A5028186182- Lung Cancer Diagnosis and Treatment
- Tracheal and airway disorders
- Pleural and Pulmonary Diseases
- Airway Management and Intubation Techniques
- Lung Cancer Treatments and Mutations
- Congenital Diaphragmatic Hernia Studies
- Trauma Management and Diagnosis
- Head and Neck Surgical Oncology
- Cancer Diagnosis and Treatment
- Ultrasound in Clinical Applications
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Respiratory Support and Mechanisms
- Head and Neck Cancer Studies
- Dysphagia Assessment and Management
- Anesthesia and Pain Management
- Metastasis and carcinoma case studies
- Cardiac, Anesthesia and Surgical Outcomes
- Radiomics and Machine Learning in Medical Imaging
- Mechanical Circulatory Support Devices
- Vascular Anomalies and Treatments
- Management of metastatic bone disease
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Radiation Dose and Imaging
- Cardiac Structural Anomalies and Repair
- Nerve Injury and Rehabilitation
Witten/Herdecke University
2016-2025
Augusta Krankenhaus
2022-2025
University Hospital Cologne
2015-2024
Kliniken der Stadt Köln
2014-2023
Düsseldorf University Hospital
2023
Lungenklinik Köln-Merheim
2012-2022
Post-thoracotomy pain syndrome (PTPS) is reported with a prevalence ranging between 33% and 91% in literature. However, the difference open (TT) video-assisted thoracic surgery (VATS) concerning neuropathic character of PTPS has not yet been systematically investigated. Furthermore, knowledge on analgesic treatment its efficacy limited.Structured telephone interviews were conducted 488 patients 6 to 30 months after TT VATS. In case pain, received structured questionnaire including Leeds...
Background: Few reliable data are available on the epidemiology and treatment of spontaneous pneumothorax.We studied sex age distribution, frequency hospitalization, mortality, conservative versus surgical care this condition in Germany order to draw well-founded conclusions about its in-hospital diagnosis treatment.Methods: Data from all patients aged 10 or older who were hospitalized period 2011-2015 with a main discharge pneumothorax neither traumatic nor iatrogenic origin retrieved...
Abstract Background Prolonged air leak (PAL) is a major cause of morbidities and increased treatment costs following lung resection. The Goddard score (GS) quantifies pulmonary emphysema on computed tomography, risk factor for PAL, from 0 to 24. Methods We evaluated the GS as predictor PAL in segmentectomies by retrospectively analyzing 131 patients with anatomical segmentectomy. identified predictors performed logistic regression. Results Eighty-three percent had history smoking. mean...
The aim of this study was to compare the perioperative outcome patients receiving anatomic segmentectomy either by open surgery or video-assisted thoracoscopic (VATS). To assess short-term morbidity procedure itself, lung cancer in all stages as well with pulmonary metastases and benign lesions scheduled for segmental resection were enrolled study.A retrospective analysis prospectively collected data on 445 consecutive that underwent VATS (n=233) thoracotomy (n=212) performed. A...
Background Anterior chest wall resection for oncological purposes is usually combined with a form of reconstruction. Most surgeons are convinced that ventrally located defects more than 4 to 5 cm require adequate reconstruction minimize the risk lung herniation and respiratory distress through paradox motion. We describe our in-house results ventral using polypropylene mesh without use metallic or biological implants regardless extent resection. Methods Patient selection involved by all...
Thoracic ultrasound is superior to chest X-ray for the detection of a pneumothorax in trauma and intensive care medicine. Data regarding its use non-cardiac thoracic surgery are scarce contradictory. Previous studies heterogeneous sonographic methodology patient selection. This study aimed evaluate accuracy assessment after lung resecting unselected patients.SONOR (SONOgraphy vs x-Ray) prospective observational trial (registry-ID DRKS00014557). A total 123 consecutive patients with received...
<b>Background</b> Lung volume reduction surgery (LVRS) is a well-established treatment option for pulmonary emphysema, but the most advantageous technical approach remains debatable. <b>Methods</b> Short- and long-term outcomes were comparably assessed in emphysema patients who underwent unilateral LVRS with either lobe or sublobe (segment wedge) resection. Patients consecutively enrolled study after careful conventional computer-based definition of target region. <b>Results</b> A total 36...
Bronchus sleeve resection for operative treatment of non-small cell lung cancer (NSCLC) is a gold standard in modern thoracic surgery cases centrally located tumors or hilär lymph node metastases. Advanced instruments and growing surgical experience allowed surgeons to reduce the required incisions (from 3-port uniportal) resect larger more malignancies minimal invasively. It logical expected advance that video-assisted thoracoscopic (VATS) would be ultimately used also complex bronchial...
Abstract Background In thoracic surgery, utilization of extracorporeal membrane oxygenation (ECMO) is mainly established for patients undergoing lung transplantation. The aim our study was to summarize single-center experience with intraoperative use veno-venous- or veno-arterial-ECMO in complex surgery involving the main carina, left atrium descending aorta. Methods A total 24 underwent combined lung, carinal, aortal, atrial resections. cases carinal resection, percutaneous veno-venous,...
Thoracotomy leads to chronic neuropathic pain in up 50% of patients and is responsible for an impaired quality life. Intercostal nerve injury has been suggested be this pain. In the present study impact paravertebral intercostal neurectomy on post thoracotomy was assessed.In single center parallel-group randomized controlled trial underwent muscle sparing anterolateral anatomical lung resection cancer. A subcostal approach used with being performed at beginning procedure level retracted...
Chest tubes are a valuable instrument and used on daily basis - not only by thoracic surgeons but also variety of medical specialists who treat pneumothorax or pleural effusions. The goal the working group German Thoracic Society (DGT) was to achieve consensus management chest tube/drainage using Delphi process.The assigned DGT designed conducted two electronic rounds questions in all major lung cancer centres. Consensus considered as rate ≥ 75%. After statistical analysis results, an expert...
Measurement tools of health-related quality life (HRQL) that are specific for the underlying disorder inevitably needed to assess HRQL changes following treatment strategies. The aim current study was develop a questionnaire assessing in patients with unilateral diaphragmatic paresis.Firstly, topics health impairments covering physical, psychological, social and functional aspects were predefined by physician expert panel ensure face validity. Secondly, all rated patient group paresis...
Flexible bronchoscopy (FB) in analgosedation causes alveolar hypoventilation and hypercapnia, the more so if patients suffer from COPD. Nonetheless, neither is capnometry part of standard monitoring nor there evidence on how long should be monitored after sedation.We investigated impact COPD hypercapnia during FB with endobronchial ultrasound (EBUS) sedation periprocedural adapted.Two cohorts consecutive - advanced without indication for EBUS-guided transbronchial needle aspiration received...
There is increasing international interest in the use of video-assisted thoracoscopic procedures (VATS) with spontaneous respiration treatment elderly and multimorbid patients. Data on application acceptance Germany are not yet available.Germany-wide, online-based survey among departments thoracic surgery registered at German Society Thoracic Surgeons (DGT) VATS local anaesthesia (LA).101 157 hospitals responded (64%). 42% respondents perform non-intubated (NIVATS), 31% LA. Reasons to LA...