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Zytoreduktion – Präparationsdevices

  • Chapter
Peritoneale Tumoren und Metastasen

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Zusammenfassung

Im chirurgischen Alltag stehen zahlreiche Devices zur Verfügung, die für die einzelnen Schritte der Zytoreduktion hilfreich sein können. Jedoch existieren keine Studien, die sich mit der speziellen Anwendung im Rahmen der Zytoreduktion auseinandersetzen. Die Entscheidung, welche Instrumente eingesetzt werden, obliegt dem Operateur und hängt von dessen Erfahrung und Vorlieben ab. Generell besteht bei der Anwendung der Devices die Gefahr, das umliegende Gewebe ungewollt durch die Hitze zu schädigen. Diese Schädigung hängt von der Applikationsdauer und der Effektstärke ab. In den hierzu verfügbaren Arbeiten ist die Hitzeschädigung bei bipolarem Strom, Electrothermal Bipolar Vessel Sealing (EBVS; z. B. LigaSure™) und ultraschallbasierten Instrumenten (z. B. Ultracision®) vergleichbar, bei monopolarem Strom jedoch deutlich höher.

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Author information

Authors and Affiliations

  1. HELIOS Amper-Klinikum Dachau, Abteilung für Viszeral- und Thoraxchirurgie, Krankenhausstraße 15, 85221, Dachau, Deutschland

    Prof. Dr. med. H.-G. Rau, Dr. med. P. Busch & Dr. med. I. Yakubov

Authors
  1. Prof. Dr. med. H.-G. Rau
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  2. Dr. med. P. Busch
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  3. Dr. med. I. Yakubov
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Corresponding authors

Correspondence to H.-G. Rau , P. Busch or I. Yakubov .

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Editors and Affiliations

  1. Charité Campus Virchow-Klinikum, Berlin, Deutschland

    Beate Rau

  2. Krankenhaus Barmherzige Brüder, Regensburg, Deutschland

    Pompiliu Piso

  3. Universitätsklinikum Tübingen, Tübingen, Deutschland

    Alfred Königsrainer

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Rau, HG., Busch, P., Yakubov, I. (2018). Zytoreduktion – Präparationsdevices. In: Rau, B., Piso, P., Königsrainer, A. (eds) Peritoneale Tumoren und Metastasen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54500-3_12

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  • DOI: https://doi.org/10.1007/978-3-662-54500-3_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-54499-0

  • Online ISBN: 978-3-662-54500-3

  • eBook Packages: Medicine (German Language)

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