8 results match your criteria: "St. Elisabethen Hospital Frankfurt[Affiliation]"
A senior surgical resident can safely perform complex esophageal cancer surgery after surgical mentoring program-experience of a European high-volume center.
Dis Esophagus
July 2024
Department for General, Visceral, Cancer and Transplant Surgery, Faculty of Medicine, University of Cologne, University Hospital Cologne, Cologne, Germany.
Previous studies have shown that surgical residents can safely perform a variation of complex abdominal surgeries when provided with adequate training, proper case selection, and appropriate supervision. Their outcomes are equivalent when compared to experienced board-certified surgeons. Our previously published training curriculum for robotic assisted minimally invasive esophagectomy already demonstrated a possible reduction in time to reach proficiency.
View Article and Find Full Text PDFUpdated S3 Guideline "Sedation for Gastrointestinal Endoscopy" of the German Society of Gastroenterology, Digestive and Metabolic Diseases (DGVS) - June 2023 - AWMF-Register-No. 021/014.
Z Gastroenterol
November 2023
Anesthesia and Intensive Care, Clinic Leer, Leer, Germany.
The Use of an Inspiration-Synchronized Vibrating Mesh Nebulizer for Prolonged Inhalative Iloprost Administration in Mechanically Ventilated Patients-An In Vitro Model.
Pharmaceutics
August 2023
Department of Anaesthesiology and Critical Care Medicine, University Medical Centre Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68165 Mannheim, Germany.
Mechanically ventilated patients suffering from acute respiratory distress syndrome (ARDS) frequently receive aerosolized iloprost. Because of prostacyclin's short half-life, prolonged inhalative administration might improve its clinical efficacy. But, this is technically challenging.
View Article and Find Full Text PDFAnalysis of training pathway to reach expert performance levels based on proficiency-based progression in robotic-assisted minimally invasive esophagectomy (RAMIE).
Surg Endosc
September 2023
Department for General, Visceral, Cancer and Transplant Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Article Synopsis
- Robotic-assisted minimally invasive esophagectomy (RAMIE) has improved postoperative recovery since its introduction in 2003, and this study aimed to evaluate a proficiency-based training pathway for surgeons at a high-volume center in Germany.
- A total of 154 patients who underwent RAMIE between 2017 and 2022 were analyzed to observe the necessary case numbers for surgeons to reach expert performance levels in various metrics such as operating time and complication rates.
- Results indicated that significant improvements in surgical performance were seen after specific case milestones, with varying stabilization points for hospital stay and anastomotic leak rates, highlighting the importance of structured training in developing surgical expertise.
Mapping the Lymphatic Drainage Pattern of Esophageal Cancer with Near-Infrared Fluorescent Imaging during Robotic Assisted Minimally Invasive Ivor Lewis Esophagectomy (RAMIE)-First Results of the Prospective ESOMAP Feasibility Trial.
Cancers (Basel)
April 2023
Department of General, Visceral, Cancer and Transplant Surgery, University of Cologne, Kerpener Str. 62, D-50937 Cologne, Germany.
Article Synopsis
- The study explores the use of near-infrared light fluorescence (NIR) with indocyanine green (ICG) for mapping lymph nodes during esophageal cancer surgery, a method not yet established in this field.
- It involved 20 patients with advanced esophageal cancer undergoing robotic-assisted minimally invasive esophagectomy (RAMIE), where ICG was injected around the tumor prior to surgery to visualize lymphatic drainage.
- Initial findings indicate that using NIR imaging is feasible and safe for detecting lymph node metastases during RAMIE, with plans for further research on ICG-positive tissue and long-term outcomes.
Surgical approach to advanced Siewert II cancer: beyond the borders? The West Side.
Updates Surg
February 2023
Center for Esophagogastric Cancer Surgery, St. Elisabethen Hospital Frankfurt, Ginnheimer Str. 3, 60487, Frankfurt, Germany.
The surgical approach to Siewert type II cancer should be individualized as there is no "one size fits all" option. Criteria for individualization are epidemiological, functional, oncologic and surgical items. However, our preferred procedure for advanced adenocarcinoma of the esophagogastric junction type II is esophagectomy, if this or transhiatal extended gastrectomy are both possible with R0 resection.
View Article and Find Full Text PDFLung Ultrasound Effectively Detects HIV-Associated Interstitial Pulmonary Disease.
Int J Infect Dis
October 2021
Internal Medicine II, Department of Infectious Diseases, University Hospital Frankfurt, Germany.
Objectives To prospectively evaluate lung ultrasound in comparison with radiography and computed tomography (CT) for detecting HIV-related lung diseases. Methods Ultrasound examinations in HIV-positive patients were evaluated by three raters; available conventional imaging was evaluated by another rater. Results were compared with each other and the definite diagnosis.
View Article and Find Full Text PDFInhalationally Administered Semifluorinated Alkanes (SFAs) as Drug Carriers in an Experimental Model of Acute Respiratory Distress Syndrome.
Pharmaceutics
March 2021
Department of Anaesthesiology and Critical Care Medicine, University Hospital Mannheim, Faculty of Medicine, University of Heidelberg, Theodor-Kutzer Ufer 1-3, 68165 Mannheim, Germany.
Aerosol therapy in patients suffering from acute respiratory distress syndrome (ARDS) has so far failed in improving patients' outcomes. This might be because dependent lung areas cannot be reached by conventional aerosols. Due to their physicochemical properties, semifluorinated alkanes (SFAs) could address this problem.
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