European Surgery

Items from 1 to 14 out of 14 results

article

Dysontogenetic liver cysts and their surgical management

P. Kornprat, H. Bacher, H. Cerwenka, A. El-Shabrawi, more

European Surgery > 2004 > 36 > 5 > 331-335

Summary BACKGROUND: Liver cysts occur with a prevalence of 4–7% in the population. We present our experience in the management of these cysts. METHODS: Between 1994 and 2003, 42 patients (33 women, 9 men) were referred for surgery of dysontogenetic liver cysts. There were 19 patients with polycystic liver disease (PLD), 18 with simple cysts, 4 with Caroli disease, and one with a malignant cyst. All...

article

Living-donor liver transplantation in adults: single-center experience

N. R. Frühauf, M. Malagó, A. Frilling, A. Radtke, more

European Surgery > 2004 > 36 > 5 > 296-299

Summary BACKGROUND: Living-donor liver transplantation (LDLT) has become a feasible treatment option for adults with end-stage liver diseases. This is seen as a result of technical evolution in hepatobiliary surgery and increased experience with split-liver grafts. METHODS: From August 1998 to May 2004, 98 adult-to-adult LDLT were performed at the University of Essen. Primary diagnosis was tumor disease...

article

Augmented-reality-based liver-surgical planning system

G. Werkgartner, M. Lemmerer, H. Hauser, E. Sorantin, more

European Surgery > 2004 > 36 > 5 > 270-274

Summary BACKGROUND: The preoperative planning of liver resections is commonly based on two-dimensional imaging techniques such as sonography, computed tomography (CT), and magnetic resonance imaging. The operability of liver tumors depends on the three-dimensional relation of the parenchyma to be resected to the intrahepatic vascular structures which define the autonomously functioning liver segments...

article

Changes in liver surgery for colorectal cancer liver metastases under neoadjuvant treatment strategies

T. Gruenberger, B. Schuell, H. Puhalla, E. Schwanzer, more

European Surgery > 2004 > 36 > 5 > 317-321

Summary BACKGROUND: Liver resection remains the best treatment option for patients with colorectal cancer liver metastases. Major effort on the part of interdisciplinary groups has achieved an impressive gain of possible curative treatment possibilities. METHODS: Recent literature and personal data addressing modern liver surgery and chemotherapeutic treatment protocols are highlighted. RESULTS: Liver...

article

Current status of radio-frequency ablation for hepatocellular carcinoma

K. K. Ng, S. T. Fan

European Surgery > 2004 > 36 > 5 > 322-330

Summary BACKGROUND: Radio-frequency ablation (RFA) is the latest developed and widely practised local ablation therapy for liver tumours. It has the merit of effective tumour ablation and preservation of the maximal normal liver parenchyma. In the past few years, there has been tremendous expansion in the application of RFA for hepatocellular carcinoma (HCC) patients. However, the therapeutic effect...

article

Impact of parenchymal transection by Ultracision^® harmonic scalpel in elective liver surgery

W. Schweiger, A. El-Shabrawi, G. Werkgartner, H. Bacher, more

European Surgery > 2004 > 36 > 5 > 285-288

Summary BACKGROUND: Evaluation of the impact of parenchymal liver transection by Ultracision^® harmonic scalpel compared to ligation on operation course and outcome of elective liver surgery. METHODS: Our retrospective study included 64 consecutive patients. Liver resection was performed either by CUSA^® (Cavitron ultrasonic surgical aspirator) and ligation (group L, n = 34) or by CUSA^® and Ultracision...

article

Sorting through methods of dividing the liver

W. C. Meyers, S. Shekherdimian, S. M. Owen, B. H. Ringe, more

European Surgery > 2004 > 36 > 5 > 289-295

Summary BACKGROUND: No doubt, liver surgery has become safer over the past two decades. Many people jump to the conclusion that this increase in safety is due primarily to new methods of dissecting through the liver. METHODS: We did a literature search over the period 1992–2004 and then considered the data within the articles on the basis of device design and our own personal experiences. RESULTS:...

article

Intraoperative ultrasonography in liver surgery: a critical evaluation

H. Cerwenka, J. Raith, H. Bacher, A. El-Shabrawi, more

European Surgery > 2004 > 36 > 5 > 280-284

Summary BACKGROUND: Most of the studies on intraoperative ultrasonography (IOUS) during partial hepatectomy date from a time when preoperative imaging was not as good as it is today. These studies thus reflected not only the benefits of IOUS but also the weaknesses of the then prevailing imaging techniques. Constant improvements in preoperative imaging demand continuous reevaluation of IOUS. METHODS:...

article

Value of reverse transcriptase polymerase chain reaction tests for detection of peripheral blood hepatocellular carcinoma cells

A. El-Shabrawi, H. Bacher, H. Cerwenka, P. Kornprat, more

European Surgery > 2004 > 36 > 5 > 275-279

Summary BACKGROUND: Hepatocellular carcinoma (HCC) is one of the most common malignancies. Tumor recurrence is, however, frequent and may be due to undetectable tumor cells. Reverse transcriptase polymerase chain reaction (RT-PCR) has been used to detect those tumor cells in peripheral blood but has several disadvantages. METHODS: Peripheral blood from 47 patients (group A, 19 patients with newly...

article

Heat shock protein 70: a new biomarker for ischemic-reperfusion injury due to Pringle maneuver

G. A. Bernhardt, H. Bacher, D. Hagen, D. Zauner, more

European Surgery > 2004 > 36 > 5 > 305-310

Summary BACKGROUND: The Pringle maneuver is a common method to avoid blood loss during liver resection. This method, however, leads to an ischemic-reperfusion injury of the liver. The ischemic-reperfusion injury is associated with expression of heat shock proteins. METHODS: Sixteen patients entered this study. Three liver tissue samples were taken from each patient, the first sample prior to Pringle...

article

Late adhesive small bowel obstruction – differentiated surgical approach to different adhesion patterns: An observational cohort study

K. Meissner

European Surgery > 2004 > 36 > 5 > 336-339

Summary BACKGROUND: A differentiated risk-adjusted surgical approach to characteristic adhesion patterns causing late small bowel obstruction (SBO) aims at low recurrence rates while maintaining a low 30-day mortality. METHODS: From 1978 to 2001, 159 patients were treated according to a pertinent protocol. Operative and outcome data were entered into a prospectively maintained database. Primary end...

article

Preoperative catecholamine effects on blood lipids and magnesium levels predict liver failure after hepatectomy

H. Bacher, H.-J. Mischinger, H. Cerwenka, A. El-Shabrawi, more

European Surgery > 2004 > 36 > 5 > 311-316

Summary BACKGROUND: Our previous investigations demonstrated that there is an enormous increase in free catecholamines during prolonged intraoperative occlusion of blood flow to the liver (Pringle maneuver), with tachycardias indicating impending postoperative liver failure. As stress-induced changes in catecholamine levels also have clear metabolic consequences, we investigated changes in catecholamines...

article

Book review

European Surgery > 2004 > 36 > 5 > 340-340

article

Liver transplantation in Graz: experiences with a new reperfusion technique

D. Kniepeiss, F. Iberer, S. Schaffellner, E. Jakoby, more

European Surgery > 2004 > 36 > 5 > 300-304

Summary BACKGROUND: Poor initial graft function secondary to reperfusion remains a major problem in liver transplantation. A new technique of reperfusion was introduced in our center and evaluated in a retrospective study covering the last 6 years. METHODS: Seventy-nine liver transplantations were performed by piggyback technique with retrograde reperfusion via the caval vein and antegrade reperfusion...

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LEBERCHIRURGIE (4)
LIVER SURGERY (4)
LIVER RESECTION (3)
CAVITRON ULTRASONIC SURGICAL ASPIRATOR (2)
HARMONIC SCALPEL (2)
HARMONISCHES SKALPELL (2)
HEPATOCELLULAR CARCINOMA (2)
HEPATOZELLULÄRES KARZINOM (2)
LEBERRESEKTION (2)
LEBERTRANSPLANTATION (2)
LIVER TRANSPLANTATION (2)
ADHESION PATTERNS (1)
ADHÄSIONS-SPÄTILEUS (1)
ADHÄSIONSTYPEN (1)
ALPHA-FETOPROTEIN (1)
ALPHAFETOPROTEIN (1)
BILDGEBENDE VERFAHREN (1)
BILDVERARBEITUNG (1)
BLOOD (1)
BLOOD LIPIDS (1)
BLUT (1)
BLUTFETTE (1)
CALCIUM (1)
CATECHOLAMINES (1)
CHIRURGIE (1)
COLORECTAL CANCER LIVER METASTASES (1)
DIFFERENTIATED SURGERY (1)
DIFFERENZIERTE OPERATIONSVERFAHREN (1)
DREIDIMENSIONALE VISUALISIERUNG (1)
DYSONTOGENETIC CYSTS (1)
DYSONTOGENETISCHE ZYSTEN (1)
ERGEBNISSE (1)
ERWEITERTE INDIKATION (1)
EXTENDED INDICATION (1)
FLOATING BALL (1)
HEAT SHOCK PROTEIN 70 (1)
HEPATIC IMAGING (1)
HITZESCHOCK-PROTEIN 70 (1)
IMAGE PROCESSING (1)
INTERDISCIPLINARY MEETING (1)
INTERDISZIPLINÄRE KONFERENZ (1)
INTRAOPERATIVE SONOGRAPHIE (1)
INTRAOPERATIVE ULTRASONOGRAPHY (1)
ISCHEMIC-REPERFUSION INJURY (1)
ISCHÄMIE-REPERFUSIONSSCHADEN (1)
ISOLATION BY SIZE OF EPITHELIAL TUMOR CELLS (1)
ISOLIERUNG EPITHELIALER TUMORZELLEN NACH GRÖSSE (1)
KALZIUM (1)
KATECHOLAMINE (1)
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