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Laparoskopische Crohn-Chirurgie

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Minimalinvasive Viszeralchirurgie

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Zusammenfassung

Die chirurgische Therapie bei Morbus Crohn stellt aufgrund der diversen Komplikationen sowie der häufig notwendigen Rezidiveingriffe meist eine Herausforderung dar. Bei der Indikationsstellung sollte stets der Leitsatz »so viel wie nötig und so wenig wie möglich« gelten. Gerade Patienten mit Morbus Crohn profitieren aufgrund ihres Alters und der Notwendigkeit der Rezidiveingriffe von einer minimalinvasiven Therapie. Jedoch sollte vor einer Exploration eine differenzierte Diagnostik und soweit möglich eine Reduktion der Immunsuppression erfolgen, um bereits präoperativ operationstaktische Überlegungen (Resektionsausmaß, Strikturoplastik, Dilatation, Stomaanlage) treffen zu können. Aus diesen Gründern und der häufig komplexen intraabdominellen Situation sollte eine entsprechende chirurgische Expertise vorhanden sein.

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Authors and Affiliations

  1. Klinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg

    Dr. med. Michael Meir & Dr. med. Joachim Reibetanz

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  1. Dr. med. Michael Meir
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  2. Dr. med. Joachim Reibetanz
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Editors and Affiliations

  1. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Lübeck, Germany

    Tobias Keck

  2. Klinik für Allgemein-, Viszeral-, Gefäß-, und Kinderchirurgie, Würzburg, Germany

    Christoph T. Germer

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Meir, M., Reibetanz, J. (2017). Laparoskopische Crohn-Chirurgie. In: Keck, T., Germer, C. (eds) Minimalinvasive Viszeralchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53204-1_25

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  • DOI: https://doi.org/10.1007/978-3-662-53204-1_25

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53203-4

  • Online ISBN: 978-3-662-53204-1

  • eBook Packages: Medicine (German Language)

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