Langenbeck's archives of surgery
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Langenbecks Arch Surg · Oct 2011
Comparative StudyCombined intraoperative use of contrast-enhanced ultrasonography imaging using a sonazoid and fluorescence navigation system with indocyanine green during anatomical hepatectomy.
The clear demarcation line is ideal for real-time surgical navigation imaging during hepatectomy. ⋯ The combined use of these methods is therefore considered to be useful and safe for surgeons, as an additional tool for performing a liver resection.
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Langenbecks Arch Surg · Oct 2011
Comparative StudyPancreatic injury in 284 patients with severe abdominal trauma: outcome, course, and treatment algorithm.
The relevance of pancreatic trauma in severely injured patients within a large collective has not been thoroughly analyzed yet. This study aimed at assessing the prevalence of pancreatic trauma in relation to the outcome and the currently established algorithm of treatment. ⋯ The results presented here show the prevalence and the outcome of pancreas injury in a large collective within the TR DGU for the first time. Based on the current literature and the findings, a treatment algorithm has been developed.
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Langenbecks Arch Surg · Oct 2011
Randomized Controlled Trial Multicenter Study Comparative StudyLaparoscopic sigmoid resection for diverticular disease has no advantages over open approach: midterm results of a randomized controlled trial.
Elective laparoscopic sigmoid resection (LSR) for symptomatic diverticular disease is supposed to have significant short-term advantages compared to open surgery (open sigmoid resection (OSR)). This opinion is rather based on inferences from trials on colonic resections for malignant diseases or minor laparoscopic surgery. This randomized controlled trial was conducted to compare quality of life as well as morbidity and clinical outcome after LSR vs. OSR following a midterm follow-up period. ⋯ LSR was not superior to OSR regarding postoperative quality of life and incidence of complications in this trial.
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Langenbecks Arch Surg · Oct 2011
Comparative StudyRestoration of intestinal continuity after Hartmann's procedure--not a benign operation. Are there predictors for morbidity?
Restoration of intestinal continuity is usually the second step after Hartmann's procedure and an established procedure in abdominal surgery, particularly for complicated diverticular disease. This descriptive study aimed to examine the morbidity and mortality associated with the procedure and to define potential risk factors. ⋯ Restoration of bowel continuity is a surgical procedure with high overall morbidity. The high morbidity confirmed in our study and various other papers justify a randomized clinical study to investigate the one-stage concept with primary anastomosis against the Hartmann's procedure and its reversal.