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Book ; Thesis: Die Bedeutung der posttraumatischen Belastungsstörung im Zusammenhang mit Herzkatheteruntersuchungen

Kirchberg, Johanna

2007

Author's details	vorgelegt von Johanna Kirchberg
Subject code	616.1
Language	German
Size	144 S., Ill., graph. Darst., 31 cm
Publishing country	Germany
Document type	Book ; Thesis
Thesis / German Habilitation thesis	Dresden, Techn. Univ., Diss., 2008
HBZ-ID	HT016140729
Database	Catalogue ZB MED Medicine, Health

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Article: Auswirkung der COVID-19-Pandemie auf die Versorgung von Krebserkrankten

Kirchberg, J. / Weitz, J.

Krebs im Focus

2022 Volume 15, Issue Juni, Page(s) 32

Language	German
Document type	Article
ZDB-ID	2761631-9
Database	Current Contents Medicine

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Article ; Online: Evidenz der Roboter-Chirurgie in der onkologischen Viszeralchirurgie.

Kirchberg, J / Weitz, J

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen

2019 Volume 90, Issue 5, Page(s) 379–386

Abstract: The superiority of minimally invasive operative methods compared to open surgery with respect to various parameters of short-term outcome with adequate oncological long-term results has already been confirmed for many tumor entities in high-quality ... ...

Title translation	Evidence for robotic surgery in oncological visceral surgery.
Abstract	The superiority of minimally invasive operative methods compared to open surgery with respect to various parameters of short-term outcome with adequate oncological long-term results has already been confirmed for many tumor entities in high-quality studies. The continuously expanding robotic surgery offers certain additional benefits in minimally invasive oncological visceral surgery, such as a high-resolution stable 3‑dimensional view, optimal freedom of movement in situ, elimination of natural tremor and better ergonomics. This article evaluates whether these postulated advantages are reflected in an improvement of the short-term perioperative and long-term oncological results compared to conventional minimally invasive surgery in oncological visceral surgery (rectum, colon, stomach, esophagus, pancreas, liver) according to the criteria of evidence-based medicine. With the exception of colorectal surgery, there are currently no randomized controlled studies comparing robotic to laparoscopic surgery in oncological visceral surgery. There is still a clear imbalance between the exponentially expanding application of robotic surgery and the existing lack of high-quality evidence. Further randomized controlled clinical trials urgently need to be performed especially considering the great technological development potential of robotic surgery.
MeSH term(s)	Digestive System Surgical Procedures ; Laparoscopy ; Rectum ; Robotic Surgical Procedures
Language	German
Publishing date	2019-02-19
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	1521-0
ISSN	1433-0385 ; 0009-4722
ISSN (online)	1433-0385
ISSN	0009-4722
DOI	10.1007/s00104-019-0812-9
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: How we do it-the use of peritoneal patches for reconstruction of vena cava inferior and portal vein in hepatopancreatobiliary surgery.

Radulova-Mauersberger, O / Distler, M / Riediger, C / Weitz, J / Welsch, T / Kirchberg, J

Langenbeck's archives of surgery

2022 Volume 407, Issue 8, Page(s) 3819–3831

Abstract: Purpose: Extended resections in hepatopancreatobiliary (HPB) surgery frequently require vascular resection to obtain tumor clearance. The use of alloplastic grafts may increase postoperative morbidity due to septic or thrombotic complications. The use ... ...

Abstract	Purpose: Extended resections in hepatopancreatobiliary (HPB) surgery frequently require vascular resection to obtain tumor clearance. The use of alloplastic grafts may increase postoperative morbidity due to septic or thrombotic complications. The use of suitable autologous venous interponates (internal jugular vein, great saphenous vein) is frequently associated with additional incisions. The aim of this study was to report on our experience with venous reconstruction using the introperative easily available parietal peritoneum, focusing on key technical aspects. Methods: All patients who underwent HPB resections with venous reconstruction using peritoneal patches at our department between January 2017 and November 2021 were included in this retrospective analysis with median follow-up of 2 months (IQR: 1-8 months). We focused on technical aspects of the procedure and evaluated vascular patency and perioperative morbidity. Results: Parietal peritoneum patches (PPPs) were applied for reconstruction of the inferior vena cava (IVC) (13 patients) and portal vein (PV) (4 patients) during major hepatic (n = 14) or pancreatic (n = 2) resections. There were no cases of postoperative bleeding due to anastomotic leakage. Following PV reconstruction, two patients showed postoperative vascular stenosis after severe pancreatitis with postoperative pancreatic fistula and bile leakage, respectively. In patients with reconstruction of the IVC, no relevant perioperative vascular complications occurred. Conclusions: The use of a peritoneal patch for reconstruction of the IVC in HPB surgery is a feasible, effective, and low-cost alternative to alloplastic, xenogenous, or venous grafts. The graft can be easily harvested and tailored to the required size. More evidence is still needed to confirm the safety of this procedure for the portal vein regarding long-term results.
Language	English
Publishing date	2022-09-22
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1423681-3
ISSN	1435-2451 ; 1435-2443
ISSN (online)	1435-2451
ISSN	1435-2443
DOI	10.1007/s00423-022-02662-x
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Article ; Online: Roboterchirurgie des Pankreas.

Kirchberg, J / Weitz, J

Zentralblatt fur Chirurgie

2016 Volume 141, Issue 2, Page(s) 160–164

Abstract: Pancreatic surgery is one of the most challenging fields in visceral surgery. However, laparoscopic pancreatic surgery has not become the standard of care as yet, especially because of the very demanding reconstruction of anastomoses in ... ...

Title translation	Robotic Pancreatic Surgery.
Abstract	Pancreatic surgery is one of the most challenging fields in visceral surgery. However, laparoscopic pancreatic surgery has not become the standard of care as yet, especially because of the very demanding reconstruction of anastomoses in pancreaticoduodenectomy. Robotic surgery has been a recent advance in laparoscopy. Its benefits are a better 3D view, a greater degree of freedom corresponding to that of the human hand, and tremor elimination. These factors greatly facilitate the intracorporeal suturing and knot-tying, which offers a technical advantage in performing pancreaticojejunostomy as compared with laparoscopic resections. However, only a few centres are offering this procedure for pancreatic resections. Retrospective analyses show that robotic pancreatic resections are safe und oncologically adequate if performed by experienced surgeons. Prospective, randomised trials comparing laparoscopic and robotic pancreatic resection techniques are not available to date.
MeSH term(s)	Anastomosis, Surgical/instrumentation ; Anastomosis, Surgical/methods ; Humans ; Laparoscopy/instrumentation ; Laparoscopy/methods ; Pancreatectomy/instrumentation ; Pancreatectomy/methods ; Pancreaticoduodenectomy/instrumentation ; Pancreaticoduodenectomy/methods ; Pancreaticojejunostomy/instrumentation ; Pancreaticojejunostomy/methods ; Postoperative Complications/mortality ; Retrospective Studies ; Robotic Surgical Procedures/instrumentation ; Robotic Surgical Procedures/methods ; Surgical Equipment ; Surgical Instruments ; Survival Rate ; Suture Techniques/instrumentation
Language	German
Publishing date	2016-04
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	200935-3
ISSN	1438-9592 ; 0044-409X
ISSN (online)	1438-9592
ISSN	0044-409X
DOI	10.1055/s-0042-103594
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Article ; Online: Intraabdominelle und retroperitoneale Sarkome.

Kirchberg, J / Weitz, J

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen

2016 Volume 87, Issue 3, Page(s) 255–66; quiz 267

Abstract: Sarcomas are a heterogeneous group of rare tumors that originate from mesenchymal tissue. Radical R0 resection is the only curative option, which is especially challenging in retroperitoneal or intra-abdominal sarcomas. This article describes the current ...

Title translation	Intra-abdominal and retroperitoneal sarcomas.
Abstract	Sarcomas are a heterogeneous group of rare tumors that originate from mesenchymal tissue. Radical R0 resection is the only curative option, which is especially challenging in retroperitoneal or intra-abdominal sarcomas. This article describes the current data on optimal interdisciplinary and primarily surgical therapy of visceral sarcomas. Surgical resection of retroperitoneal sarcomas must be performed according to the principle of radical compartmental resection, i.e. with complete excision of the mass along with en bloc visceral resection of adjacent organs and tissues covering the tumor, which also contains any not obviously infiltrated neighboring organs. The main objective is R0 resection without opening the tumor capsule in the primary operation because the best long-term results can be achieved with this approach.
MeSH term(s)	Abdominal Neoplasms/diagnosis ; Abdominal Neoplasms/pathology ; Abdominal Neoplasms/surgery ; Follow-Up Studies ; Humans ; Interdisciplinary Communication ; Intersectoral Collaboration ; Retroperitoneal Neoplasms/diagnosis ; Retroperitoneal Neoplasms/pathology ; Retroperitoneal Neoplasms/surgery ; Sarcoma/diagnosis ; Sarcoma/pathology ; Sarcoma/surgery
Language	German
Publishing date	2016-03
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	1521-0
ISSN	1433-0385 ; 0009-4722
ISSN (online)	1433-0385
ISSN	0009-4722
DOI	10.1007/s00104-016-0156-7
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Minimalinvasive Chirurgie primärer und sekundärer Lebertumoren : Patientenselektion, Verfahrenswahl, Ergebnisse.

Kirchberg, J / Weitz, J

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen

2014 Volume 85, Issue 8, Page(s) 689–695

Abstract: Background: Initially, mainly superficial liver lesions were resected laparoscopically but now even major resections are performed using a minimally invasive procedure. Careful selection of suitable patients is of key importance.: Aims and methods: ... ...

Title translation	Minimally invasive surgery of primary and secondary liver tumors : indications, techniques and results.
Abstract	Background: Initially, mainly superficial liver lesions were resected laparoscopically but now even major resections are performed using a minimally invasive procedure. Careful selection of suitable patients is of key importance. Aims and methods: This article describes the current state of the art in patient selection and choice of the appropriate laparoscopic technique based on a review of the recent literature. Perioperative and oncological outcome parameters of laparoscopic liver resection are presented. Results: Laparoscopic liver resection offers significant benefits compared to open liver resection in terms of reduced intraoperative blood loss, reduced overall and liver-specific complications and length of hospital stay without compromising oncological outcomes. Conclusion: Lesions in the peripheral anterolateral segments (segments 2, 3, 4b, 5 and 6) are particularly suitable for laparoscopic liver resection. Access to the posterosuperior segments 1, 4a, 7 and 8 is more challenging but safe and feasible in experienced centers.
MeSH term(s)	Colorectal Neoplasms/mortality ; Colorectal Neoplasms/pathology ; Colorectal Neoplasms/surgery ; Hepatectomy/methods ; Humans ; Laparoscopy/methods ; Liver/pathology ; Liver Neoplasms/mortality ; Liver Neoplasms/pathology ; Liver Neoplasms/secondary ; Liver Neoplasms/surgery ; Patient Selection ; Postoperative Complications/etiology ; Postoperative Complications/mortality ; Survival Rate
Language	German
Publishing date	2014-08-26
Publishing country	Germany
Document type	English Abstract ; Journal Article ; Review
ZDB-ID	1521-0
ISSN	1433-0385 ; 0009-4722
ISSN (online)	1433-0385
ISSN	0009-4722
DOI	10.1007/s00104-014-2756-4
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Drainless robot-assisted minimally invasive oesophagectomy-randomized controlled trial (RESPECT).

Müssle, B / Kirchberg, J / Buck, N / Radulova-Mauersberger, O / Stange, D / Richter, T / Müller-Stich, B / Klotz, R / Larmann, J / Korn, S / Klimova, A / Grählert, X / Trips, E / Weitz, J / Welsch, T

Trials

2023 Volume 24, Issue 1, Page(s) 303

Abstract: Background: The purpose of this randomized trial is to evaluate the early removal of postoperative drains after robot-assisted minimally invasive oesophagectomy (RAMIE). Evidence is lacking about feasibility, associated pain, recovery, and morbidity.: ...

Abstract	Background: The purpose of this randomized trial is to evaluate the early removal of postoperative drains after robot-assisted minimally invasive oesophagectomy (RAMIE). Evidence is lacking about feasibility, associated pain, recovery, and morbidity. Methods/design: This is a randomized controlled multicentric trial involving 72 patients undergoing RAMIE. Patients will be allocated into two groups. The "intervention" group consists of 36 patients. In this group, abdominal and chest drains are removed 3 h after the end of surgery in the absence of contraindications. The control group consists of 36 patients with conventional chest drain management. These drains are removed during the further postoperative course according to a standard algorithm. The primary objective is to investigate whether postoperative pain measured by NRS on the second postoperative day can be significantly reduced in the intervention group. Secondary endpoints are the intensity of pain during the first week, analgesic use, number of postoperative chest X-ray and CT scans, interventions, postoperative mobilization (steps per day as measured with an activity tracker), postoperative morbidity and mortality. Discussion: Until now, there have been no trials investigating different intraoperative chest drain strategies in patients undergoing RAMIE for oesophageal cancer with regard to perioperative complications until discharge. Minimally invasive approaches combined with enhanced recovery after surgery (ERAS) protocols lower morbidity but still include the insertion of chest drains. Reduction and early removal have been proposed after pulmonary surgery but not after RAMIE. The study concept is based on our own experience and the promising current results of the RAMIE procedure. Therefore, the presented randomized controlled trial will provide statistical evidence of the effectiveness and feasibility of the "drainless" RAMIE. Trial registration: ClinicalTrials.gov NCT05553795. Registered on 23 September 2022.
MeSH term(s)	Humans ; Esophagectomy/methods ; Robotics ; Postoperative Complications/etiology ; Abdomen ; Esophageal Neoplasms/surgery ; Pain, Postoperative/surgery ; Treatment Outcome ; Minimally Invasive Surgical Procedures/methods
Language	English
Publishing date	2023-05-02
Publishing country	England
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	2040523-6
ISSN	1745-6215 ; 1468-6694 ; 1745-6215
ISSN (online)	1745-6215
ISSN	1468-6694 ; 1745-6215
DOI	10.1186/s13063-023-07233-z
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Article: Single chest drain is not inferior to double chest drain after robotic esophagectomy: a propensity score-matched analysis.

Eckert, F / Merboth, F / Giehl-Brown, E / Hasanovic, J / Müssle, B / Plodeck, V / Richter, T / Welsch, T / Kahlert, C / Fritzmann, J / Distler, M / Weitz, J / Kirchberg, J

Frontiers in surgery

2023 Volume 10, Page(s) 1213404

Abstract: Background: Chest drain management has a significant influence on postoperative recovery after robot-assisted minimally invasive esophagectomy (RAMIE). The use of chest drains increases postoperative pain by irritating intercostal nerves and hinders ... ...

Abstract	Background: Chest drain management has a significant influence on postoperative recovery after robot-assisted minimally invasive esophagectomy (RAMIE). The use of chest drains increases postoperative pain by irritating intercostal nerves and hinders patients from early postoperative mobilization and recovery. To our knowledge, no study has investigated the use of two vs. one intercostal chest drains after RAMIE. Methods: This retrospective cohort study evaluated patients undergoing elective RAMIE with gastric conduit pull-up and intrathoracic anastomosis. Patients were divided into two groups according to placement of one (11/2020-08/2022) or two (08/2018-11/2020) chest drains. Propensity score matching was performed in a 1:1 ratio, and the incidences of overall and pulmonary complications, drainage-associated re-interventions, radiological diagnostics, analgesic use, and length of hospital stay were compared between single drain and double drain groups. Results: During the study period, 194 patients underwent RAMIE. Twenty-two patients were included after propensity score matching in the single and double chest drain group, respectively. Time until removal of the last chest drain [postoperative day (POD) 6.7 ± 4.4 vs. POD 9.4 ± 2.7, Conclusion: This study is the first to demonstrate the safety of single intercostal chest drain use and, at least, non-inferiority to double chest drains in terms of perioperative complications after RAMIE.
Language	English
Publishing date	2023-07-14
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2773823-1
ISSN	2296-875X
ISSN	2296-875X
DOI	10.3389/fsurg.2023.1213404
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Article ; Online: eHealth Literacy of German Physicians in the Pre-COVID-19 Era: Questionnaire Study.

Kirchberg, Johanna / Fritzmann, Johannes / Weitz, Jürgen / Bork, Ulrich

JMIR mHealth and uHealth

2020 Volume 8, Issue 10, Page(s) e20099

Abstract: Background: Digitalization is a disruptive technology that changes the way we deliver diagnostic procedures and treatments in medicine. Different stakeholders have varying interests in and expectations of the digitalization of modern medicine. Many ... ...

Abstract	Background: Digitalization is a disruptive technology that changes the way we deliver diagnostic procedures and treatments in medicine. Different stakeholders have varying interests in and expectations of the digitalization of modern medicine. Many recent digital advances in the medical field, such as the implementation of electronic health records, telemedical services, and mobile health apps, are increasingly used by medical professionals and patients. During the current pandemic outbreak of a novel coronavirus-caused respiratory disease (COVID-19), many modern information and communication technologies (ICT) have been used to overcome the physical barriers and limitations caused by government-issued curfews and workforce shortages. Therefore, the COVID-19 pandemic has led to a surge in the usage of modern ICT in medicine. At the same time, the eHealth literacy of physicians working with these technologies has probably not improved since our study. Objective: This paper describes a representative cohort of German physicians before the COVID-19 pandemic and their eHealth literacy and attitude towards modern ICT. Methods: A structured, self-developed questionnaire about user behavior and attitudes towards eHealth applications was administered to a representative cohort of 93 German physicians. Results: Of the 93 German physicians who participated in the study, 97% (90/93) use a mobile phone. Medical apps are used by 42% (39/93). Half of the surveyed physicians (47/93, 50%) use their private mobile phones for official purposes on a daily basis. Telemedicine is part of the daily routine for more than one-third (31/93, 33%) of all participants. More than 80% (76/93, 82%) of the trial participants state that their knowledge regarding the legal aspects and data safety of medical apps and cloud computing is insufficient. Conclusions: Modern ICT is frequently used and mostly welcomed by German physicians. However, there is a tremendous lack of eHealth literacy and knowledge about the safe and secure implementation of these technologies in routine clinical practice.
MeSH term(s)	Adult ; Attitude of Health Personnel ; COVID-19 ; Cohort Studies ; Coronavirus Infections/epidemiology ; Female ; Germany/epidemiology ; Health Literacy ; Humans ; Male ; Middle Aged ; Pandemics ; Physicians/psychology ; Physicians/statistics & numerical data ; Pneumonia, Viral/epidemiology ; Surveys and Questionnaires ; Telemedicine
Keywords	covid19
Language	English
Publishing date	2020-10-16
Publishing country	Canada
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2719220-9
ISSN	2291-5222 ; 2291-5222
ISSN (online)	2291-5222
ISSN	2291-5222
DOI	10.2196/20099
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