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Individualisierte Ösophaguschirurgie

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Viszeralchirurgische Operationen und technische Varianten

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Zusammenfassung

Als Zweihöhleneingriff bietet die Ösophaguschirurgie im Vergleich zu anderen viszeralen Operationen die variabelsten Kombinationen aus verschiedenen technischen Möglichkeiten. Offen, minimal-invasiv, roboterassistiert, „Hybridvariationen“, eine detaillierte Beschreibung der technischen Schritte dieser Operationen sowie die Analyse schwieriger intraoperativer Situationen und deren Lösungen werden in diesem Kapitel ausführlich behandelt. Laut den Kapitelautoren sind die Lage des Tumors im oberen Ösophagusdrittel, kleines Ösophaguskaliber, „downstaged“ cT4bNx-Tumoren, abdominelle Voroperationen mit Adhäsionen der gastroepiploischen Arkade bzw. Voroperationen des Magens, die ggf. ein Koloninterponat erforderlich machen, größere intrathorakale Voroperationen bzw. Fibrothorax, obere mediastinale Lymphknotenmetastasen, schwere Kyphoskoliose, ausgedehnte neoadjuvante Chemoradiotherapie bzw. Salvage-Chirurgie nach langem zeitlichem Abstand nach neoadjuvanten Therapie sowie BMI >35, prädisponierenden Faktoren für Entstehung der schwierigen intraoperativen Situationen.

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Notes

  1. 1.

    (zweizeitig, ca. 1 Woche zum 1. Teil zeitversetzt)

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Author information

Authors and Affiliations

  1. Division of General Surgery, University of Milan MedicalSchool/IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy

    Emanuele Asti

  2. Division of General Surgery, University of Milan Medical School/IRCCS Policlinico San Donato, San Donato Milanese Milan, Italy

    Daniele Bernardi

  3. Department of Gastrointestinal Surgical Oncology G04.228, University Medical Center Utrecht, Utrecht, The Netherlands

    S. van der Horst

  4. Department of Gastrointestinal Surgical Oncology G04.228, University Medical Center Utrecht, Utrecht, The Netherlands

    J. P. Ruurda

  5. Department of Gastrointestinal Surgical, Oncology G04.228, University Medical Center Utrecht, Utrecht, The Netherlands

    P. C. van der Sluis

  6. Division of General Surgery, University of Milan Medical School/IRCCS Policlinico San Donato, San Donato Milanese, Italy

    Luigi Bonavina

  7. Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsmedizin Mainz, Mainz, Deutschland

    Peter Grimmiger

  8. Klinik für Viszeral-, Transplantations-, Thorax- und Gefäßchirurgie, Universitätsklinikum Leipzig, Leipzig, Deutschland

    Ines Gockel, Nicole Kreuser & Yusef Moulla

  9. Department of Gastrointestinal Surgical Oncology G04.228, University Medical Center Utrecht, Utrecht, The Netherlands

    Richard van Hillegersberg

  10. Department of Visceral Surgery, University Hospital Geneva (HUG), Geneva, Switzerland

    Stefan P. Mönig

  11. Division of Visceral Surgery, Department of Surgery, University of Geneva Hospitals and School of Medicine, Geneva, Switzerland

    Nadja Niclauss

  12. Abteilung für Chirurgie, St. Josef Krankenhaus GmbH, Wien, Österreich

    Johannes Zacherl

Authors
  1. Stefan P. Mönig
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  2. Nadja Niclauss
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  3. Johannes Zacherl
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  4. Luigi Bonavina
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  5. Daniele Bernardi
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  6. Emanuele Asti
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  7. Ines Gockel
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  8. Nicole Kreuser
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  9. Yusef Moulla
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  10. Peter Grimmiger
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  11. Richard van Hillegersberg
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  12. J. P. Ruurda
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  13. S. van der Horst
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  14. P. C. van der Sluis
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Corresponding authors

Correspondence to Stefan P. Mönig or Emanuele Asti .

Editor information

Editors and Affiliations

  1. Allgemein- und Viszeralchirurgie, Klinikum Werra Meissner GmbH Allgemein- und Viszeralchirurgie, Eschwege, Deutschland

    Michael Korenkov

  2. Allgmein, Viszeral, Gefäß u. Kinderchir., Universitätsklinikum Würzburg Allgmein, Viszeral, Gefäß u. Kinderchir., Würzburg, Deutschland

    Christoph-Thomas Germer

  3. Klinik für Allgemein- und Abdominalchir., Universitätsmedizin Mainz Klinik für Allgemein- und Abdominalchir., Mainz, Deutschland

    Hauke Lang

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Mönig, S.P. et al. (2021). Individualisierte Ösophaguschirurgie. In: Korenkov, M., Germer, CT., Lang, H. (eds) Viszeralchirurgische Operationen und technische Varianten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60475-5_5

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  • DOI: https://doi.org/10.1007/978-3-662-60475-5_5

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-60474-8

  • Online ISBN: 978-3-662-60475-5

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