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Schrempf M, Kirmair MA, Mair A, Hoffmann M, Dannecker C, Anthuber M, Anthuber L. Incidence and clinical features of endometriosis in 2484 consecutive female patients undergoing appendectomy for suspected appendicitis-a retrospective analysis. Langenbecks Arch Surg 2024; 409:144. [PMID: 38684518 PMCID: PMC11059005 DOI: 10.1007/s00423-024-03328-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Accepted: 04/18/2024] [Indexed: 05/02/2024]
Abstract
INTRODUCTION Endometriosis is a common condition affecting 5 to 10% of women of childbearing age. The true incidence of endometriosis of the appendix is currently unknown. Since symptoms often overlap with those of acute appendicitis, endometriosis of the appendix presents a diagnostic challenge in the emergency department. This large retrospective study investigates the incidence and perioperative clinical, radiologic, and laboratory findings, as well as possible differences between patients with and without endometriosis. METHODS Data from consecutive patients who underwent appendectomy for suspected appendicitis without a history of endometriosis were analyzed. Perioperative clinical, laboratory, perioperative, and histopathologic findings were compared between women with and without endometriosis. RESULTS Between January 2008 and June 2023, 2484 consecutive patients without a history of endometriosis underwent urgent appendectomy for suspected appendicitis. Endometriosis was detected on histopathologic examination in 17 (0.7%) patients. Signs of appendicitis were found less frequently on ultrasound in the endometriosis group compared to the non-endometriosis group (23.4% vs. 61.5%; p = 0.002; OR = 0.193; 95% CI 0.063-0.593). There were no differences in physical examination findings, duration of symptoms, degree of inflammation, surgical outcomes, or complication rates. CONCLUSION The incidence of endometriosis of the appendix in patients undergoing appendectomy for suspected appendicitis was higher than suggested by data from autopsy series and populations with biopsy-proven endometriosis. Patients with endometriosis of the appendix were less likely to have a positive ultrasound finding, but perioperative and histopathologic findings and severity of inflammation did not differ from patients without endometriosis, presenting diagnostic challenges for clinicians.
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Affiliation(s)
- M Schrempf
- Department of General, Visceral and Transplantation Surgery, University Hospital Augsburg, Stenglinstrasse 2, 86156, Augsburg, Germany.
| | - M-A Kirmair
- Department of General, Visceral and Transplantation Surgery, University Hospital Augsburg, Stenglinstrasse 2, 86156, Augsburg, Germany
| | - A Mair
- Department of General, Visceral and Transplantation Surgery, University Hospital Augsburg, Stenglinstrasse 2, 86156, Augsburg, Germany
| | - M Hoffmann
- Department of General, Visceral and Transplantation Surgery, University Hospital Augsburg, Stenglinstrasse 2, 86156, Augsburg, Germany
| | - C Dannecker
- Department of Gynecology and Obstetrics, University Hospital Augsburg, University of Augsburg, Augsburg, Germany
| | - M Anthuber
- Department of General, Visceral and Transplantation Surgery, University Hospital Augsburg, Stenglinstrasse 2, 86156, Augsburg, Germany
| | - L Anthuber
- Department of General, Visceral and Transplantation Surgery, University Hospital Augsburg, Stenglinstrasse 2, 86156, Augsburg, Germany
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Axt S, Anthuber M. [Oncological long-term results in patients with anastomotic leakage after colorectal resection]. Chirurgie (Heidelb) 2023; 94:71-72. [PMID: 36580099 DOI: 10.1007/s00104-022-01803-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/21/2022] [Indexed: 12/30/2022]
Affiliation(s)
- S Axt
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Geier A, Anthuber M. [Comparison of laparoscopic and robotic limited liver resection in the posterosuperior segments]. Chirurgie (Heidelb) 2022; 93:1186-1187. [PMID: 36357720 DOI: 10.1007/s00104-022-01752-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/10/2022] [Indexed: 06/16/2023]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Merkl C, Geissler B, Anthuber M. [62/f-Can no longer sleep in a lying position : Preparation for the medical specialist examination: part 25]. Chirurgie (Heidelb) 2022; 93:114-118. [PMID: 36422662 DOI: 10.1007/s00104-022-01751-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/07/2022] [Indexed: 11/25/2022]
Affiliation(s)
- C Merkl
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
| | - B Geissler
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
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Luxenhofer T, Schrempf M, Anthuber M. [41/f-Right-sided, colicky upper abdominal pain, nausea and vomiting : Preparation for the medical specialist examination: part 14]. Chirurgie (Heidelb) 2022; 93:62-66. [PMID: 36367562 DOI: 10.1007/s00104-022-01743-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/27/2022] [Indexed: 11/13/2022]
Affiliation(s)
- T Luxenhofer
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
| | - M Schrempf
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
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Lingel M, Wolf S, Anthuber M. [65/m-Nausea, vomiting and colicky abdominal pain : Preparation for the medical specialist examination: part 22]. Chirurgie (Heidelb) 2022; 93:100-104. [PMID: 36369380 DOI: 10.1007/s00104-022-01749-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/06/2022] [Indexed: 11/13/2022]
Affiliation(s)
- M Lingel
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstraße 2, 86156, Augsburg, Deutschland
| | - S Wolf
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstraße 2, 86156, Augsburg, Deutschland.
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstraße 2, 86156, Augsburg, Deutschland
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Axt S, Anthuber M. [67/f-Dyspnea and swollen neck : Preparation for the medical specialist examination: part 18]. Chirurgie (Heidelb) 2022; 93:81-84. [PMID: 36357721 DOI: 10.1007/s00104-022-01745-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/30/2022] [Indexed: 06/16/2023]
Affiliation(s)
- S Axt
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinik Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinik Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
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Schrempf M, Anthuber M. [Influence of prucalopride on recovery of gut function after elective colorectal surgery]. Chirurgie (Heidelb) 2022; 93:1099-1100. [PMID: 36203003 DOI: 10.1007/s00104-022-01733-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/08/2022] [Indexed: 06/16/2023]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral‑, Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Wolf S, Anthuber M. [Functional advantages of double tract reconstruction after esophagectomy]. Chirurgie (Heidelb) 2022; 93:993-994. [PMID: 36036854 DOI: 10.1007/s00104-022-01714-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/09/2022] [Indexed: 06/15/2023]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Geier A, Anthuber M. [Endoscopic vacuum therapy of leaking rectal anastomosis with or without surgical closure]. Chirurgie (Heidelb) 2022; 93:905. [PMID: 35857078 DOI: 10.1007/s00104-022-01687-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/07/2022] [Indexed: 06/15/2023]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Schrempf M, Anthuber M. [Single dose or intraoperative redosing of antibiotic prophylaxis: a meta-analysis]. Chirurgie (Heidelb) 2022; 93:810-811. [PMID: 35731284 DOI: 10.1007/s00104-022-01672-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/08/2022] [Indexed: 06/15/2023]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Filippini Velázquez G, Schiele S, Gerken M, Neumaier S, Hackl C, Mayr P, Klinkhammer-Schalke M, Illerhaus G, Schlitt HJ, Anthuber M, Kröncke T, Messmann H, Märkl B, Schmid C, Trepel M, Müller G, Claus R, Hackanson B. Predictive preoperative clinical score for patients with liver-only oligometastatic colorectal cancer. ESMO Open 2022; 7:100470. [PMID: 35461024 PMCID: PMC9271475 DOI: 10.1016/j.esmoop.2022.100470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 03/10/2022] [Accepted: 03/11/2022] [Indexed: 12/03/2022] Open
Abstract
Background Resection of liver metastases from colorectal cancer (CRC) in the oligometastatic stage improves survival and is a potentially curative treatment. Thus, predictive scores that reliably identify those patients who especially benefit from surgery are essential. Patients and methods In this multicenter analysis, 512 patients had undergone surgery for liver metastases from CRC. We investigated distinct cancer-specific risk factors that are routinely available in clinical practice and developed a predictive preoperative score using a training cohort (TC), which was thereafter tested in a validation cohort (VC). Results Inflammatory response to the tumor, a right-sided primary tumor, multiple liver metastases, and node-positive primary tumor were significant adverse variables for overall survival (OS). Patients were stratified in five groups according to the cumulative score given by the presence of these risk factors. Median OS for patients without risk factors was 133.8 months [95% confidence interval (CI) 81.2-not reached (nr)] in the TC and was not reached in the VC. OS decreased significantly for each subsequent group with increasing number of risk factors. Median OS was significantly shorter (P < 0.0001) for patients presenting all four risk factors: 14.3 months (95% CI 10.5 months-nr) in the TC and 16.6 months (95% CI 14.6 months-nr) in the VC. Conclusions Including easily obtainable variables, this preoperative score identifies oligometastatic CRC patients with prolonged survival rates that may be cured, and harbors potential to be implemented in daily clinical practice. We identified four variables of adverse outcome for patients treated with surgical resection of liver metastases from CRC. Adverse variables were inflammatory response to the tumor, multiple metastases, right-sided primary tumor, node-positive primary tumor. We developed a preoperative clinical score according to the number of risk factors present. Using easily obtainable variables, this score identified patients with oligometastatic CRC with good prognosis. Patients without risk factors should strongly be considered for surgical resection of their metastases.
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Affiliation(s)
- G Filippini Velázquez
- Comprehensive Cancer Center Augsburg (CCCA), University Medical Center Augsburg, Augsburg, Germany
| | - S Schiele
- Faculty of Applied Mathematics and Statistics, University of Augsburg, Augsburg, Germany
| | - M Gerken
- Tumor Center Regensburg, Institute for Quality Assurance and Health Service Research, University of Regensburg, Regensburg, Germany
| | - S Neumaier
- Department of Haematology and Oncology, Katharinen Hospital Stuttgart, Stuttgart, Germany
| | - C Hackl
- Department of Surgery, University Medical Center Regensburg, Regensburg, Germany
| | - P Mayr
- Comprehensive Cancer Center Augsburg (CCCA), University Medical Center Augsburg, Augsburg, Germany
| | - M Klinkhammer-Schalke
- Tumor Center Regensburg, Institute for Quality Assurance and Health Service Research, University of Regensburg, Regensburg, Germany
| | - G Illerhaus
- Department of Haematology and Oncology, Katharinen Hospital Stuttgart, Stuttgart, Germany
| | - H J Schlitt
- Department of Surgery, University Medical Center Regensburg, Regensburg, Germany
| | - M Anthuber
- Comprehensive Cancer Center Augsburg (CCCA), University Medical Center Augsburg, Augsburg, Germany
| | - T Kröncke
- Comprehensive Cancer Center Augsburg (CCCA), University Medical Center Augsburg, Augsburg, Germany
| | - H Messmann
- Comprehensive Cancer Center Augsburg (CCCA), University Medical Center Augsburg, Augsburg, Germany
| | - B Märkl
- Comprehensive Cancer Center Augsburg (CCCA), University Medical Center Augsburg, Augsburg, Germany
| | - C Schmid
- Comprehensive Cancer Center Augsburg (CCCA), University Medical Center Augsburg, Augsburg, Germany
| | - M Trepel
- Comprehensive Cancer Center Augsburg (CCCA), University Medical Center Augsburg, Augsburg, Germany
| | - G Müller
- Faculty of Applied Mathematics and Statistics, University of Augsburg, Augsburg, Germany
| | - R Claus
- Comprehensive Cancer Center Augsburg (CCCA), University Medical Center Augsburg, Augsburg, Germany; General Pathology and Molecular Diagnostics, Faculty of Medicine, University of Augsburg, Augsburg, Germany; Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - B Hackanson
- Comprehensive Cancer Center Augsburg (CCCA), University Medical Center Augsburg, Augsburg, Germany; Faculty of Medicine, University of Freiburg, Freiburg, Germany.
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Wolf S, Anthuber M. [Preoperative administration of methylprednisolone leads to fewer complications after major liver resection]. Chirurg 2022; 93:399-400. [PMID: 35244735 DOI: 10.1007/s00104-022-01620-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2022] [Indexed: 11/25/2022]
Affiliation(s)
- S Wolf
- Klinik für Allgemein‑, Viszeral‑, Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral‑, Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Geier A, Anthuber M. [What influence does the extent of portal vein resection have on short-term and long-term results of pancreatoduodenectomy?]. Chirurg 2022; 93:305. [PMID: 35088112 DOI: 10.1007/s00104-022-01585-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/14/2022] [Indexed: 11/03/2022]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Axt S, Anthuber M. [Association between time to surgery and colon cancer survival in the United States]. Chirurg 2022; 93:198-199. [PMID: 35024893 DOI: 10.1007/s00104-021-01565-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/20/2021] [Indexed: 11/25/2022]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral‑, Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Schrempf M, Anthuber M. [Influence of retrocolic versus antecolic reconstruction on delayed gastric emptying after pancreatoduodenectomy]. Chirurg 2021; 93:92-93. [PMID: 34932141 DOI: 10.1007/s00104-021-01560-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/08/2021] [Indexed: 11/30/2022]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral‑, Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Wolf S, Anthuber M. [Impact of operation volume on surgical outcomes in gastric cancer]. Chirurg 2021; 92:1056-1057. [PMID: 34633477 DOI: 10.1007/s00104-021-01518-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2021] [Indexed: 11/26/2022]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral‑, Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Geier A, Anthuber M. [Can anastomotic insufficiency be predicted based on a genetic analysis?]. Chirurg 2021; 92:732. [PMID: 34279674 DOI: 10.1007/s00104-021-01460-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/22/2021] [Indexed: 11/26/2022]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral‑, Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Anthuber M, Straßmüller A. [Cytoreductive surgery with or without hyperthermic intraperitoneal chemotherapy for colorectal cancer?]. Chirurg 2021; 92:573. [PMID: 33885913 DOI: 10.1007/s00104-021-01413-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/26/2021] [Indexed: 10/21/2022]
Affiliation(s)
- M Anthuber
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
| | - A Straßmüller
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
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Wolf S, Anthuber M. [Tension-free mesh vs. suture-alone cruroplasty in antireflux surgery]. Chirurg 2021; 92:377. [PMID: 33738511 DOI: 10.1007/s00104-021-01385-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/22/2021] [Indexed: 11/30/2022]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Straßmüller A, Anthuber M. [Full thickness wall resection vs. TME in patients with complete remission after neoadjuvant chemoradiotherapy]. Chirurg 2020; 91:975. [PMID: 33052415 DOI: 10.1007/s00104-020-01285-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Wolf S, Anthuber M. [Can surgical techniques prevent anastomotic recurrence in patients with Crohn's disease?]. Chirurg 2020; 91:890. [PMID: 32974786 DOI: 10.1007/s00104-020-01271-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- S Wolf
- Klinik für Allgemein‑, Viszeral-Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral-Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Anthuber M. Herausforderungen Weichgewebsinfektionen. Chirurg 2020; 91:281-282. [DOI: 10.1007/s00104-020-01129-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Wolf S, Anthuber M. [Surgical vs. endoscopic myotomy in patients with idiopathic achalasia]. Chirurg 2020; 91:163. [PMID: 31996942 DOI: 10.1007/s00104-020-01125-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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Kriening B, Anthuber M. Chirurgische vs. konservative Therapie bei Patienten mit rezidivierender Divertikulitis (DIRECT-Trial). Chirurg 2019; 90:859. [DOI: 10.1007/s00104-019-1005-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Wolf S, Anthuber M. [Effect of patient death on the treating surgeons]. Chirurg 2019; 90:1023. [PMID: 31552435 DOI: 10.1007/s00104-019-01041-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- S Wolf
- Klinik für Allgemein‑, Viszeral- u. Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- u. Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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27
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Abstract
Acute appendicitis is one of the most common abdominal emergencies. An accurate preoperative diagnosis is still a challenge in many cases. Patient history and clinical examination are the mainstay of diagnostics but other tools are also needed in order to reduce the number of misdiagnoses. Laboratory parameters and radiological imaging procedures are widely used and scoring systems can help in the risk stratification of patients with suspected appendicitis. In the USA most patients undergo preoperative computed tomography (CT) as the first-line examination, which can reduce the number of negative appendectomies to less than 5%; however, this practice results in substantial radiation exposure and is less accepted in Europe due to concerns about radiation-induced cancer in the often younger patients. Ultrasound is a valuable first-line imaging procedure and in experienced hands can achieve very good results. In patients with an equivocal diagnosis inpatient surveillance with close control of clinical and laboratory parameter represents a suitable method to reduce the number of negative explorations without resulting in an increase in the rate of perforation or morbidity.
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Affiliation(s)
- M Hoffmann
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
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28
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Schrempf M, Anthuber M. [Oncological outcome after emergency resection vs. stenting for left-sided colonic obstruction]. Chirurg 2019; 90:758. [PMID: 31240351 DOI: 10.1007/s00104-019-0997-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- M Schrempf
- Klinik für Allgemein‑, Viszeral-Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral-Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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29
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Schlager G, Anthuber M. Orale vs. enterale Ernährung bei Patienten mit postoperativer Pankreasfistel. Chirurg 2019; 90:502. [DOI: 10.1007/s00104-019-0960-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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30
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Schrempf M, Anthuber M. [Prophylactic implantation of mesh does not prevent parastomal hernia after colostomy creation]. Chirurg 2019; 90:416. [PMID: 30874864 DOI: 10.1007/s00104-019-0933-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- M Schrempf
- Klinik für Allgemein‑, Viszeral‑, Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral‑, Transplantationschirurgie, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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31
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Schrempf M, Anthuber M. Ist eine leitliniengerechte Händedesinfektion auf Intensivstationen möglich? Chirurg 2019; 90:118. [DOI: 10.1007/s00104-019-0909-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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32
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Schrempf M, Anthuber M. Ist eine Antibiotikatherapie beim ersten Schub einer unkomplizierten Divertikulitis erforderlich? Chirurg 2019; 90:53. [DOI: 10.1007/s00104-019-0833-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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33
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Schrempf M, Anthuber M. [Open vs. laparoscopic rectal resection-2-year results of the ACOSG Z6051 study]. Chirurg 2019; 90:33. [PMID: 30758630 DOI: 10.1007/s00104-019-0910-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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34
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Schrempf M, Anthuber M. [Influence of tumor-free resection margins on overall and disease-free survival after resection of colorectal liver metastases]. Chirurg 2019; 90:62. [PMID: 30758633 DOI: 10.1007/s00104-019-0899-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- M Schrempf
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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35
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Schrempf M, Anthuber M. [Chronic anastomotic insufficiency after low anterior rectal resection]. Chirurg 2019; 90:39. [PMID: 30758551 DOI: 10.1007/s00104-019-0894-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- M Schrempf
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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36
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Schrempf M, Anthuber M. [Prognostic importance of resection margins in multiple colorectal liver metastases]. Chirurg 2019; 90:76. [PMID: 30758598 DOI: 10.1007/s00104-019-0864-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- M Schrempf
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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37
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Schrempf M, Anthuber M. [Importance of surgical treatment for recurrent rectal cancer]. Chirurg 2019; 90:44. [PMID: 30758597 DOI: 10.1007/s00104-019-0861-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- M Schrempf
- Klinik für Allgemein‑, Viszeral‑, Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral‑, Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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38
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Schrempf M, Anthuber M. [Meta-analysis of delayed appendicectomy in uncomplicated appendicitis]. Chirurg 2019; 90:34. [PMID: 30758627 DOI: 10.1007/s00104-019-0903-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- M Schrempf
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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39
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Schrempf M, Anthuber M. [Robotic-assisted vs. laparoscopic rectum resection-effect on conversion rate]. Chirurg 2019; 90:40. [PMID: 30758558 DOI: 10.1007/s00104-019-0889-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- M Schrempf
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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40
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Schrempf M, Anthuber M. [Time interval between neoadjuvant radiochemotherapy and resection in rectal cancer]. Chirurg 2019; 90:50. [PMID: 30758614 DOI: 10.1007/s00104-019-0840-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- M Schrempf
- Klinik für Allgemein-, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein-, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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41
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Anthuber M. [Borderline situations in surgery]. Chirurg 2019; 90:85-86. [PMID: 30734080 DOI: 10.1007/s00104-018-0775-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- M Anthuber
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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42
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Vlasenko D, Anthuber M, Golling C, Märkl B, Schaller T. Parathyreoidal involvement by a MALT-lymphoma as a mimicker of a neuroendocrine lymph node metastasis. Eur J Surg Oncol 2019. [DOI: 10.1016/j.ejso.2018.10.438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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43
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Vlasenko D, Ebigbo A, Schaller T, Messmann H, Anthuber M. The first case of non-exposed endoscopic wall-inversion surgery (NEWS) for gastric GIST in Germany. Eur J Surg Oncol 2019. [DOI: 10.1016/j.ejso.2018.10.270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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44
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Schrempf M, Anthuber M. [Definitive chemoradiotherapy versus neoadjuvant chemoradiotherapy and resection for squamous cell carcinoma of the esophagus]. Chirurg 2019; 90:239. [PMID: 30610259 DOI: 10.1007/s00104-018-0777-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral-Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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45
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Schrempf M, Anthuber M. [Open vs. laparoscopic rectal resection-2-year results of the ACOSG Z6051 study]. Chirurg 2018; 89:1006. [PMID: 30306233 DOI: 10.1007/s00104-018-0747-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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46
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Schrempf M, Anthuber M. [Is hand hygiene according to the guidelines possible in intensive care units?]. Chirurg 2018; 89:928. [PMID: 30218156 DOI: 10.1007/s00104-018-0729-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- M Schrempf
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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47
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Affiliation(s)
- M Schrempf
- Klinik für Allgemein-, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein-, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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48
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Wolf S, Geissler B, Anthuber M. Seltene Ursache eines akuten Pneumoperitoneums. Chirurg 2018; 89:472-474. [DOI: 10.1007/s00104-017-0586-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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49
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Schrempf M, Anthuber M. [Chronic anastomotic insufficiency after low anterior rectal resection]. Chirurg 2018; 89:480. [PMID: 29777256 DOI: 10.1007/s00104-018-0656-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- M Schrempf
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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50
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Schrempf M, Anthuber M. [Robotic-assisted vs. laparoscopic rectum resection-effect on conversion rate]. Chirurg 2018; 89:390. [PMID: 29721602 DOI: 10.1007/s00104-018-0642-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- M Schrempf
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland
| | - M Anthuber
- Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
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