L Fernandez-Cruz

Publications (2)1.41 Total impact

• Article: Indikation zur laparoskopischen Pankreasoperation

  M. Siech, D. Bartsch, H.G. Beger, S. Benz, U. Bergmann, P. Busch, L. Fernandez-Cruz, U. Hopt, T. Keck, T.J. Musholt, U.J. Roblick, L. Steinmüller, P. Strauß, M. Strik, J. Werner, S. Huschitt
  [show abstract] [hide abstract]
  ABSTRACT: Laparoskopische Pankreasoperationen sind in Deutschland wenig verbreitet und werden nur in ca. 20Kliniken, allerdings zunehmend praktiziert. Minimal-invasive Eingriffe an der Bauchspeicheldrüse setzen einen hohen laparoskopischen Erfahrungsschatz in Kombination mit spezieller Erfahrung in der Pankreaschirurgie voraus. Bei der Einführung gänzlich neuer Techniken in die Chirurgie, sei es konventionell oder minimal-invasiv, sind drei Prinzipien obligat: Patientensicherheit, langfristig gleiche oder bessere Ergebnisse und vertretbare Kostenaspekte. Zur Evaluation dieser Endpunkte wurde 2008 ein Register für laparoskopische Pankreaschirurgie mit Unterstützung der Deutschen Gesellschaft für Allgemeine und Viszeralchirurgie begonnen. Eine erste Konsensuskonferenz wurde im Mai 2011 im Klinikum Aalen mit Beiträgen aus 12 Kliniken, in denen bereits Erfahrung in der Anwendung laparoskopischer Pankreasoperationen vorliegt, veranstaltet. Anhand der bisher berichteten Erfahrung mit minimal-invasiven Eingriffen an der Bauchspeicheldrüse und den ausgiebigen Diskussionen wurde die Indikation zur laparokopischen Operation diskutiert und in „geeignet“, „nicht geeignet“ oder „geeignet in besonderen Fällen“ klassifiziert. Die Konsensuskonferenz führte zu dem Ergebnis einer Definition von Indikationen für laparoskopische Eingriffe an der Bauchspeicheldrüse. Die beteiligten Kliniken haben verabredet, alle Patientendaten laparoskopischer Pankreasoperationen in ein gemeinsames Register einzubringen und gemeinsam auszuwerten. Laparoscopic pancreatic surgery is not common practice in Germany and is only carried out in approximately 20 clinics but with an increasing trend. The reasons for this are manifold, such as the current selection of patients and both skills in laparoscopic and pancreatic surgery are necessary to perform this operation safely. In 2008 a registry called „Laparoscopic pancreatic surgery“ was implemented to collect enough data in Germany to find out whether the resection is safe, feasible and beneficial for the patient. For further development of new laparoscopic techniques new data is needed. A group of experts performing laparoscopic pancreatic surgery in Germany supplied their data for the German registry for laparoscopic pancreatic resection and a consensus conference about the indications became necessary. This consensus conference discussed in particular the indications for laparoscopic pancreatic resection. A consensus was found by all members of the conference utilizing currently available evidence-based data. It was suggested that all data of laparoscopic pancreatic surgery should be evaluated in the German Registry. A consensus was made which diseases were either suitable for laparoscopic resection or not suitable or suitable in selected cases. SchlüsselwörterLaparoskopie–Pankreaschirurgie–Tumoren–Nekrosektomie–Abszess KeywordsLaparoscopy–Pancreatic surgery–Tumors–Necrosectomy–Abscess
  Der Chirurg 05/2012; 83(3):247-253. · 0.70 Impact Factor
• Article: [Indications for laparoscopic pancreas operations: results of a consensus conference and the previous laparoscopic pancreas register].

  M Siech, D Bartsch, H G Beger, S Benz, U Bergmann, P Busch, L Fernandez-Cruz, U Hopt, T Keck, T J Musholt, U J Roblick, L Steinmüller, P Strauss, M Strik, J Werner, S Huschitt
  [show abstract] [hide abstract]
  ABSTRACT: Laparoscopic pancreatic surgery is not common practice in Germany and is only carried out in approximately 20 clinics but with an increasing trend. The reasons for this are manifold, such as the current selection of patients and both skills in laparoscopic and pancreatic surgery are necessary to perform this operation safely. In 2008 a registry called "Laparoscopic pancreatic surgery" was implemented to collect enough data in Germany to find out whether the resection is safe, feasible and beneficial for the patient.For further development of new laparoscopic techniques new data is needed. A group of experts performing laparoscopic pancreatic surgery in Germany supplied their data for the German registry for laparoscopic pancreatic resection and a consensus conference about the indications became necessary. This consensus conference discussed in particular the indications for laparoscopic pancreatic resection. A consensus was found by all members of the conference utilizing currently available evidence-based data.It was suggested that all data of laparoscopic pancreatic surgery should be evaluated in the German Registry. A consensus was made which diseases were either suitable for laparoscopic resection or not suitable or suitable in selected cases.
  Der Chirurg 09/2011; 83(3):247-53. · 0.70 Impact Factor