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Solid-pseudopapillary tumor of the pancreatic tail

World Journal of Gastroenterology 2005年第26期11卷 4117-4119页

作者： Frank Eder hans-Ulrich Schulz Christoph R(o|¨)cken hans lippert Department of General Surgery Department of General Surgery Otto-von-Guericke-University Medical Faculty Leipziger StraBe 44 Magdeburg D-39120 Germany Institute of Pathology Otto-von-Guericke-University Medical Faculty Leipziger Str. 44 Magdeburg D-39120 Germany

We report a case of the rare solid-pseudopapillary tumor of the pancreas. In contrast to other pancreatic tumors,the solid-pseudopapillary tumor has a favorable *** 60-year-old female patient we report on here was treated by left pancreatic resection combined with splenectomy for a non-metastasizing tumor of the pancreas. A solid-pseudopapillary tumor was found on histology. The patient had no signs of metastases at *** a microscopically invasive tumor growth is assumed,oncologically curative resection should be preferred vs the less radical enucleation. The rare solid-pseudopapillary tumor of the pancreas has a good prognosis after successful oncological resection.

关键词： Pancreas Solid-pseudopapillary tumor

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Sealing of the hepatic resection area using fibrin glue reduces significant amount of postoperative drain fluid

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World Journal of Gastroenterology 2005年第38期11卷 5984-5987页

作者： Frank Eder Frank Meyer Gerd Nestler Zuhir Halloul hans lippert Department of Surgery

AIM: To investigate whether the routine use of fibrin glue applied onto the hepatic resection area can diminish postoperative volume of bloody or biliary fluids drained via intraoperatively placed perihepatic tubes and can thus lower the complication ***: Two groups of consecutive patients with a comparable spectrum of recent hepatic resections were compared: (1) 13 patients who underwent application of fibrin glue immediately after resection of liver parenchyma;(2) 12 patients who did not. Volumes of postoperative drainage fluid were determined in 4-h intervals through 24 h indicating the intervention caused bloody and biliary ***: Through the first 8 h postoperatively, there was a tendency of higher amounts of fluids in patients with no additional application of fibrin glue while through the following intervals, a significant increase of drainage volumes was documented in comparison with the first two 4-h intervals, e.g., after 12 h, 149.6 mL +/-110 mL vs 63.2 mL +/-78 mL. Using fibrin glue, postoperative fluid amounts were significantly lower through the postoperative observation period of 24 h (851 mL +/-715 mL vs 315 mL +/-305 mL).CONCLUSION: For hepatic resections, the use of fibrin glue appears to be advantageous in terms of a significant decrease of surgically associated segregation of blood or bile out of the resection area. This might result in a better outcome.

关键词： Fibrin glue Hepatic resection

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Results of Sleeve Gastrectomy in Germany—Data on Nationwide Survey on Quality Assurance in Bariatric Surgery in Germany

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Surgical Science 2012年第4期3卷 169-176页

作者： Christine Stroh Rudolf Weiner Thomas Horbach Kaja Ludwig Miriam Dressler Stefanie Wolff hans lippert Martin Büsing Uwe Schmidt Thomas Manger Department of General Abdominal and Pediatric Surgery Municipal Hospital Gera Germany Department of General Abdominal and Vascular Surgery University Hospital Magdeburg Magdeburg Germany Friedrich Alexander University Erlangen-Nürnberg Erlangen Germany Hospital Knappschaft Recklinghausen Recklinghausen Germany Hospital Rostock Südstadt Rostock Germany Hospital Sachsenhausen Frankfurt am Main Frankfurt Main Germany Muncipial Hospitals Dresden Neustadt Dresden Germany StatConsult Magdeburg Magdeburg Germany

Background: Since January 1st of 2005, the situation of bariatric surgery is being analyzed in Germany. The data is registered prospectively in cooperation with the Institute of Quality Assurance in Surgery at the Otto-von-Guericke University Magdeburg. Methods: The data is registered through an online database which includes all information for primary and revision bariatric procedures as well as yearly follow-up. Participation in the quality assurance study is optional. All certificated centers have to participate at the survey. Results: From January 2006 to December 2009, 1478 sleeve gastrectomies (SG) were performed at 45 hospitals. The number of procedures has increased from 126 in 2007 to 933 in 2009. The main complication is leakage of the staple-line. Initial leakage rate was 7% in 2007. Leakage rate dropped down to 2.3% in 2008 and 2.5% in 2009. Mean age of patients was 43.1 years and mean BMI was 52.83 kg/m2. Age and BMI were significantly higher in patients with SG than in all other patients undergoing bariatric surgery. Conclusion: SG is a common and hype bariatric procedure in Germany, but postoperative complication rate is high. Data on the long-term effect of SG on weight loss and amelioration of comorbidities need to be evaluated. More detailed analyzes are necessary to establish the position of SG in the bariatric surgery. Further studies should also include examinations on long-term complications and redo-procedure after SG.

关键词： Bariatric Surgery Sleeve Gastrectomy German Multicenter Trial Leakage Complications

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Results of Sleeve Gastrectomy in Germany—Data on Nationwide Survey on Quality Assurance in Bariatric Surgery in Germany

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Surgical Science（外科学） 2012年第4期

作者： Christine Stroh Rudolf Weiner Thomas Horbach Kaja Ludwig Miriam Dressler Stefanie Wolff hans lippert Martin Büsing Uwe Schmidt Thomas Manger

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