Publications by authors named "J-H Egberts"
: Anastomotic insufficiencies (AI) and perforations of the upper gastrointestinal tract (uGIT) result in high morbidity and mortality. Endoscopic stent placement and endoluminal vacuum therapy (EVT) have been established as surgical revision treatment options. The Eso-Sponge is the only licensed EVT system with limitations in treating small defects (<10 mm).
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- The COVID-19 pandemic significantly affected the mental health of children and adolescents, particularly leading to an increase in eating disorders, especially among girls aged 10 to 16 years.
- Analysis of health insurance data revealed a rise in administrative prevalence of eating disorders in outpatient settings, while externalizing disorders saw a decrease.
- Despite the rise in outpatient cases, the severity of anorexia nervosa in inpatients did not show pandemic-related changes, suggesting a possible shift in healthcare focus towards outpatient services during the pandemic.
Introduction: The value of C-reactive protein (CRP) as a predictor of anastomotic leakage (AL) after esophagectomy has been addressed by numerous studies. Despite its increasing application, robotic esophagectomy (RAMIE) has not been considered separately yet in this context. We, therefore, aimed to evaluate the predictive value of CRP in RAMIE.
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- Robotic-assisted liver surgery (RALS) is becoming more prominent despite its limitations, and using the fluorescent dye indocyanine green (ICG) may enhance its effectiveness by aiding in the visualization of liver tumors.
- A study at the University Hospital Schleswig-Holstein evaluated the outcomes of RALS performed between 2014 and 2021, focusing on the impact of preoperative ICG staining in 54 patients, half of whom received ICG.
- Results showed that ICG-supported surgeries were quicker, involved smaller tumors, and achieved a higher rate of complete tumor resections (R0), indicating improved surgical and oncological outcomes.
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- Robot-assisted minimally invasive esophagectomy (RAMIE) techniques, particularly the totally robot-assisted (T-RAMIE) approach, have become prominent in the field of esophageal surgery, offering potential advantages over traditional methods.
- A study across five German centers analyzed 175 T-RAMIE and 67 hybrid (H-RAMIE) procedures, revealing that T-RAMIE had a significantly shorter operation time and lower rates of postoperative complications like overall morbidity and anastomotic leaks.
- The findings suggest that T-RAMIE is the preferred surgical method, showing improved patient outcomes compared to H-RAMIE, and may lead to the establishment of a new gold standard in esophageal surgery.
Recent developments in robotic surgery have led to an increasing number of robot-assisted hepatobiliary procedures. However, a limitation of robotic surgery is the missing haptic feedback. The fluorescent dye indocyanine green (ICG) may help in this context, which accumulates in hepatocellular cancers and around hepatic metastasis.
View Article and Find Full Text PDFDuring the preclinical period of medical school, the clinical relevance of theoretical knowledge is given little attention. Medical students of the second year were invited to participate in an interdisciplinary congress for robot-assisted and digital surgery. The students had to evaluate the impact of the congress on their learning motivation, decision-making for a career in surgery, and relevance for their educational curriculum.
View Article and Find Full Text PDFIntroduction: Revisional procedures in bariatric surgery are regarded as technically more demanding and riskier than primary interventions. While the use of the surgical robot has not yet proven to be advantageous in primary bariatric interventions, the question remains whether its use is justified for more complex revisional procedures.
Objective: To show that revisional bariatric surgery can be performed safely using the da Vinci® Xi surgical system.