- Transplantation: Methods and Outcomes
- Lung Cancer Diagnosis and Treatment
- Mechanical Circulatory Support Devices
- Anesthesia and Pain Management
- Colorectal Cancer Surgical Treatments
- Pain Management and Opioid Use
- Tracheal and airway disorders
- Organ Transplantation Techniques and Outcomes
- Gastric Cancer Management and Outcomes
- Radiomics and Machine Learning in Medical Imaging
- Colorectal and Anal Carcinomas
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma Management and Diagnosis
- Frailty in Older Adults
- Esophageal and GI Pathology
- Diversity and Career in Medicine
- Surgical Simulation and Training
- Inflammatory Biomarkers in Disease Prognosis
- Pediatric Pain Management Techniques
- Colorectal Cancer Screening and Detection
- Myasthenia Gravis and Thymoma
- Global Cancer Incidence and Screening
- Healthcare Operations and Scheduling Optimization
- Healthcare professionals’ stress and burnout
- Congenital Diaphragmatic Hernia Studies
Innsbruck Medical University
2019-2025
Universität Innsbruck
2019-2025
Medical University of Vienna
2022
To report outcomes from routine clinical practice of liver transplantation (LT) following normothermic machine perfusion (NLMP) and compare to LT after static cold storage (SCS). NLMP is emerging as a in has recently received renewed attention, however outside trials are lacking. All adult between February 2018 January 2023 were included. Comprehensive viability assessment was applied during NLMP. Outcomes compared SCS recipients, well benchmark non-benchmark cases. Of the 332 included, 174...
Background: Pancreatoduodenectomy with venous resection (PDVR) may be performed to achieve tumour clearance in patients a pancreatic ductal adenocarcinoma (PDAC) involvement. This study aimed evaluate the impact of PDVR on PDAC outcomes. Methods: In total, 435 either R0 status (n = 322) or R1 within superior mesenteric vein groove 113) were extracted from Recurrence After Whipple's (RAW) dataset. matched 1:2 ratio standard PD patients. Comparisons then made between two groups (surgical...
Kidneys from brain-death small pediatric donors ≤2 years are still classified as marginal organs. Herein, we analyse the outcomes following en-bloc kidney transplantation (EBKT) into adult recipients compared to standard criteria donor transplant (SKTs). A retrospective single center analysis of a prospectively collected and auditable database identified six EBKTs 75 SKTs between January 2015 June 2017. Propensity score matching minimized selection bias. After median follow-up 74 months,...
Purpose The aim of this retrospective analysis was to determine if the response preoperative radio(chemo)therapy is predictive for survival among patients with locally advanced rectal cancer and may act as a potential surrogate endpoint disease free overall survival. Results Eight hundred seventy-eight from five centers were analyzed. There 304 women 574 men; median age 64.7 years. 77.6% 22.4% received neoadjuvant radiochemotherapy or short-course radiotherapy, resulting in pathological...
Patient pathways from first suspicious imaging until final surgical treatment vary and in some instances cause considerable delay. This study aims to investigate the impact of this delay on survival lung cancer patients. The institutional database was queried identify patients with primary who were treated surgery. Time intervals defined as date medical images treatment. All received PET-CT staging tissue confirmation prior planning a multidisciplinary tumor board. Patients unknown contact,...
Prolonged air leak (PAL) represents a common complication after lung resection. This study aims to analyze the risk factors for development of PAL, its impact on postoperative outcome and estimate additional treatment costs.A single center database was queried all patients scheduled video-assisted thoracoscopic surgery primary cancer. In total, 957 between 2009 2021 were analyzed. Exclusion criteria pneumonectomy. Collected data included demographics perioperative (e.g., duration surgery,...
Surgical resection remains the gold standard of treatment for early-stage lung cancer. Several risk models exist to predict postoperative morbidity and mortality. Psoas muscle sarcopenia has already successfully been used prediction in transplantation is not yet included available scores pulmonary resections. We hypothesized that skeletal index mediastinal adipose tissue might also have an impact on outcomes after primary surgery The institutional database was queried patients with cancer...
SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. This is a cross-sectional study reported in compliance with CHERRIES guidelines conducted through an online platform from June 14th July 15th, 2020. The primary outcome was burden burnout during indicated by validated Shirom-Melamed Burnout Measure. Nine hundred fifty-four completed survey. median length practice 10...
Abstract OBJECTIVES Traditionally, patients on bridge-to-transplant extracorporeal membrane oxygenation were kept sedated and intubated. However, awake bridging strategies have evolved during recent years. This study aims to elaborate differences in physical activity postoperative outcomes after lung transplantation (LTx), depending strategy duration. METHODS Bridged receiving LTx between March 2013 April 2021 analysed. Awake was defined as a Richmond Agitation-Sedation Scale score of ≥−1...
Primary graft dysfunction (PGD) is a common complication after lung transplantation. A plethora of contributing factors are known and assessment donor function prior to organ retrieval mandatory for determination quality. Specialized centers increasingly perform ex vivo perfusion (EVLP) further assess functionality improve extend preservation with the aim increase utilization. EVLP can be performed following different protocols. The impact individual parameters on PGD development,...
Background/Objectives: Pain after video-assisted thoracoscopic surgery (VATS) leads to impaired postoperative recovery, possible side effects of opioid usage, and higher rates chronic post-surgery pain (CPSP). Nevertheless, guidelines on perioperative management for VATS patients are lacking. The aim this study was analyze the effectiveness intercostal catheters in combination with a single shot intraoperative nerve block (SSINB) comparison SSINB alone respect consumption CPSP. Methods:...
Background: Postoperative pain after video-assisted thoracoscopic surgery (VATS) affects patients’ recovery, postoperative complications, and length of stay (LOS). Despite its relevance, there are no guidelines on optimal perioperative management. This study aims to analyse the effects an additional intercostal catheter (ICC) in comparison a single shot intraoperative nerve block (SSINB). Methods: All patients receiving anatomic VATS resection between June 2019 May 2020 were analysed...
This study analyzed the prevalence and factors influencing history of chronic anastomotic leakage following low anterior resection for rectal cancer. Furthermore, treatment a persisting presacral sinus impact stoma reversal on outcome were evaluated.The institutional database was scanned all patients with leakage, who primarily treated cancer between January 1995 December 2019. Patients rectovaginal rectovesical fistula or an inadequate follow-up excluded (n = 5). After applying exclusion...
Background: Postoperative pain influences rehabilitation, postoperative complications and quality of life. Despite its impact, there are no uniform treatment guidelines. Different centers seem to use various strategies. This study aims analyze management regimens used after anatomic VATS resections in Austrian thoracic surgery units, with a special interest opioid usage strategies avoid opioids. Methods: A questionnaire was designed assess the regional anesthesia, medication characteristics...
Abstract Background EuroLung Risk scores were established to predict postoperative morbidity and mortality in patients undergoing anatomic lung resections. We aimed perform an external validation of the scores, which calculated from data European Society Thoracic Surgeons database, our video-assisted thoracoscopic surgery cohort. Methods All available for 718 scheduled resections between 2009 2019. Morbidity according definitions analyzed a prospectively maintained database. Results Overall...
Background Even though it is rare, chylothorax represents a major complication after anatomical lung resections with lymphadenectomy. Moreover, optimal treatment still matter of debate. Aim this study was to evaluate prevalence, risk factors and therapy outcomes in VATS cohort primary cancer.
Background The lung microbiome plays a crucial role in chronic allograft dysfunction (CLAD), as each indication for transplantation showcases unique features, which influence postoperative results. Moreover, dynamic changes the allografts also possess ability to negatively alter long-term outcomes. Aim of this review is summarize current literature regarding pre- and microbiome, its on CLAD possible therapeutic implications.
Outcome in early stage lung cancer might be influenced by the preoperative delay between first radiologic examination and surgery. Herein we aim to analyse impact of this on survival patients.