Langenbecks Archiv für Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft für Chirurgie. Kongress
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Langenbecks Arch Chir Suppl Kongressbd · Jan 1997
Comparative Study[Surgical research and publications in Germany--an analysis of 1984-1994].
The present study analyses a selection of German and American surgical and cancer research journals from the years 1984 and 1994. The aim of the study was to evaluate the amount of publications by German surgeons in these journals. ⋯ In parallel, German surgeons are still the major contributors to German language journals, but increasingly publish in the American ones as well. The impact factor is one of the major selection criteria on to which journal a paper shall be submitted.
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Langenbecks Arch Chir Suppl Kongressbd · Jan 1997
[Evaluation models for therapy planning/standardization exemplified by infection].
Models of evaluation in therapeutic management pathways (practice guidelines, clinical algorithms) are demanded today, both by public health research and health policy. However, practical achievements are lacking. ⋯ It was shown that there was no agreement between the providers and the daily users. However, every surgeon has a firm, personal view about sepsis.
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Langenbecks Arch Chir Suppl Kongressbd · Jan 1997
[Surgical interventions in extracorporeal membrane oxygenation (ECMO)].
Extracorporeal membrane oxygenation is a suitable technique for short-term treatment of resistant respiratory failure with a comparably low mortality rate of 32%. However, pulmonary complications are quite often encountered during ECMO therapy making thoracic interventions necessary. The most frequent of these complications is hemorrhage followed by lung fistula, which remain resistant to conventional therapy. The indication for operative lung resection during ECMO treatment must remain restricted to selected cases, since these procedures have a high morbidity.
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Langenbecks Arch Chir Suppl Kongressbd · Jan 1997
[Minimal invasive bypass operations on the beating heart and using mechanical stabilization of the heart surface].
Different minimally invasive techniques are currently being controversially discussed among cardiac surgeons. For revascularization of anterior myocardial vessels, off-bypass procedures were performed in 64 cases through an anterolateral submammary minithoracotomy using the left internal mammary artery. Application of mechanical epicardial stabilization facilitated adequate exposure of the anastomosis and resulted in good patency rates and a low number of complications.
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Langenbecks Arch Chir Suppl Kongressbd · Jan 1997
[Oncologic risk in pylorus preservation in resection of ductal pancreas carcinoma].
We detected peripyloric lymph node metastasis in 2 of 24 patients with ductal adenocarcinoma of the pancreas who underwent Kausch-Whipple's procedure. The resection would have been palliative if these patients were treated by pylorus-preserving pancreatoduodenectomy.