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Anastomosentechniken in der minimal-invasiven hepatobiliopankreatischen Chirurgie

Anastomotic techniques in minimally invasive hepatobiliopancreatic surgery

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Zusammenfassung

Die in der offenen Chirurgie etablierten Anastomosentechniken werden zunehmend minimal-invasiv durchgeführt und weiterentwickelt. Das Ziel aller Innovationen ist, eine sichere Anastomose mit einer einfachen Technik minimal-invasiv durchzuführen. Bezüglich der laparoskopischen und der roboterbasierten Pankreasanastomosentechnik besteht aktuell kein Konsens. Pankreasfisteln bestimmen die Morbidität nach minimal-invasiven Resektionen. Die simultane minimal-invasive Resektion und Rekonstruktion von Pankreasprozessen und vaskulären Strukturen erfolgt bisher ausschließlich in spezialisierten Zentren.

Abstract

The established anastomotic techniques conventionally used in open surgery are increasingly being implemented in a minimally invasive approach and further developed. The aim of all innovations is to carry out a safe anastomosis with a feasible minimally invasive technique; however, there is currently no broad consensus about the role of laparoscopic and robotic surgery in performing pancreatic anastomotic techniques. Pancreatic fistulas determine the morbidity following a minimally invasive resection. The simultaneous minimally invasive resection and reconstruction of pancreatic processes and vascular structures is currently exclusively performed in specialized centers.

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Authors and Affiliations

  1. Klinik für Allgemein‑, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Am Klinikum 1, 07740, Jena, Deutschland

    Astrid Bauschke, Aladdin Ali Deeb, Hermann Kissler, Oliver Rohland & Utz Settmacher

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  1. Astrid Bauschke
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  2. Aladdin Ali Deeb
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  3. Hermann Kissler
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  4. Oliver Rohland
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Correspondence to Astrid Bauschke.

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Interessenkonflikt

A. Bauschke, A.A. Deeb, H. Kissler, O. Rohland und U. Settmacher geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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U. Settmacher, Jena

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Bauschke, A., Deeb, A.A., Kissler, H. et al. Anastomosentechniken in der minimal-invasiven hepatobiliopankreatischen Chirurgie. Chirurgie 94, 775–779 (2023). https://doi.org/10.1007/s00104-023-01901-1

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