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Die Chirurgie

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21.10.2022 | Endoskopische retrograde Cholangiopankreatikographie | CME

Endoskopisches Komplikationsmanagement im hepatobiliopankreatischen System und Tracheobronchialbaum

verfasst von: Dr. Konstantinos Kouladouros, Prof. Dr. Georg Kähler

Erschienen in: Die Chirurgie | Ausgabe 5/2023

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Zusammenfassung

Die endoskopischen Methoden stellen heutzutage ein wertvolles Tool zur Behandlung postoperativer Komplikationen der hepatobiliopankreatischen und Thoraxchirurgie dar. Bei Gallenleckagen nach Cholezystektomie, Leberresektion oder Lebertransplantation ist die endoskopische Druckentlastung der Gallengänge die Therapie der Wahl. Postoperative Gallengangsstenosen können auch in den meisten Fällen erfolgreich endoskopisch durch Ballondilatation und Implantation unterschiedlicher Endoprothesen behandelt werden. Im Fall der Pankreasfisteln, insbesondere nach zentralen oder distalen Resektionen, kann die endoskopische Entlastung des Pankreasgangs viel zur zügigen Heilung beitragen. Zudem bietet die interventionelle Endosonographie eine wichtige therapeutische Option zur transgastralen Drainage postoperativer Flüssigkeitsansammlungen, die oft eine Pankreasfistel begleiten. Mehrere Behandlungsalternativen wurden auch zur bronchoskopischen Versorgung bronchopleuraler und tracheoösophagealer Fisteln beschrieben, die zur zügigen Linderung der Symptomatik und oft zum definitiven Verschluss der Fistel führen.

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Titel: Endoskopisches Komplikationsmanagement im hepatobiliopankreatischen System und Tracheobronchialbaum
verfasst von: Dr. Konstantinos Kouladouros
Prof. Dr. Georg Kähler
Publikationsdatum: 21.10.2022
Verlag: Springer Medizin
Schlagwörter: Endoskopische retrograde Cholangiopankreatikographie
Operationen am Pankreas
Operationen an Gallenblase und Gallenwegen
Thoraxchirurgie
Minimalinvasive Chirurgie
Lebertransplantation
Lebertransplantation
Lebertransplantation
Lebertransplantation
Leberresektion
Lebertransplantation
Cholezystektomie
Leberresektion
Erschienen in: Die Chirurgie / Ausgabe 5/2023
Print ISSN: 2731-6971
Elektronische ISSN: 2731-698X
DOI: https://doi.org/10.1007/s00104-022-01735-3

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Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare

CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare

CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske

Dr. med. Benjamin Meyknecht

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare

CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric

Bildnachweise

Laparoskopische Cholezystektomie/© Issara / stock.adobe.com (Symbolbild mit Fotomodellen), Chirurginnen und Chirurgen im OP/© Tobilander / stock.adobe.com (Symbolbild mit Fotomodellen), Ärztin sitzt erschöpft auf dem Boden/© Georgiy / stock.adobe.com (Symbolbild mit Fotomodell), Medizinische Fachangestellte sitzt erschöpft auf der Treppe/© Courtney Haas / peopleimages.com /stock.adobe.com (Symbolbild mit Fotomodell), Echinococcus-Zyste im linken Leberlappen/© Springer Medizin Verlag

Springer Medizin

Zusammenfassung

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