[Creation of centres in high-volume hospitals -- promotor of communication].

Abstract:

:The number of patients with a diagnosis of cancer is alarming: according to new figures from the Robert Koch Institute about 435 000 patients are diagnosed annually in Germany. 210 000 patients die annually of this diagnosis. Even if no significant progress in prevention has been achieved, in 2020 about 25 % more cases will be diagnosed. In the last two decades it has become established that an interdisciplinary treatment of tumour patients is necessary because the variety of different treatment options depending on an individual person cannot be mastered by one physician. The goal of the centres and certification is to establish a very concentrated expertise in large case numbers and quality-assured transparent treatment. The central requirement of a maximum-care centre is thus to enable communication under appropriate conditions. Promoting not only the space requirements, centre must also develop a treatment corridor and is responsible for further education. Additionally an oncology centre has a goal in communications, namely, to offer a treatment option for all patients in each stage of the disease, and to incorporate cancer patients in clinical trials.

journal_name

Zentralbl Chir

authors

Möbius C,Schumacher G

doi

10.1055/s-0031-1283923

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

53-6

issue

1

eissn

0044-409X

issn

1438-9592

journal_volume

138

pub_type

杂志文章,评审
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    doi:

    authors: Farahati J,Reiners C

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    doi:

    authors: Kähler G,Müller C,al-Sibaie A,Scheele J

    更新日期:1998-01-01 00:00:00

  • [Experimental comparison of different skin substitutes (author's transl)].

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    doi:

    authors: Moserová J,Housková E,Königová R

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  • [Neuroendocrine tumors of the gastrointestinal tract. Prospective analysis of 29 patients and review of the literature].

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    doi:10.1055/s-2001-11721

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  • [Acute management of a high risk patient with megacolon in a primary and general care hospital--a plea for endoscopy in surgery].

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    pub_type: 杂志文章

    doi:

    authors: Wolfsdorf U

    更新日期:1998-01-01 00:00:00

  • [Effect of blood viscosity on the function of isolated perfused porcine kidney after cold preservation].

    abstract::With the new method of gas exchange and dialysis carried out simultaneously with a standard dialysis module, for the first time normothermic ex-vivo whole blood perfusion of pig kidneys becomes practicable under nearly physiological conditions. To show the possibility of animal experiment replacements we use slaughter...

    journal_title:Zentralblatt fur Chirurgie

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    doi:

    authors: Dittrich S,Schuth A,von Baeyer H,Grosse-Siestrup C,Lange PE,Kaczmarczyk G

    更新日期:1998-01-01 00:00:00

  • [Investigations on the incidence of Yersinia enterocolitica - infections in the various forms of appendicitis, cholelithiasis, and goitre (author's transl)].

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    pub_type: 杂志文章

    doi:

    authors: Bellmann A,Bellmann KP

    更新日期:1980-01-01 00:00:00

  • [Cost effectiveness of V.A.C. therapy after post-sternotomy mediastinitis].

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    journal_title:Zentralblatt fur Chirurgie

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    doi:10.1055/s-2006-921492

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    更新日期:2006-04-01 00:00:00

  • [Analysis of Survival Time and Other Event Times - What Does the Surgeon Need to Know?].

    abstract:BACKGROUND:Survival time is an important parameter to investigate therapeutic measures. It plays a crucial role in study concepts, data analyses as well as publications. AIM:The aim of this study was to emphasise essential points, which need to be taken into account to (i) gain resilient results of survival time analy...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1383077

    authors: Kropf S,Meyer F,Glimm E

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  • [Bifurcated resection in the surgical treatment of central non-small cell T3 carcinoma].

    abstract::Reported in this paper is experience obtained since 1978 from surgical removal of the tracheal bifurcation in combination with pneumonectomy in 38 cases. Squamous cell carcinoma centrally growing from the upper lobe was recorded from 24 patients to whom 36 interventions had been applied for bronchial carcinoma. 50 per...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Weber J,Al-Zand K,Gräbner D,Beyer D

    更新日期:1986-01-01 00:00:00

  • [Change in the treatment method of infected pseudarthrosis with bone loss of the tibia].

    abstract:AIM OF INVESTIGATION:The treatment of nonunions complicated by infection and bone loss is divided into two stages. Having calmed down the infection by stabilizing, removal of infected and necrotic tissue and local antibacterial measures, the bone loss has to be filled up. Bridging the gap by means of autogenous cancell...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Schultz JH,Schmidt HG,Jürgens C,Kortmann HR

    更新日期:1994-01-01 00:00:00

  • [Practical Year - Surgery in the Reformed Curriculum MaReCuM (Mannheim)].

    abstract::Background: Since 2006 the practical year in the Mannheim Reformed Curriculum Medicine (MaReCuM) is divided into four quarters: the two required subjects (surgery and internal medicine), one elective and one of four offered fields in ambulatory medicine. Therefore students can more intensively focus on their preferenc...

    journal_title:Zentralblatt fur Chirurgie

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  • [Portal vein embolisation prior to extended liver resection - current and future aspects].

    abstract::Extended liver resections are associated with the risk of postoperative liver dysfunction up to liver failure. For this reason, prior to extended liver resections patients are conditioned in multi-modal therapy regimes. Portal vein embolisation is an essential part of such a multi-modal therapy. The aim of this interv...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1328350

    authors: Rauchfuss F,Scheuerlein H,Lopatta E,Dittmar Y,Schüle S,Settmacher U

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  • [Robotic and navigation systems: surgical practicability and benefit for the patient?].

    abstract::The use of robotics and navigated systems to prepare, perform and reinforce surgical interventions is described by the term "computer aided surgery" (CAS). CAS is expected to make surgery even more precise, safer and cheaper. It comprehends computer based supporting systems (e. g. therapy planning, simulation, navigat...

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    doi:10.1055/s-2003-38537

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  • [Augmented anterior cruciate ligament replacement with the Kennedy-LAD (ligament augmentation device)--long term outcome].

    abstract::The ligament augmentation device (Kennedy-LAD) is used to protect tendon grafts during the posttransplantation decrease in strength in anterior cruciate ligament (acl) reconstructions. The augmentation with the LAD is based on the concept of load sharing. Since 1983 we used the LAD in acl-reconstructions in 856 patien...

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    doi:

    authors: Riel KA

    更新日期:1998-01-01 00:00:00

  • [Surgical Indications for Diverticulitis in Germany: Are All Operations Justified?].

    abstract:INTRODUCTION:Pathological changes of preexisting sigma diverticulosis into a state of sigma diverticulitis are possible. Treatment of sigma diverticulitis accounts for a significant proportion of emergency treatments in clinics. The number of patients treated for sigma diverticulitis has risen steadily in recent years....

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    doi:10.1055/s-0032-1328593

    authors: Schildberg CW,Schellerer V,Croner R,Oberländer H,Hohenberger W

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  • [Significance of preoperative prognosis].

    abstract::The granulocyte phagocytosis test, Karnofsky index, and ASA standard were used in the context of 287 patients for general surgery, for the purpose of retrospective elucidation of the relationship between presurgical prognostication and postsurgical complications. Sensitivity, specificity, and "predictive values" were ...

    journal_title:Zentralblatt fur Chirurgie

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    doi:

    authors: Friedrich A,Glass W,Koch D

    更新日期:1986-01-01 00:00:00

  • [Surgical treatment of ileus in late radiation sequelae of the intestine].

    abstract::Between 1971 and 1988 74 operations for intestinal complications following radiotherapy were performed on 67 patients at the Second Surgical Department, University of Vienna. The lesions were located in the small bowel (n = 41) and in the sigmoid colon/rectum (n = 33). 98.5% of the patients were females, the most freq...

    journal_title:Zentralblatt fur Chirurgie

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    doi:

    authors: Moeschl P,Miholic J,Wolner E

    更新日期:1989-01-01 00:00:00

  • [Function and morphology of intraperitoneal segmental pancreas allotransplants with cyclosporin monotherapy in the dog--a comparison of 4 drainage procedures of exocrine secretions].

    abstract::Dogs which had received cyclosporine A for immunosuppression were investigated to elucidate functionality and morphological alterations in pancreas allografts, with enteral, vesical, peritoneal or occluded exocrine drainage. None of the animals with enteral drainage survived the first four postoperative weeks, with le...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Rosenberger J,Hesse UJ,Holland M,Arnold G,Hübinger A

    更新日期:1988-01-01 00:00:00

  • [Risk factors and pathogenic microorganisms in patients with insufficient esophagojejunostomy after gastrectomy].

    abstract:UNLABELLED:It was the aim of the study to find by retrospective analysis of data from totally gastrectomized patients risk factors for the development of esophago-jejunal anastomotic leakage, that may be avoidable or influenced therapeutically. PATIENTS AND METHODS:The study design was retrospective involving 838 pati...

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    pub_type: 杂志文章

    doi:

    authors: Schardey HM,Krämling HJ,Cramer C,Kusenack U,Hadersbeck J,Schildberg FW

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  • [Fistula Banding - Success-promoting Approach in Peripheral Steal Syndrome].

    abstract:AIM:Evaluation of the diagnostic and therapeutic management of peripheral steal syndrome after placement of an autologous arteriovenous (av-) fistula and presentation of treatment results after its surgical correction. METHODS:During a time period from 1994 to 1999, 1 253 av-fistulas for hemodialysis were placed in ou...

    journal_title:Zentralblatt fur Chirurgie

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    doi:10.1055/s-2002-33705

    authors: Meyer F,Müller JS,Grote R,Halloul Z,Lippert H,Bürger T

    更新日期:2002-08-01 00:00:00

  • [Changes in the diagnosis and therapy of invagination].

    abstract::The alterations in diagnosis and therapy of intussusception in infants is described in 155 cases from 1978-1989. The primary diagnostic procedure is the abdominal sonography. It is followed to 1988 the attempt of hydrostatic reduction by barium enema and now the pneumatic reduction. The rate of success with conservati...

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    pub_type: 杂志文章

    doi:

    authors: Hofmann V,Bartsch H

    更新日期:1990-01-01 00:00:00

  • [Immunosuppression after organ transplantation].

    abstract::Immunosuppression after organ transplantation is based on pharmacologic interventions using steroids, azathioprin, sandimmun and anti-T-cell-globulins. During the induction-period the use of a high-dose combination-therapy guaranties a low incidence of rejection episodes. However infective complications may predominat...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Wagner K,Erhard J

    更新日期:1992-01-01 00:00:00

  • [Alcohol intoxication and its differential diagnosis (author's transl)].

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    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Kürzinger R

    更新日期:1979-01-01 00:00:00

  • [Evaluation of postoperative pain therapy with patient-controlled analgesia from the viewpoint of the patient and nursing staff].

    abstract::Patient-controlled analgesia has been proven to be an effective technique in postoperative pain management. The aim of our study was to evaluate PCA on general surgery wards. 311 patients and their nurses were questioned about their experiences in using PCA for postoperative pain management. Satisfaction with pain rel...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Breme K,Stehr-Zirngibl S,Anthuber M,Jauch KW,Taeger K,Altmeppen J

    更新日期:1999-01-01 00:00:00

  • [Surgical repair of injured ligaments of the knee-joint; functional results (author's transl)].

    abstract::38 patients who had undergone surgical repair of injured ligaments of the knee joint were reexamined. Best results were obtained in cases of osseous avulsions. Early suture of lacerated ligaments in combination with primary plasty of the ligament showed good results. The author emphasizes the active cooperation of the...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Hemmrich H

    更新日期:1982-01-01 00:00:00

  • [Plastic reconstruction of postoncologic defects in the pelvic area].

    abstract::The surgical management of defects in the pelvic region is a great surgical challenge. Primary tumor recurrences have to be addressed and local infections require appropriate therapy such as rigorous debridement and antibiotic therapy. Plastic surgery provides tissue reconstruction by well perfused flaps and also rees...

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    pub_type: 杂志文章

    doi:10.1055/s-2006-955456

    authors: Vogt PM,Jokuszies A,Kall S,Steiert A,Busch K

    更新日期:2006-12-01 00:00:00

  • [Douglas' abscess with ureteric obstruction (author's transl)].

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    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Heidler H,Dinstl K,Schiessl R

    更新日期:1976-01-01 00:00:00

  • [Treatment of unstable thoracolumbar spinal injuries--determination of its present status and a preliminary report on transpedicular stabilization].

    abstract::Follow-up checks were made on 19 patients with instabile injuries of the thoracolumbar spine. Poor late results were recorded from eleven of them who had undergone conservative or inadequate surgical treatment. Axial malposition of severe clinical disorders were among the findings. Transpedicular osteosynthesis of ins...

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    pub_type: 杂志文章

    doi:

    authors: Wendsche P,Michek J,Unger C

    更新日期:1988-01-01 00:00:00

  • Nerve fibre counts for an intercostal nerve to cauda equina nerve root anastomosis.

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    pub_type: 杂志文章

    doi:

    authors: Schalow G,Aho A,Lang G

    更新日期:1987-01-01 00:00:00