Biomedical subjects

Beatrix Hoksch

Publications and source records attributed to Beatrix Hoksch.

4 recordsLinked to original sources

PubMed2003

[Complication rate after thoracoscopic and conventional lobectomy].

AIM: To determine whether a thoracoscopic lobectomy used for treatment of primary non-small cell lung cancer shows a higher or lower morbidity in comparison to the conventional resection (thoracotomy) postoperatively. METHODOLOGY: 42 patients with the presumption diagnosis of a lung cancer received a thoracoscopic lobectomy (n=28) or a conventional lobectomy (n=14). Postoperative complication rate (30 days) was analysed prospectively. There were no differences between the groups referring to age, co-morbidity, localisation of the tumor and stage. RESULTS: Patients with a conventional operation revealed a significant higher morbidity in comparison to the patients of the thoracoscopic group (50 % vs. 14.2 %, p=0.03). CONCLUSION: The thoracoscopic lobectomy represents a safe operation method and an alternative to the conventional operation (thoracotomy).

Adult↗

PubMed2002

Quality of life after gastrectomy: Longmire's reconstruction alone compared with additional pouch reconstruction.

The optimal reconstruction protocol after total gastrectomy is still a matter of debate. Pouch reconstructions are developed to create a larger reservoir for food, to provide a barrier against intestinoesophageal reflux, and to lengthen the food transit time. Preservation of the duodenal passage should result in better physiologic regulation of the ingested food. Controlled randomized clinical studies must be conducted to assess the quality of life after gastrectomy and various types of reconstruction. In the present trial, which compared Longmire's reconstruction without a pouch and Longmire's reconstruction with a pouch of varying sizes, we evaluated the quality of life for 41 patients during the first postoperative year. The quality of life was examined by an EORTC questionnaire and an organ-specific module. There were no statistically proven benefits for pouch reconstruction in comparison with Longmire's reconstruction alone. Some benefits are shown for the large pouch but it was only a trend. This is especially so with regard to diarrhea and food consumption. A definitive answer to the question about the value of a pouch reconstruction after gastrectomy has not yet been attained. It is possible that there will be significant differences between reconstruction groups during the long-term follow-up.

Adult↗

PubMed2002

Thoracoscopy before Jacobaeus.

In 1910 Jacobaeus described a procedure to which he referred as "Thorakoskopie." As a consequence, he is credited with having been the first to undertake an endoscopic exploration of the thorax. However, a published report by Gordon demonstrates that thoracoscopy was performed about 50 years earlier. Additionally in French, at least, the term "thoracoscopie" was well known long before Jacobaeus, although perhaps with a different meaning.

Europe↗

PubMed2002

Radical thoracoscopic lobectomy with lymphadenectomy in a cadaver model.

OBJECTIVE: Because the standard thoracoscopic lobectomy in bronchial carcinoma is often criticized for assumed incomplete lymph-node dissection and oncologic radicality, thoracoscopic lymphadenectomy (TL) was investigated as one step of a scientific investigation for developing a method of complete thoracoscopic resection of bronchial carcinoma. DESIGN: A cadaver model (n = 13) was used to investigate the technique of thoracoscopic radical hilar lobectomy and mediastinal lymphadenectomy. INTERVENTION: TL followed by a large anterolateral exploratory thoracotomy to evaluate the safety and radicality of TL. RESULTS: The mean (and standard deviation) number of lymph nodes resected was 15.6 (4.3). On follow-up exploration, no residual tissue was found at the hilar stump or residual lymph nodes. No other intrathoracic lesions were found. CONCLUSIONS: TL with radical hilar and mediastinal lymphadenectomy by the described tehcnique can be accomplished according to current oncologic regulations.

Cadaver↗