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Bernardi MP, Bloemendaal ALA, Albert M, Whiteford M, Stevenson ARL, Hompes R. Transanal total mesorectal excision: dissection tips using 'O's and 'triangles'. Tech Coloproctol 2016; 20:775-778. [PMID: 27695959 DOI: 10.1007/s10151-016-1531-6] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2016] [Accepted: 08/31/2016] [Indexed: 01/30/2023]
Abstract
PURPOSE Transanal total mesorectal excision (taTME) requires specific technical expertise, as it is often difficult to ascertain the correct dissection plane. Consequently, one can easily enter an incorrect plane, potentially resulting in bleeding (sidewall or presacral vessels), autonomic nerve injury and urethral injury. We aim to demonstrate specific visual features, which may be encountered during surgery and can guide the surgeon to perform the dissection in the correct plane. METHOD Specific features of dissection in the correct and incorrect planes are demonstrated in the accompanying video. RESULTS The 'triangles' created using appropriate traction can aid in performing a precise dissection in the correct plane. Recognition of features described as 'O's can alert surgeons that they are entering a new fascial plane and can avoid incursion into an incorrect plane. CONCLUSION Understanding and recognizing the described features which can be encountered in taTME surgery, a safe and accurate TME dissection can be facilitated.
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Levesque E, Paquet M, Ducharme A, Albert M, Denault A, Cartier R, Lamarche Y. CONTEMPORARY OUTCOMES OF EXTRACORPOREAL OXYGENATION USE IN CARDIAC SUPPORT. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.07.411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Mikesova L, Zaatar M, Balke D, Albert M. Rezidivierende Blutung aus dem rechten Lungenunterlappen und rezidivierender Hämatothorax bei Faktor-XIII – Mangel und Pleurakarzinose durch ein Mammakarzinom. Zentralbl Chir 2016. [DOI: 10.1055/s-0036-1587504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Mikesova L, Zaatar M, Albert M. Massiver lebensbedrohlicher Hämatothorax als Komplikation eines Spontanpneumothorax. Zentralbl Chir 2016. [DOI: 10.1055/s-0036-1587498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Mikesova L, Zaatar M, Albert M. Chylothorax als Komplikation der chronisch lymphatischen Leukämie. Zentralbl Chir 2016. [DOI: 10.1055/s-0036-1587484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Mikesova L, Zaatar M, Balke D, Albert M. Lungenhernie nach einmaligem Hustenanfall. Zentralbl Chir 2016. [DOI: 10.1055/s-0036-1587574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Zaatar M, Shuaib M, Al-Shahrabani F, Mikesova L, Harati A, Albert M. P-276SUBARACHNOIDAL-PLEURAL FISTULA WITH INTRACRANIAL HYPOTENSION SYNDROME: A RARE COMPLICATION OF EXTENDED LUNG RESECTIONS. Interact Cardiovasc Thorac Surg 2016. [DOI: 10.1093/icvts/ivw260.273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Baumbach H, Rustenbach CJ, Ahad S, Nagib R, Albert M, Ratge D, Franke UF. Minimally Invasive Extracorporeal Bypass in Minimally Invasive Heart Valve Operations: A Prospective Randomized Trial. Ann Thorac Surg 2016; 102:93-100. [DOI: 10.1016/j.athoracsur.2016.01.043] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2015] [Revised: 01/05/2016] [Accepted: 01/11/2016] [Indexed: 10/21/2022]
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Atallah S, Albert M, Monson JRT. Critical concepts and important anatomic landmarks encountered during transanal total mesorectal excision (taTME): toward the mastery of a new operation for rectal cancer surgery. Tech Coloproctol 2016; 20:483-94. [PMID: 27189442 DOI: 10.1007/s10151-016-1475-x] [Citation(s) in RCA: 78] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2016] [Accepted: 04/27/2016] [Indexed: 12/15/2022]
Abstract
Over the past 3 years, colorectal surgeons have begun to adapt the technique of transanal total mesorectal excision. As international experience has been quickly forged, an improved recognition of the pitfalls and the practical details of this disruptive technique have been realized. The purpose of this technical note was to express the various nuances of transanal total mesorectal excision as learned during the course of its clinical application and international teaching, so as to rapidly communicate and share important insights with other surgeons who are in the early adoption phase of this approach. The technical points specific to transanal total mesorectal excision are addressed herein. When correctly applied, these will likely improve the quality of surgery and decrease morbidity attributable to inexperience with the transanal approach to total mesorectal excision.
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Grundgeiger T, Albert M, Reinhardt D, Happel O, Steinisch A, Wurmb T. Real-time tablet-based resuscitation documentation by the team leader: evaluating documentation quality and clinical performance. Scand J Trauma Resusc Emerg Med 2016; 24:51. [PMID: 27084746 PMCID: PMC4833944 DOI: 10.1186/s13049-016-0242-3] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2015] [Accepted: 04/08/2016] [Indexed: 11/11/2022] Open
Abstract
Background Precise and complete documentation of in-hospital cardiopulmonary resuscitations is important but data quality can be poor. In the present study, we investigated the effect of a tablet-based application for real-time resuscitation documentation used by the emergency team leader on documentation quality and clinical performance of the emergency team. Methods Senior anaesthesiologists either used the tablet-based application during the simulated resuscitation for documentation and also used the application for the final documentation or conducted the full documentation at the end of the scenario using the local hospital information system. The latter procedure represents the current local documentation method. All scenarios were video recorded. To assess the documentation, we compared the precision of intervention delivery times, documentation completeness, and final documentation time. To assess clinical performance, we compared adherence to guidelines for defibrillation and adrenaline administration, the no-flow fraction, and the time to first defibrillation. Results The results showed significant benefits for the tablet-based application compared to the hospital information system for precision of the intervention delivery times, the final documentation time, and the no-flow fraction. We observed no differences between the groups for documentation completeness, adherence to guidelines for defibrillation and adrenaline administration, and the time to first defibrillation. Discussion In the presented study, we observed that a tablet-based application can improve documentation data quality. Furthermore, we demonstrated that a well-designed application can be used in real-time by a member of the emergency team with possible beneficial effects on clinical performance. Conclusion The present evaluation confirms the advantage of tablet-based documentation tools and also shows that the application can be used by an active member of an emergency team without compromising clinical performance.
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Rufa M, Ursulescu A, Albert M, Nagib R, Baumbach H, Göbel N, Reichert S, Franke U. Early Results in Isolated Redo Coronary Artery Bypass Grafting: Off Pump versus on Pump Technique. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Motson RW, Whiteford MH, Hompes R, Albert M, Miles WFA. Current status of trans-anal total mesorectal excision (TaTME) following the Second International Consensus Conference. Colorectal Dis 2016; 18:13-8. [PMID: 26400670 DOI: 10.1111/codi.13131] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/11/2015] [Accepted: 09/10/2015] [Indexed: 12/12/2022]
Abstract
This article documents the consensus of an expert group of surgeons from the Second International Trans-anal Total Mesorectal Excision (TaTME) Conference held in Paris in July 2014. It outlines three facets of the TaTME procedure: (i) the technique and its indications, (ii) training and adoption, and (iii) data collection and the TaTME registry.
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Goebel N, Albert M, Stan A, Ursulescu A, W Franke UF. Quadruple Valve Reoperation after the Ross Procedure. THE JOURNAL OF HEART VALVE DISEASE 2016; 25:112-113. [PMID: 27989095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Reoperations after the Ross procedure are rare, with autograft as well as homograft failure being the dominant causes for redo cardiac procedures. Due to increasing experience with valve-sparing aortic valve procedures, more valves can be preserved during redo surgery. Herein are reported the details of a patient who underwent quadruple valve reoperation comprising redo with a reconstructive approach after the short-term failure of pulmonary autograft and homograft with concomitant mitral and tricuspid regurgitation.
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Lévesque E, Beaulieu Y, Denault A, Albert M, Cartier R, Lamarche Y. QUALITY OF LIFE AND SURVIVAL AFTER PROLONGED INTENSIVE CARE UNIT STAY FOLLOWING CARDIAC SURGERY. Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Al-Shahrabani F, Zaatar M, Renz K, Albert M. Linksseitige Bifurkationspneumonektomie mittels beidseitiger anterolateraler Thorakotomie: Eine mögliche Alternative. Zentralbl Chir 2015. [DOI: 10.1055/s-0035-1559911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Franke UFW, Ursulescu A, Göbel N, Nagib R, Hansen M, Yadav R, Baumbach H, Albert M. Results and Quality of Life after Minimally Invasive Ross Procedure. THE JOURNAL OF HEART VALVE DISEASE 2015; 24:295-301. [PMID: 26901899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
BACKGROUND AND AIM OF THE STUDY Based on superior long-term results, an increasing interest in the Ross procedure for young adult patients can be observed. After the first publication of this challenging procedure through a minimally invasive access, this operation has become an alternative to conventional sternotomy at the authors' department. This analysis compares the results and quality of life of the conventional and the minimally invasive Ross procedures. METHODS By April 2013, a total of 136 patients had undergone the Ross procedure at the authors' institution. Preoperative parameters did not differ between the conventional group (C-group; n = 58; mean age 49 years) and the minimally invasive group (M-group; n = 78; mean age 50 years). Only the aortic cross-clamp time was longer for the M-group (151 versus 140 min). RESULTS One C-group patient died on the day of operation. Consecutively, survival was 99% for the follow up period of 1,093 ± 601 days. Valve-related reoperations were necessary for four patients. One C-group patient developed a distal pulmonary stenosis due to fibrotic scar tissue. Two M-group patients showed fistulas after early endocarditis, but the native valves could be preserved in these cases. One C-group patient with recurrent severe aortic regurgitation showed holes in two of three cusps. The SF-36 questionnaire detected better physical parameters (physical function, physical role function) for patients after minimally invasive access. CONCLUSION The minimally invasive Ross procedure allows the same excellent clinical outcome as the conventional technique. However, the physical quality of life is better with the minimally invasive procedure, in addition to an improved cosmetic result.
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Albert M, Maguire M, Wang Z, Gagne R, Luo C, Zhu Y, Dugal R, Stewart A. PO-1055: High dose rate brachytherapy using custom mold surface applicators for the treatment of cutaneous lymphoma. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)41047-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Atallah S, Martin-Perez B, Drake J, Stotland P, Ashamalla S, Albert M. The use of a lighted stent as a method for identifying the urethra in male patients undergoing transanal total mesorectal excision: a video demonstration. Tech Coloproctol 2015; 19:375. [PMID: 25813337 DOI: 10.1007/s10151-015-1297-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2015] [Accepted: 03/12/2015] [Indexed: 10/23/2022]
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Sievers HH, Stierle U, Charitos EI, Takkenberg JJM, Hörer J, Lange R, Franke U, Albert M, Gorski A, Leyh RG, Riso A, Sachweh J, Moritz A, Hetzer R, Hemmer W. A multicentre evaluation of the autograft procedure for young patients undergoing aortic valve replacement: update on the German Ross Registry†. Eur J Cardiothorac Surg 2015; 49:212-8. [PMID: 25666469 DOI: 10.1093/ejcts/ezv001] [Citation(s) in RCA: 97] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2014] [Accepted: 12/29/2014] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES Conventional aortic valve replacement (AVR) in young, active patients represents a suboptimal solution in terms of long-term survival, durability and quality of life. The aim of the present work is to present an update on the multicentre experience with the pulmonary autograft procedure in young, adult patients. METHODS Between 1990-2013, 1779 adult patients (1339 males; 44.7 ± 11.6 years) underwent the pulmonary autograft procedure in 8 centres. All patients underwent prospective clinical and echocardiographic examinations annually. The mean follow-up was 8.3 ± 5.1 years (range 0-24.3 years) with a total cumulative follow-up of 14 288 years and 662 patients having a follow-up of at least 10 years. RESULTS The early (30-day) mortality rate was 1.1% (n = 19). Late (>30 day) survival of the adult population was comparable with the age- and gender-matched general population (observed deaths: 101, expected deaths: 91; P = 0.29). Freedom from autograft reoperation at 5, 10 and 15 years was 96.8, 94.7 and 86.7%, respectively, whereas freedom from homograft reoperation was 97.6, 95.5 and 92.3%, respectively. The overall freedom from reoperation was 94.9, 91.1 and 82.7%, respectively. Longitudinal modelling of functional valve performance revealed a low (<5%) probability of a patient being in higher autograft regurgitation grades throughout the first decade. Similarly, excellent homograft function was observed throughout the first 15 years. CONCLUSION The autograft principle results in postoperative long-term survival comparable with that of the age- and gender-matched general population and reoperation rates within the 1%/patient-year boundaries and should be considered in young, active patients who want to avoid the shortcomings of conventional prostheses.
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Sievers HH, Charitos E, Takkenberg J, Stierle U, Franke U, Hörer J, Albert M, Lange R, Hemmer W. An Update on the Adult Patients of the German Ross Registry. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Charitos E, Takkenberg J, Stierle U, Franke U, Hörer J, Albert M, Lange R, Hemmer W, Sievers HH. Estimation of the Lifetime Risk for Reoperation after the Ross Procedure According to the Patient's Age at the Initial Procedure: A Simulation Study Based on Data from the German Ross Registry. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Abstract
Benign lesions as pulmonary hyalinizing granuloma may mimic a malign disease. A 63-year old patient complained dyspnea and a weight loss of 30 kg. CT-thorax scans showed a destructive and infiltrative pulmonary process with pleural thickening. Histologic examination of transbronchial and transthoracic biopsies as well as of biopsies taken by minithoracotomy was not conclusive. Due to further progression the patient underwent a left-sided pleuropneumonectomy despite a VO2 peak of 9 ml/kg/min. Histology revealed DIP-like infiltrations, a histiocytic reaction and hyaline granulomas. Among less than 100 published cases of pulmonary hyaline granuloma a comparable rapid progression with a total functional loss of the affected lung is not reported. Mostly hyalinizing granuloma presents with infiltrations, which may mimic lung cancer, or nodular lesions, partly with cavitations or calcifications. The etiology is unknown, a persistent immunologic response to an antigenic stimulus is discussed. Associations with infections, lymphomas, amyloidosis or IgG4-related disease are reported. Some cases have features of multifocal fibrosis. In the case reported none of these associations could be found. The prognosis of pulmonary hyaline granuloma is regarded as benign. There is no effective treatment yet. Once the diagnosis has been established a conservative approach as well as a resection of nodules and a therapeutic attempt with steroids are an option. Extensive resections as pleuropneumonectomy are an exception.
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Atallah S, Martin-Perez B, Schoonyoung H, Albert M, Hunter L, Quinteros F, Larach S. Vaginal Access Minimally Invasive Surgery: A New Approach to Hysterectomy. J Minim Invasive Gynecol 2014. [DOI: 10.1016/j.jmig.2014.08.410] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Sievers H, Charitos E, Albert M, Franke UF, Stierle U, Horer J, Lange R, Hemmer W. 181 * A MULTICENTRE EVALUATION OF THE AUTOGRAFT PROCEDURE FOR YOUNG PATIENTS UNDERGOING AORTIC VALVE REPLACEMENT: RESULTS FROM THE GERMAN ROSS REGISTRY. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu276.181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Baumbach H, Rustenbach CJ, Nagib R, Ahad S, Albert M, Ratge D, Franke UF. 266 * MINIMALLY INVASIVE EXTRACORPOREAL BYPASS IN MINIMALLY INVASIVE HEART VALVE SURGERY: A PROSPECTIVE RANDOMISED TRIAL. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu276.266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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