav Treska, M.D., PhD Assoc. Prof. Tomas Skalicky, MN.D., PhD Prof. Vaclav Liska, M.D. Jakub Fichtl, M.D. Jan Bruha
In Vorarlberg, the western-most county of Austria with 400,000 inhabitants, there are four main and two specialized hospitals. The focus hospital is the Landeskrankenhaus (LKH) Feldkirch (a teaching hospital of the medical university of …
Autoren:
Daniel Lechner, Peter Tschann, Paolo C. N. Girotti, Ingmar Königsrainer
The patient’s informed consent (IC) is a legal requirement for all medical interventions. Recent studies have shown that signing the IC form does not necessarily mean comprehension of the disease and the planned therapy or remembrance of the given …
Autoren:
PD Dr. med. habil. Andrej Udelnow, Dr. med. Verena Hecht, Prof. Dr. med. habil. Ivo Buschmann, Dr. med. Catharina Wilbrandt, Dr. med. Udo Barth, MBA, M.Sc. Prof. Dr. med. habil. Frank Meyer, Prof. Dr. med. habil. Zuhir Halloul
Diverticular disease was first described in 1928 by Finny et al. [ 1 ]. Its complications continue to be a burden on health care systems. In the United States the most common gastrointestinal tract diagnoses are diverticulitis and diverticular …
Autoren:
Peter Tschann, Daniel Lechner, Benedikt Feurstein, Stephanie Adler, Paolo Girotti, Martin Hufschmidt, Ingmar Königsrainer
Robotic surgery is gaining popularity and is supposed to be advantageous as compared to standard laparoscopy due to a more precise manipulation, better visualization, and improved ergonomics. Especially in complex interventions, these features …
Autoren:
Prof. Dr. med. Dirk Wilhelm, Thomas Vogel, Philipp-Alexander Neumann, Helmut Friess, Michael Kranzfelder
Gastroesophageal reflux disease (GERD) is an underestimated burden of health loss with a prevalence of up to 27.8% in Western countries [ 1 ]. A recent systematic analysis using data of the Global Burden of Disease Study 2017 revealed that GERD …
Autoren:
MD Matthias Paireder, MD Ivan Kristo, MD Milena Nikolic, MD Gerd Jomrich, Johannes Steindl, MD Erwin Rieder, MD Reza Asari, MD, F.A.C.S. Sebastian F. Schoppmann
Indications for the use of RATS vary between the facilities but correspond as far as possible to other minimally invasive surgical findings. In general, RATS is currently a therapeutic option for the management of early-stage NSCLC without …
Autoren:
Tim Sandhaus, Marion Durand, Thorben Möller, Jan‑Hendrik Egberts, Univ.-Prof. Dr. med. Matthias Steinert
Thoracic surgery is usually followed by numerous chest X‑rays (CXR). They are associated with high logistic efforts and patient discomfort, are binding multiple personnel resources (transport, technical assistants, radiologists), are costly, and …
Autoren:
Dr. med. Thomas Galetin, Dr. med. Mark Schieren, Dr. med. Benjamin Marks, Dr. med. Jerome Defosse, Prof. Dr. med. Erich Stoelben
In the surgical treatment of esophageal cancer, complete tumor resection is the most important factor and determines long-term survival [ 1 , 2 ]. Unfortunately, less than 50% of patients initially present with local disease [ 3 ], which is …
Autoren:
Dr. med. Jan-Niclas Kersebaum, Dr. med. Thorben Möller, Prof. Dr. med. Thomas Becker, Prof. Dr. med. Jan-Hendrik Egberts
On 1 January 2019, the amended Health Care Benefits Ordinance (KLV) providing for the principle outpatient before inpatient entered into force in Switzerland [ 1 ]. Thereby, the Federal Department of Home Affairs, to which the Office of Public …
Autoren:
Kim Tai Vuong, Laura C. Guglielmetti, Thomas G. Albert, Waldemar Brillat Arce, Ralph F. Staerkle, MD, PhD Raphael N. Vuille-dit-Bille
Ventral hernias, whether primary or incisional or recurrent, are common, and often require surgical repair. Incisional hernias occur in approximately 2–20% of abdominal incisions, with postoperative wound infection being a significant risk factor …
Cholecystectomy is one of the most common operations of the gastrointestinal tract. After initiation of the laparoscopic approach in the late 1980s, this technique gained wide acceptance. Unfortunately, the iatrogenic bile duct injury (BDI) rate …
Autoren:
Timucin Erol, Ass. Prof. Ahmet Dogrul, Prof. Osman Abbasoglu
Laparoscopic cholecystectomy has become the standard procedure worldwide since the early 1990s for those patients whose gallbladder has to be removed as part of their underlying disease (NIH Consensus Statement 1992). The most common complication …
Autoren:
FRCS, FEBS(hon) O. Univ. Prof. Dr. Hans-Jörg Mischinger, Doris Wagner, Peter Kornprat, Heinz Bacher, Georg Werkgartner
A gallbladder polyp (GP) is defined as an elevation of the gallbladder mucosa that protrudes into the gallbladder lumen. Gallbladder polyps (GPs) have an estimated prevalence in adults of 0.3–12.3%. However, only 5% of polyps are considered “true” …
The median progression times according to The TNM classification of malignant (TNM) stage were 34 months from stage I to stage II, 19 months from stage II to stage III, and 1.8 months from stage III to stage IV [ 3 ]. The time taken for a tumor in …
Autoren:
Ass. Prof. Taylan Özgür Sezer, Berk Sertöz, Özgür Fırat, Sinan Ersin
Surgical removal of the gallbladder has a history of nearly 140 years—a period allowing for technical progression with most advances in the past 30 years, when minimally invasive surgery became implemented in clinical routine. This article …
Autoren:
Dr. med. univ. Markus Ammann, Prim. Univ. Doz. Dr. Friedrich Längle
A national survey during the SARS-CoV-2 virus outbreak
We conducted an anonymous web-based national survey among Polish general surgeons from March 30 to April 6, 2020. The survey was conducted in collaboration with the Association of Polish Surgeons (APS) and the National Consultant in General …
Autoren:
MD Justyna Rymarowicz, MD Tomasz Stefura, MD, PhD Prof. Piotr Major, MD, PhD Prof. Jacek Szeliga, MD, PhD Prof. Grzegorz Wallner, MD, PhD Prof. Michał Nowakowski, MD, PhD Prof. Michał Pędziwiatr