[Extracorporeal membrane oxygenation in Thoracic Surgery - Lung Transplantation].

Abstract:

:Extracorporeal membrane oxygenation (ECMO) has become a routine method in thoracic surgery. Recent developments in lung transplantation have led to its widespread acceptance. Firstly, ECMO is increasingly being used to bridge patients to transplantation. The best results in this setting have been described with "awake ECMO". Secondly, ECMO has replaced cardio-pulmonary bypass as the intraoperative standard device in most centres and is used for treatment and prevention of primary graft dysfunction. Refinements of the devices in use and the cannula design allow an individualised approach tailored to the respiratory and haemodynamic situation of the patients and the anticipated duration of ECMO support. :Die extrakorporale Membranoxygenierung (ECMO) hat sich zu einem Standardverfahren in der Thoraxchirurgie entwickelt. Vor allem im Bereich der Lungentransplantation haben aktuelle Entwicklungen zu einer weiten Verbreitung beigetragen. Die ECMO wird zum einen zunehmend zur Überbrückung zur Transplantation angewandt, wobei die besten Ergebnisse in diesem Setting mit wachen Patienten erzielt werden. Zum anderen hat die ECMO die konventionelle Herz-Lungen-Maschine zur intraoperativen Unterstützung während der Lungentransplantation in den meisten Zentren abgelöst und wird weiterhin zur Behandlung und Prävention des primären Graftversagens eingesetzt. Verbesserungen der Technik, der Methode und des Kanülendesigns erlauben mittlerweile eine höchst individualisierte Anwendung, angepasst an die respiratorische und hämodynamische Situation sowie an die zu erwartende Therapiedauer.

journal_name

Zentralbl Chir

authors

Aigner C,Slama A,Valdivia D

doi

10.1055/a-0624-9612

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

100-105

issue

1

eissn

0044-409X

issn

1438-9592

journal_volume

144

pub_type

杂志文章
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  • [Clinical results and color-coded duplex ultrasound findings 4 years after conditioned TRAM flap-plasty].

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    doi:

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    doi:

    authors: Roscher R,Büchler M,Bittner R,Beger HG

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  • [Liver rupture in peliosis hepatis].

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    doi:

    authors: Adam G,Lesser T,Neumann R

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    doi:

    authors: Wittig KH,Motsch H

    更新日期:1977-01-01 00:00:00

  • [Mucocele of the appendix - a heterogenous surgical pathology].

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    authors: Kleemann M,Laubert T,Krokowski M,Eckmann C,Bruch HP,Kujath P

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    doi:10.1055/s-0033-1360122

    authors: Hoeppner J,Kulemann B,Hopt UT,Marjanovic G

    更新日期:2014-02-01 00:00:00

  • [Role of vacuum therapy in the management of the septic abdomen].

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    doi:10.1055/s-2006-921512

    authors: Weidenhagen R,Grützner KU,Kopp R,Spelsberg FW,Jauch KW

    更新日期:2006-04-01 00:00:00

  • [Prophylactic Appendectomy: Yes or No?]

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    doi:10.1055/s-0043-118126

    authors: Kersting S,Dimasis P,Wiesmann S,Mittelkötter U

    更新日期:2017-12-01 00:00:00

  • [Multiple fracture].

    abstract::The term 'deux étages fracture' is used in different meanings. Therefore, an exact definition seems necessary. 38 own cases of this kind treated in the last 5 years are analysed. Special problems of diagnosis and treatment of this type of fracture are dealt with. Because of the risky complications primary definitive t...

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    pub_type: 杂志文章

    doi:

    authors: Salacz T,Kaplonyi G

    更新日期:1984-01-01 00:00:00

  • [Minimal incision abdominal aortic aneurysm repair].

    abstract:OBJECTIVE:The use of a limited incision for abdominal aortic aneurysm (AAA) repair was evaluated, and its outcome was analyzed in comparison to standard open repair. PATIENTS AND METHODS:Between February 2000 and August 2001, 20 patients with an AAA underwent minimal incision repair (MINI) for tube graft implantation....

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    doi:10.1055/s-2002-33948

    authors: Kawaharada N,Morishita K,Fukada J,Muraki S,Yamada A,Satsu T,Abe T

    更新日期:2002-09-01 00:00:00

  • [Renaissance of the Franz König bilateral lip repair procedure - clinical experiences with an one hundred year old technique].

    abstract::Surgical correction of bilateral cleft lips is known to have a lot of problems. The surgical principles of treatment of bilateral cleft lips are similar to those of unilateral clefts but differ in the area of the prolabium due to specific anatomical disorders of the orbicularis oris muscle. The postoperative results o...

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    pub_type: 杂志文章

    doi:10.1055/s-2002-20235

    authors: Hönig JF,Grohmann U,Merten HA

    更新日期:2002-01-01 00:00:00

  • [The ileo-anal pouch procedure: Complications, quality of life, and long-term results].

    abstract::The ileo-anal pouch procedure: Complications, quality of life, and long-term results. Restorative proctocolectomy with construction of an ileal pouch-anal anastomosis (IPAA) has evolved as the surgical therapy of choice for patients with ulcerative colitis (UC) and patients with familial adenomatous polyposis (FAP). 6...

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    doi:10.1055/s-2001-19197

    authors: Heuschen U,Schmidt J,Allemeyer E,Stern J,Heuschen G

    更新日期:2001-01-01 00:00:00

  • [Indication for limb replantation (author's transl)].

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    pub_type: 杂志文章

    doi:

    authors: Brug E

    更新日期:1979-01-01 00:00:00

  • [Epidural analgesia in thoracic surgery--optimising postoperative rehabilitation].

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    更新日期:2008-09-01 00:00:00

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    abstract::Experience of two African and one German Surgical Units on abdominal operations in a two-years period are reported. Appendicitis, gall-stones, cancer of the colon and intestinal diverticulosis are rare in Africa, but frequent in Europe. Possible relations to dietry habits are discussed. ...

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    doi:

    authors: Gögler H

    更新日期:1977-01-01 00:00:00

  • [Blunt abdominal injuries in childhood (author's transl)].

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    doi:

    authors: Belgerden S,Emre A,Erer M,Türel O

    更新日期:1978-01-01 00:00:00

  • [Stereotaxia in phantom-limb-neuralgia and causalgia (author's transl)].

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    doi:

    authors: Goldhahn WE

    更新日期:1979-01-01 00:00:00

  • [A temporary synthetic skin subsitute: SYSpur-derm. Comparative histopathological examination (author's transl)].

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    doi:

    authors: Mahnke PF,Rose E,Riedeberger J

    更新日期:1980-01-01 00:00:00

  • [Combined surgical procedures in operations of stomach, duodenum and biliary system (author's transl)].

    abstract::In a period of 4 years in the Clinic of Abdominal- and Transplantation Surgery of the Medical School Hannover in 52 patients with operations of the biliary system 56 combined surgical procedures and in 48 patients with operations of stomach and duodenum 51 combined surgical procedures were performed. In comparison wit...

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    pub_type: 杂志文章

    doi:

    authors: Löhlein D,Pichlayr R

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  • [Postoperative ileus: part II (Clinical therapy)].

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  • [Spontaneous and secondary bacterial peritonitis in cirrhotic patients with ascites].

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  • [Changes in therapeutic principles in fractures of the extremities with severe soft tissue injuries exemplified by tibial fracture].

    abstract::Functional results after open fractures have been improved during the last decades. Especially the rates of amputation and chronic osteitis after open tibial fractures have been reduced from 30% to less than 5%. The initial management of this type of fracture includes reconstruction of the perfusion of the involved ve...

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    doi:

    authors: Dávid A,Ostermann PA,Möllenhoff G,Hebebrand D,Muhr G

    更新日期:1997-01-01 00:00:00

  • [New Approaches for Young Surgeons - Students' Symposium on Minimally Invasive Surgery].

    abstract::Background Physician shortage is particularly striking in surgical specialities. Umbrella organisations are making an effort to recruit medical students. Students' symposia during congresses seem to provide a promising approach to developing motivation and promoting interest. An exemplary students' symposium took plac...

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  • [Usage of marginal organs for liver transplantation: a way around the critical organ shortage?].

    abstract::The transplantation of marginal organs or those meeting the so-called extended donor criteria (EDC) is today a significant option to alleviate the low availability or organs and to increase the number of transplantation which in turn is -accompanied by a lower mortality among wait-ing-list patients. However such an ex...

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    authors: Pratschke S,Loehe F,Graeb C,Jauch KW,Angele MK

    更新日期:2009-04-01 00:00:00

  • [Prevention and Surgical Therapy of Chylothorax].

    abstract:BACKGROUND:Chylothorax is a rare complication after thoracic trauma or surgery, especially oesophagectomy, which, if left untreated, can be potentially life-threatening. METHODS:This article provides an overview of the existing literature on the prevention and surgical therapy of chylothorax. RESULTS:The risk of chyl...

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    doi:10.1055/a-0608-5082

    authors: Glatz T,Marjanovic G,Hoeppner J

    更新日期:2018-06-01 00:00:00

  • [Therapy of deep leg vein thrombosis. When is surgical therapy indicated?].

    abstract::In spite of quite a few clinical trials the benefit of venous thrombectomy is seen controversially. The primary objectives of treating venous thrombosis are survival rate, prevention of pulmonary embolism and of postthrombotic syndrome. We report our experience with 47 patients who underwent venous thrombectomy. The m...

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    pub_type: 杂志文章

    doi:

    authors: Ockert D,Schellong S,Bergert H,Scholz A,Zimmermann T,Nagel M,Saeger HD

    更新日期:1999-01-01 00:00:00

  • [Implementation of Medical Emergency Teams to Improve Perioperative Patient Safety. Who? When? How?]

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  • [Revision operations following vagotomy].

    abstract::Recurrent duodenal ulceration after highly selective vagotomy is best managed by antral gastric resection and gastroduodenostomy (BI). In cases of gastral localisation of the recurrent ulcer and in cases with high postoperative acidity a 2/3 partial gastrectomy (BI) should be performed. Revagotomy after highly selecti...

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    pub_type: 杂志文章

    doi:

    authors: Reisig J,Vinz H,Georgi W

    更新日期:1985-01-01 00:00:00

  • [Pharmacology of regional chemotherapy of colorectal liver metastases].

    abstract::Regional chemotherapy offers a means to enhance the local efficacy of an otherwise ineffective systemic chemotherapy. The regional concentration advantage of a drug is proportional to its total body clearance and inversely proportional to the blood flow through the organ. Regional infusion of adriamycin, cisplatin, me...

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    pub_type: 杂志文章,评审

    doi:

    authors: Schalhorn A,Kühl M

    更新日期:1995-01-01 00:00:00