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  1. Book: Expertise Allgemein- und Viszeralchirurgie Leber und Gallenwege

    Aselmann, Heiko / Bechstein, Wolf Otto / Schnitzbauer, Andreas A.

    (Expertise Allgemein- und Viszeralchirurgie)

    2018  

    Title variant Leber und Gallenwege ; Expertise Allgemein- und Viszeralchirurgie
    Author's details herausgegeben von Wolf Otto Bechstein, Andreas Anton Schnitzbauer ; mit Beiträgen von Heiko Aselmann [und weiteren]
    Series title Expertise Allgemein- und Viszeralchirurgie
    Keywords Leberkrankheit ; Leberchirurgie ; Gallenwegskrankheit ; Gallenwegschirurgie
    Subject Gallenwege ; Leber ; Lebererkrankung ; Hepatopathie ; Hepatopathia
    Language German
    Size 213 Seiten, Illustrationen, 31 cm x 23 cm
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Publishing country Germany
    Document type Book
    Note Zugang zur Online-Ausgabe über Code
    HBZ-ID HT019345930
    ISBN 978-3-13-200871-7 ; 3-13-200871-0 ; 9783132008816 ; 9783132008915 ; 3132008818 ; 3132008915
    Database Catalogue ZB MED Medicine, Health

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    2018 C 34 order for loan Magazin
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  2. Book ; Thesis: Competitive RT-PCR zur Quantifizierung von Alpha-Fetoprotein messenger RNA

    Aselmann, Heiko

    eine Methode zum Nachweis zirkulierender Tumorzellen beim hepatozellulären Carcinom?

    2000  

    Author's details vorgelegt von Heiko Aselmann
    Language German
    Size 78 Bl., Ill., graph. Darst., 30 cm
    Publishing country Germany
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Hannover, Med. Hochsch., Diss., 2000
    HBZ-ID HT013192397
    Database Catalogue ZB MED Medicine, Health

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  3. Article ; Online: Using the da Vinci X® - System for Esophageal Surgery.

    Bergmann, Juri / Lehmann-Dorl, Barbara / Witt, Lars / Aselmann, Heiko

    JSLS : Journal of the Society of Laparoendoscopic Surgeons

    2022  Volume 26, Issue 2

    Abstract: Robotic esophageal surgery is becoming more widely adopted. Several publications on the feasibility, short-term outcomes and technical aspects are available. Most of these articles used either the da Vinci® SI system or in newer series the Xi System. The ...

    Abstract Robotic esophageal surgery is becoming more widely adopted. Several publications on the feasibility, short-term outcomes and technical aspects are available. Most of these articles used either the da Vinci® SI system or in newer series the Xi System. The da Vinci® X system is generally considered less suited for multiquadrant access like in esophageal surgery, hence only limited data is available. Here we describe our initial experience with 16 Ivor-Lewis robotic assisted minimally invasive esophagectomies (RAMIE) in patients with esophageal adenocarcinoma. The da Vinci® X system was installed in our department in 2019; the robotic program comprises colorectal, pancreatic and esophageal surgery. The first two patients were operated in the presence of a proctor. An operative standard was established including fluorescence angiography (Firefly®). Technical aspects with focus on the characteristics of the da Vinci® X system, operating room setup, and short-term outcomes are discussed.
    MeSH term(s) Esophageal Neoplasms/surgery ; Esophagectomy ; Humans ; Robotic Surgical Procedures ; Robotics
    Language English
    Publishing date 2022-06-23
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2011211-7
    ISSN 1938-3797 ; 1086-8089
    ISSN (online) 1938-3797
    ISSN 1086-8089
    DOI 10.4293/JSLS.2022.00018
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  4. Article ; Online: Defining benchmarks for robotic-assisted low anterior rectum resection in low-morbid patients: a multicenter analysis.

    Egberts, Jan-Hendrik / Kersebaum, Jan-Niclas / Mann, Benno / Aselmann, Heiko / Hirschburger, Markus / Graß, Julia / Becker, Thomas / Izbicki, Jakob / Perez, Daniel

    International journal of colorectal disease

    2021  Volume 36, Issue 9, Page(s) 1945–1953

    Abstract: Purpose: To define the best possible outcomes for robotic-assisted low anterior rectum resection (RLAR) using total mesorectal excision (TME) in low-morbid patients, performed by expert robotic surgeons in German robotic centers. The benchmark values ... ...

    Abstract Purpose: To define the best possible outcomes for robotic-assisted low anterior rectum resection (RLAR) using total mesorectal excision (TME) in low-morbid patients, performed by expert robotic surgeons in German robotic centers. The benchmark values were derived from these results.
    Methods: The data was retrospectively collected from five German expert centers. After patient exclusion (prior surgery, extended surgery, no prior anastomosis, hand-sewn anastomosis), the benchmark cohort was defined (n = 226). The median with interquartile range was first calculated for the individual centers. The 75th percentile of the median results was defined as the benchmark cutoff and represents the "perfect" achievable outcome. This applied to all benchmark values apart from lymph node yield, where the cutoff was defined as the 25th percentile (more lymph nodes are better).
    Results: The benchmark values for conversion and intraoperative complication rates were ≤ 4.0% and ≤ 1.4%, respectively. For postoperative complications, the benchmark was ≤ 28% for "any" and ≤ 18.0% for major complications. The R0 and complete TME rate benchmarks were both 100%, with a lymph node yield of > 18. The benchmark for rate of anastomotic insufficiency was < 12.5% and 90-day mortality was 0%. Readmission rates should not exceed 4%.
    Conclusion: This outcome analysis of patients with low comorbidity undergoing RLAR may serve as a reference to evaluate surgical performance in robotic rectum resection.
    MeSH term(s) Benchmarking ; Humans ; Laparoscopy ; Postoperative Complications ; Proctectomy ; Rectal Neoplasms/surgery ; Rectum/surgery ; Retrospective Studies ; Robotic Surgical Procedures/adverse effects ; Treatment Outcome
    Language English
    Publishing date 2021-07-09
    Publishing country Germany
    Document type Journal Article ; Multicenter Study
    ZDB-ID 84975-3
    ISSN 1432-1262 ; 0179-1958
    ISSN (online) 1432-1262
    ISSN 0179-1958
    DOI 10.1007/s00384-021-03988-6
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  5. Article ; Online: Diagnostic and interventional digital pancreatoscopy as an "all-in-one" approach in chronic pancreatitis: a case report.

    Ellrichmann, Mark / Bethge, Johannes / Aselmann, Heiko / Becker, Thomas / Schreiber, Stefan / Arlt, Alexander

    Endoscopy

    2019  Volume 51, Issue 10, Page(s) E288–E289

    MeSH term(s) Aged ; Endoscopy, Gastrointestinal/methods ; Humans ; Male ; Pancreatitis, Chronic/diagnostic imaging ; Pancreatitis, Chronic/etiology ; Pancreatitis, Chronic/surgery
    Language English
    Publishing date 2019-05-23
    Publishing country Germany
    Document type Case Reports ; Journal Article ; Video-Audio Media
    ZDB-ID 80120-3
    ISSN 1438-8812 ; 0013-726X
    ISSN (online) 1438-8812
    ISSN 0013-726X
    DOI 10.1055/a-0896-2405
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    Zs.MO 162: Show issues

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  6. Conference proceedings: Erste Erfahrungen mit der Roboter-assistierten partiellen Duodenopankreatektomie

    Aselmann, Heiko / Egberts, Jan-Hendrik / Becker, Thomas

    2016  , Page(s) 16dgch096

    Event/congress 133. Kongress der Deutschen Gesellschaft für Chirurgie; Berlin; Deutsche Gesellschaft für Chirurgie; 2016
    Keywords Medizin, Gesundheit
    Publishing date 2016-04-21
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/16dgch096
    Database German Medical Science

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  7. Article: Diagnostic and interventional digital pancreatoscopy as an “all-in-one” approach in chronic pancreatitis: a case report

    Ellrichmann, Mark / Bethge, Johannes / Aselmann, Heiko / Becker, Thomas / Schreiber, Stefan / Arlt, Alexander

    Endoscopy

    2019  Volume 51, Issue 10, Page(s) E288–E289

    Language English
    Publishing date 2019-05-23
    Publisher © Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 80120-3
    ISSN 1438-8812 ; 0013-726X
    ISSN (online) 1438-8812
    ISSN 0013-726X
    DOI 10.1055/a-0896-2405
    Database Thieme publisher's database

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  8. Article ; Online: Robotic-assisted total mesorectal excision (TME) for rectal cancer results in a significantly higher quality of TME specimen compared to the laparoscopic approach-report of a single-center experience.

    Aselmann, Heiko / Kersebaum, Jan-Niclas / Bernsmeier, Alexander / Beckmann, Jan Henrik / Möller, Thorben / Egberts, Jan Hendrik / Schafmayer, Clemens / Röcken, Christoph / Becker, Thomas

    International journal of colorectal disease

    2018  Volume 33, Issue 11, Page(s) 1575–1581

    Abstract: Aim: Robotic surgery allows for a better visualization and more precise dissection especially in the narrow male pelvis and mid and lower third of the rectum. However, superiority to laparoscopic TME has yet to be proven. We therefore analyzed short- ... ...

    Abstract Aim: Robotic surgery allows for a better visualization and more precise dissection especially in the narrow male pelvis and mid and lower third of the rectum. However, superiority to laparoscopic TME has yet to be proven. We therefore analyzed short-term outcomes of laparoscopic and robotic low anterior rectal resection for rectal cancer.
    Patients and methods: From 2011 to 2016, 44 robotic (RTME) and 41 laparoscopic (LTME) low anterior rectal resection with total mesorectal excision were performed at a single institution. Specimen quality was assessed and reported by an independent pathologist following international guidelines.
    Results: The groups did not differ significantly regarding gender, age, ASA stage, BMI, and distance of the lower tumor margin from the anal verge. More patients in the RTME group underwent preoperative chemoradiation (43.2 vs. 19.5%, p = 0.019). The quality of the TME specimen was significantly better in the RTME group (complete/nearly complete/incomplete for RTME 97/0/3% and for LTME 78/17/5%, p = 0.03). The conversion rate tended to be lower in the RTME group (7 vs. 17%, p = 0.143). There was no difference in CRM positivity between the groups.
    Conclusion: Robotic surgery is safe and can improve the quality of TME for rectal cancer compared to laparoscopy. Any effect on long-term survival remains to be established.
    MeSH term(s) Aged ; Female ; Humans ; Laparoscopy ; Male ; Middle Aged ; Rectal Neoplasms/pathology ; Rectal Neoplasms/surgery ; Robotic Surgical Procedures ; Treatment Outcome
    Language English
    Publishing date 2018-07-04
    Publishing country Germany
    Document type Comparative Study ; Journal Article
    ZDB-ID 84975-3
    ISSN 1432-1262 ; 0179-1958
    ISSN (online) 1432-1262
    ISSN 0179-1958
    DOI 10.1007/s00384-018-3111-x
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  9. Article ; Online: Non-invasive hemodynamic optimization in major abdominal surgery: a feasibility study.

    Broch, Ole / Carstens, Arne / Gruenewald, Matthias / Nischelsky, Edith / Vellmer, Lukas / Bein, Berthold / Aselmann, Heiko / Steinfath, Markus / Renner, Jochen

    Minerva anestesiologica

    2016  Volume 82, Issue 11, Page(s) 1158–1169

    Abstract: Background: Today, most of the pre-emptive hemodynamic optimization algorithms are based on variables associated with invasive techniques like arterial cannulation. The non-invasive Nexfin™ technology is able to estimate continuous Cardiac Index (CI) ... ...

    Abstract Background: Today, most of the pre-emptive hemodynamic optimization algorithms are based on variables associated with invasive techniques like arterial cannulation. The non-invasive Nexfin™ technology is able to estimate continuous Cardiac Index (CI) and pulse pressure variation (PPV). However, the efficiency of an early goal directed therapy (EGDT) algorithm based on non-invasive variables has to be proven. The aim of our study was to investigate the feasibility of a non-invasive driven EGDT protocol and its impact on patient's outcome.
    Methods: Seventy-nine patients (ASA II-III) undergoing elective major abdominal surgery were randomized to either study group (SG, N.=39) or control group (CG, N.=40). The SG was treated according to an algorithm based on non-invasive CI and PPV, whereas the CG received standard of care. Postoperative complications up to 28 days and length of hospital stay (LOS) in both groups were recorded.
    Results: There was no significant difference between the groups regarding demographics, hemodynamic variables, preoperative risk scores and duration of surgery. The total amount of complications was higher in the CG (SG 94 vs. CG 132 complications, P=0.22) without reaching statistical significance. LOS revealed no difference between both groups (SG, 9 [7-15] vs. CG, 9 [7-15.25] days, P=0.82). We have seen no impact of the non-invasive optimization protocol with respect to postoperative mortality.
    Conclusions: In this patient collective, we could demonstrate the feasibility of a non-invasive approach for hemodynamic optimization. However, EGDT based on non-invasive variables was not able to significantly improve outcome.
    MeSH term(s) Abdomen/surgery ; Aged ; Algorithms ; Body Surface Area ; Cardiac Output/physiology ; Clinical Protocols ; Elective Surgical Procedures ; Feasibility Studies ; Female ; Hemodynamics ; Humans ; Length of Stay/statistics & numerical data ; Male ; Postoperative Complications ; Treatment Outcome
    Language English
    Publishing date 2016-06-28
    Publishing country Italy
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 123584-9
    ISSN 1827-1596 ; 0026-4717 ; 0375-9393
    ISSN (online) 1827-1596
    ISSN 0026-4717 ; 0375-9393
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    Zs.MO 192: Show issues

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  10. Conference proceedings: Erfahrungen nach 50 Roboter assistierten abdominothorakalen Ösophagusresektionen

    Egberts, Jan-Hendrik / Aselmann, Heiko / Bernsmeier, Alexander / Hauser, Charlotte / Becker, Thomas

    2016  , Page(s) 16dgch095

    Event/congress 133. Kongress der Deutschen Gesellschaft für Chirurgie; Berlin; Deutsche Gesellschaft für Chirurgie; 2016
    Keywords Medizin, Gesundheit
    Publishing date 2016-04-21
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/16dgch095
    Database German Medical Science

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