[General practice-relevant conclusions based on 74,400 documented biliary surgery interventions].

Abstract:

:A statewide report card system for cholecystectomy as a surgical tracer has been established in Westfalia-Lippe as part of a program of external quality assurance. 74,400 data between 1993 and 1997 were analyzed. Pathologic findings in preoperative diagnostics (sonography, elevated bilirubin) do not lead to therapeutic splitting in a sufficient number of cases. Removal of bile duct stones should happen at the latest during cholecytectomy. Preoperative gastroscopy is performed in just about 40%. Higher rates of morbidity and lethality in the aged favour an early elective operation of symptomatic stones.

journal_name

Zentralbl Chir

authors

Windhorst T,Hupe K,Wenning M

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

218-23

eissn

0044-409X

issn

1438-9592

journal_volume

125 Suppl 2

pub_type

杂志文章
  • [Device related problems of thoracic stent-grafts].

    abstract:UNLABELLED:The outcome of the endovascular repair of abdominal aortic aneurysms seems to be device related. The presented study evaluated the outcome of endovascular procedure in cases of thoracic aortic pathology according to the implanted thoracic stent graft devices. METHODS:Since November 1999 a variety of thoraci...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2007-960755

    authors: Gawenda M,Brunkwall J

    更新日期:2007-06-01 00:00:00

  • [Early and late results following implantation of an aortic bifurcation prosthesis].

    abstract::Aorto-iliacal or aortofemoral bifurcation grafts were implanted to 351 patients for stenotic or occlusive diseases of pelvic and femoral arteries, between 1974 and 1986. The average age of patients was 62.7 years, and perioperative lethality amounted to 7.4 per cent. The average age of patients who died was 68.2 years...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Braun L

    更新日期:1988-01-01 00:00:00

  • [Varicocele in children and adolescents].

    abstract::Idiopathic varicocele is quite common even among children and adolescents. Irreversible testicular damage may occur before adult age. Diagnosis and therapy for the purpose of preventing infertility constitute a challenge to youth health organisations and paediatric surgeons. Surgery according to Bernardt or Ivanissevi...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Mothes W

    更新日期:1986-01-01 00:00:00

  • [Combined laparoscopic/endoscopic treatment of gastric stroma tumors].

    abstract:INTRODUCTION:Surgical therapy of Gastrointestinal stroma tumor (GIST) is the treatment of choice. Local resection will be carried out if technically possible. We describe the technique of laparoscopic wedge resection combined with intraoperative gastroscopy in order to achieve complete tumor resection. METHOD:We repor...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2006-933463

    authors: Schäfer H,Schneider PM,Baldus SE,Wolfgarten E,Hölscher AH

    更新日期:2006-06-01 00:00:00

  • [Surgical treatment of esophageal cancer: Part I. European results 1980-1991].

    abstract::During the past 10 years, postoperative mortality associated with resection of oesophageal carcinoma has been reduced from 30% to 11%. However, all efforts to improve longterm survival with extensive excisional procedures and adjuvant chemotherapy and radiotherapy have failed. Fifty-three of 100 patients presenting to...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Müller JM,Jacobi C,Zieren U,Adili F,Kaspers A

    更新日期:1992-01-01 00:00:00

  • [Perforation of sigmoid diverticula. A complication following allogenic kidney transplantation].

    abstract::In the early post-operative follow-up after allogenic kidney transplantation sigmoid perforation due to diverticula is a life-threatening complication. As immunosuppression is indispensable perforation is favoured. Due to pharmacotherapy the risk of sepsis is implied because clinical symptoms might be masked. Referenc...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Goeters C,Buchholz B,Winde G

    更新日期:1988-01-01 00:00:00

  • [Infrarenal abdominal aortic aneurysm: morphological classification as decision aid for therapeutic procedures].

    abstract::This clinical trial aimed to prospectively investigate the morphological structure of infrarenal abdominal aortic aneurysms (AAA) to establish a valid dataset in the preoperative assessment supporting either the conventional or endovascular (TPEG) surgical approach. Regarding both the general feasibility testing and s...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Allenberg JR,Schumacher H,Eckstein HH,Kallinowski F

    更新日期:1996-01-01 00:00:00

  • [Surgical therapy of acute pancreatitis].

    abstract::Treatment was applied to 181 patients for acute pancreatitis at the Surgical Department of Friedrichshain Local Hospital, between December 1, 1985 and October 30, 1987. Ninety-two of these patients were in Stage I according to Kümmerle-Hollender, 62 in Stage II, and 27 in Stage III. Operations were performed on 57 pat...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Pahlig H,Göbel U

    更新日期:1988-01-01 00:00:00

  • [Our surgical heritage: the tragic destiny of surgeons. A professional tragedy 1914: Emil Dagobert Schumacher].

    abstract::When in 1910 F. Sauerbruch became head of the Surgical Dept. of Zurich-University (Switzerland) he took over a young promising surgeon from his predecessor: E. D. Schumacher. Soon Schumacher became a close and well accepted coworker of the head of the Dept, thus beginning an extraordinary career as an outstanding thor...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Schober KL

    更新日期:1984-01-01 00:00:00

  • [The Rostock artificial heart--current status and perspectives].

    abstract::The authors report on their experiences gained by animal experiments (calf) and their attempts (human corpses) concerning adaptation of the apparatus to the human thorax. At the present time they do not see a chance for its routine clinical use. The main reason why is the impossibility to install the extrathoracic dri...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Reding R,Kalkowski H,Huth JH,Benad G,Lange G,Pingel E,Noel D,Urbaszek W,Scharf G,Behrends D

    更新日期:1984-01-01 00:00:00

  • [The influence of taurolidine on physiological and pathological blood coagulation and implications for its use].

    abstract::Taurolidine is an anti-infective agent with an unusually broad spectrum of effectivity against gram-positive and gram-negative bacteria, anaerobic organisms, and fungi. The effective principle is explained by the decomposition of the substance and the transfer of methylol groups to specific molecular structures of the...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Reinmüller J

    更新日期:1999-01-01 00:00:00

  • [Solitary plasmocytoma (author's transl)].

    abstract::The problem of solitary plasmacytoma is demonstrated in a rare case. The diagnosis was delayed for different causes. The course was followed up over 6 years. The difficulties of diagnosis and further treatment are discussed. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Wittig KH,Motsch H

    更新日期:1977-01-01 00:00:00

  • [Pressure conditions under VVS-foams - an experimental in-vitro- and in-vivo-analysis].

    abstract::The aim of this study was to determine the pressure conditions in the tissue beneath and on the surface of wounds. This was done in vitro both on a plain surface and on a bovine muscle. In comparison we measured the pressure of the anterior tibial muscle of a patient with compartment syndrome. Besides, we applied nega...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2004-822650

    authors: Von Lübken F,Von Thun-Hohenstein H,Weymouth M,Kossmann T,Gerngross H,Willy C

    更新日期:2004-05-01 00:00:00

  • [Effect of perioperative allogenic blood transfusion on prognosis of colorectal cancer].

    abstract::In 1973 the observation was published that in patients who had received non specific blood transfusions before kidney transplantation graft survival was improved. An immunosuppressive effect of blood transfusion was suggested. Indeed, modulation on the cellular and humoral immunologic system has been demonstrated duri...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Zimmermann T,Dobroschke J,Borowek U,Padberg W

    更新日期:1991-01-01 00:00:00

  • [Treatment of pancreatic fistulas].

    abstract::Persisting fistulae of the pancreas may develop after necrotomy or operation of abscesses or pseudocysts with drainage following pancreatitis. More rare causes are lesions of the glandula during operation in the upper abdomen or due to accidents. First of all conservative therapy is indicated. When spontaneous closure...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Beyer KU,Herzog KH,Schulz S

    更新日期:1984-01-01 00:00:00

  • [Modular concept for quality in the hospital--"Heidelberg model"].

    abstract::The Heidelberg University Hospital meets the standards required of medical services in terms of efficiency, optimizing procedures, cost-effectiveness, staff-satisfaction, and reducing infection rates etc., by implementing the Modular concept for quality within hospitals that has now proven its worth in practice. This ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Möller J,Bach A,Sonntag HG

    更新日期:1996-01-01 00:00:00

  • [Significance of combined anterior cruciate ligament and meniscus injury].

    abstract::The combined lesion of the anterior cruciate ligament (ACL) with simultaneous or secondary meniscal tears has severe consequences for the knee joint. By a synopsis of the literature and own experimental investigations in sheep it can be shown that in ACL deficient knees secondary meniscal lesions occur, what finally e...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Metak G,Scherer MA

    更新日期:1999-01-01 00:00:00

  • [Etiology, diagnosis and therapy of soft tissue infections].

    abstract::Soft tissue infections are caused by a multitude of bacteria. Their pathogenicity depends on the ability to adhere to surfaces, certain characteristics of the cell wall, exoenzymes or exotoxins, and endotoxins. Because etiologic classification of soft tissue infections is not satisfactory, we propose a clinical classi...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Hau T,Förster E

    更新日期:1990-01-01 00:00:00

  • [Small Cell Lung Cancer].

    abstract::Small cell lung cancer accounts for roughly 14% of all lung cancers and is characterized by rapid progression, early distant metastasis and poor prognosis. Only a minority of patients presents with early stage disease upon initial diagnosis where surgical resection may be discussed. In addition, various treatment moda...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0043-110185

    authors: Reinmuth N,Hoffmann H

    更新日期:2018-02-01 00:00:00

  • [Interdisciplinary cooperation between anaesthesiology and surgery from the surgeon's point of view (author's transl)].

    abstract::The development of anaesthesiology has brought about a great variety of problems e.g. unforeseen capacities, money, vacancies and equipment. The patients welfare, of course necessitates the establishment of anaesthesiological departments wherever operations are being performed. We believe that in hospitals without ana...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Bünte H

    更新日期:1978-01-01 00:00:00

  • [Intensive care medicine -- update 2004].

    abstract::This manuscript gives a review about important studies addressing problems in intensive care medicine that have been published in journals focussing on critical care medicine and surgery in 2004. Only clinical studies are included in this review, mostly metaanalyses, randomized controlled trials and a few important or...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2005-836561

    authors: Flohé S,Lendemans S,Schmitz D,Waydhas C

    更新日期:2005-06-01 00:00:00

  • [Are there new aspects in thoracic surgery in children?].

    abstract::A comparison was made between the operations of the respiratory tract in childhood and their associated bronchological examinations were analyzed and also there were other kinds of indication for examination and operation. The surgical therapy of abnormalities has the priority. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Diestelhorst C,Wild L,Bennek J

    更新日期:1990-01-01 00:00:00

  • [Problematic aspects of the Structural Health Regulation and minimal invasive surgery].

    abstract::Decisions in surgery will have to consider economic obligations more than ever before. Consequences are evident: the assessment of surgical efficiency will be insufficient when only considering the accuracy and results of a clinical study. We actually will have to document, moreover, the economic impact of therapeutic...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Kunz E

    更新日期:1997-01-01 00:00:00

  • [Optimizing delayed reconstruction of complex pressure sores by V.A.C. therapy].

    abstract::V.A.C.-therapy has improved the treatment of extended pressure sores, because of its beneficial effect on the wound surface and the safe microbial barrier. Definitive reconstructive surgery can be performed earlier. Using modern aids fixation of the device will be possible even in difficult locations as the perianal a...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2006-921448

    authors: Reichert B

    更新日期:2006-04-01 00:00:00

  • [Aspects of vascular physiology in clinical and vascular surgical practice: basic principles of vascular mechanics].

    abstract:BACKGROUND:To be able to evaluate properly a vascular problem, basic concepts of vascular physiology need to be considered, as they have been taught in physiology for a long time. This article deals with selected definitions and laws of passive vascular mechanics, subdivided into parameters of vascular filling and para...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1327967

    authors: Nocke H,Meyer F,Lessmann V

    更新日期:2014-10-01 00:00:00

  • [Postoperative peritonitis].

    abstract::About 50% of relaparotomies in the early postoperative period are caused by peritonitis, the lethality ranges from 32 to 88% (average 56%). The most frequent reasons for the development of peritonitis following abdominal surgery are presented as well as the possible way to early diagnosis of this complication. In view...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Lüdtke-Handjery A

    更新日期:1983-01-01 00:00:00

  • [Multicystic peritoneal mesothelioma].

    abstract::We report on a 31-year-old man with a 29 x 15 x 15 cm large abdominal tumor who came to surgery under suspicion of echinococcus cyst of the liver. Histologically, the neoplasm could identified as multicystic peritoneal mesothelioma (synonyma: benign cystic mesothelioma). Additionally some cysts were located in the gre...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Horling EW,Albert C,Bassermann R,Stiegler H

    更新日期:1996-01-01 00:00:00

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

    abstract::Acute alcohol intoxication causes a lot of diagnostic problems. Every doctor should be well informed about its differential diagnostic aspects. Carelessness concerning diagnosis can be detrimental to the patient and the physician as well. ...

    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

  • [Nonpalpable carcinoma of the breast - diagnosed by vacuum core breast biopsy and surgical management].

    abstract::The wire-localized extirpation is the "gold standard" for the examination of nonpalpable lesions suspicious of malignancy. Less invasive techniques were introduced in the last years, offering also a high diagnostic reliability, e. g. stereotactic core needle biopsy, the "advanced breast biopsy" and the vacuum core bio...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2001-18259

    authors: Leinung S,Keitel R,Würl P,Udelnow A,Schneider JP,Schulz T,Horn LC,Schönfelder M

    更新日期:2001-10-01 00:00:00

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

    abstract::Out of a total of 3347 patients operated on for acute appendicitis 125 were found to be infected with Yersinia enterocolitica. Histological examination revealed a catarrhal-purulent inflammation or a phlegmonous-gangrenous inflammation in 58,6%. This detection of Yersinia enterocolitica does not justify the omission t...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Bellmann A,Bellmann KP

    更新日期:1980-01-01 00:00:00