I Anatomie, AEtiologie, Epidemiologie und Molekularbiologie.- 1 Anatomie und Physiologie der Lunge.- 2 AEtiologie und Epidemiologie.- 3 Molekulargenetische Aspekte, Tumorbiologie und Mechanismen der Metastasierung.- II Vorsorge und Fruherkennung.- 4 Neue Aspekte der Fruherkennung und des lokalen Stagings.- III Diagnostik, Pathologie und Stadieneinteilung.- 5 Diagnosesicherung und pratherapeutische Diagnostik.- 6 Endoskopische Diagnostik.- 7 Radiologische Diagnostik des Bronchialkarzinoms - Projektionsradiographie und Computertomographie.- 8 Magnetresonanztomographie.- 9 Positronenemissionstomographie (PET).- 10 Tumor-Marker - Bedeutung fur Diagnostik und Verlaufskontrolle.- 11 Pathologie, Klassifikation und Stadieneinteilung.- IV Therapie.- 12 Geschichte der Behandlung der Lungenkarzinome.- 13 Nichtkleinzellige Lungenkarzinome.- 14 Kleinzellige Lungenkarzinome.- 15 Bronchuskarzinoid.- 16 Seltene Lungentumoren.- 17 Therapie isolierter Metastasen.- 18 Tumorbedingte Komplikationen.- 19 Therapiebedingte Komplikationen und Spatfolgen nach Operation, Radio- und Chemotherapie.- V Nachsorge und Prognose.- 20 Nachsorge und Rehabilitation.- 21 Psychoonkologie und Lebensqualitat.- 22 Chemopravention.- VI Zukunftsperspektiven.- 23 Videoassistierte Thoraxchirurgie (VATS) - Weiterentwicklung, robotergesteuerte Therapie.- 24 Verbesserung der Strahlentherapie bei der Behandlung des Lungen- karzinoms.- 25 Neue therapeutische Ansatze in der internistischen Therapie nicht- kleinzelliger Lungenkarzinome.- 26 Molekulare Prognosefaktoren.

Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is--complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. He investigates such enduring mysteries as the nature of pain, the inability to cure nausea, even the little-understood biology of blushing. He explores how deadly mistakes happen, and why good doctors go bad. He also gives us privileged entry into the inspiring world of ambitious operations, remarkable experiments, and unexpected intuitions. And through it all, we find Gawande's deep concern with the actual experiences of patients and doctors as they negotiate the paradoxes and imperfections inherent in caring for human lives. At once unsentimental and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor. From Complications: I had just finished examining someone in the ER when one of the physicians stopped me with yet another patient: twenty-three-year-old Eleanor Bratton had a red and swollen leg. "It's probably only a cellulitis" --a skin infection--"but it's bad," he said. He had prescribed intravenous antibiotics, but he wanted me to make sure there wasn't anything "surgical" going on. The patient looked fit and athletic. There did not seem anything seriously ill about her. I glanced at her chart--she had good vital signs, no fever, and no past medical problems. I asked Eleanor if she had had any pus or drainage from her leg. No. Any ulcers? No. A foul smell or blackening of her skin? No. I le

Immunosuppression in solid organ transplantation is experiencing a worldwide revival since new drugs are now available in the late-1990s and others are under development. In order to contribute to the design of future strategies, a critical approach of surrogate endpoints is given and long-term side effects are analyzed, together with the impact of non-compliance, quality-of-life and economical parameters. In this book, international specialists have set up the scientific rationale and provided new bases for further immunosuppressive strategies.

Seit nunmehr funf Jahren gibt es in Deutschland ein Transplantationsgesetz, welches die Voraussetzungen fur die Entnahme und Vergabe von Organen regelt. Die Diskussion um den Hirntod, die das Gesetzgebungsverfahren massgeblich bestimmt hat, wird umfassend dargestellt. Die weiteren Vorgaben des Transplantationsgesetzes werden im Einzelnen eroertert, insbesondere die Strafvorschriften in 17 ff. TPG. Der Schwerpunkt der Untersuchung liegt in der Klarung der Frage, ob eine dringend notwendige, fur einen in Lebensgefahr befindlichen Patienten erforderliche Organtransplantation auch ohne Zustimmung des Spenders oder seiner Angehoerigen nach 34 StGB gerechtfertigt sein kann. Das Transplantationsgesetz wird grundsatzlich als eine abschliessende umfassende Regelung verstanden, die einer umfassenden Abwagung im Gesetzgebungsverfahren gefolgt ist und die Wertungen vorgibt, die in der Abwagung der widerstreitenden Interessen oder in der Angemessenheitsprufung im Rahmen des 34 StGB Berucksichtigung finden mussen.

It is estimated that 80 percent of women have some degree of cellulite. Although there are no permanent solutions for cellulite, dermatologists recognize that this is an issue of importance for many women. This guide reviews current research on the pathophysiology and treatment of cellulite, as well as the many recent developments in medical therapy, liposculpture, and pharmacy to combat the appearance of cellulite in the female figure.

Publications on aesthetic rejuvenation often start with the treatment-such as fillers or lasers-and then work back to the patient problem. Comprehensive Aesthetic Rejuvenation: A Regional Approach starts from the perspective of what the patient perceives as the problem region of the body. It then moves to the appropriate range of treatments that can be offered and discusses how outcomes can be improved. Topics include: The new growth agent for eyelashes Multimodal approaches to healthy skin Aesthetic considerations in ethnic skin Hair loss and transplantation New developments in less invasive fat and cellulite treatments Body contouring surgery Enhanced with more than 200 color illustrations, this volume is an essential resource for all aesthetic and plastic surgeons.

In 104 cases featuring over 500, high-quality images, Interventional Radiology Cases is a thorough and accessible review of the interventional procedures that radiology residents are expected to be familiar with upon completion of residency and general radiologists need to know for recertification examinations. The cases present both benign and malignant conditions and all pertinent imaging modalities incorporated including: CT, MR, PET, fluoroscopy, and ultrasound. Part of the Cases in Radiology series, this book follows the easy-to-use format of question and answer in which the patient history is provided on the first page of the case, and radiologic findings, differential diagnosis, teaching points, next steps in management, and suggestions for furthering reading are revealed on the following page.

Der Forumband erscheint jahrlich zum Kongress der Deutschen Gesellschaft fur Chirurgie. In ihm enthalten sind die wichtigsten, streng ausgewahlten Arbeiten der deutschen chirurgischen Forschung, sowohl der klinischen als auch der Grundlagenforschung. Die Arbeiten werden durch strenggegliederte englische Abstracts eingeleitet. Dieser Band erscheint im Index Medicus und Current Contents.

Management of Vitreo-Retinal Disease: A Surgical Approach provides a comprehensive guide to the diagnosis, clinical management and surgery of many retinal disorders. As such it will be invaluable to both trainee and consultant ophthalmologists but will also be very useful to optometrists and ophthalmic opticians who are becoming increasingly involved in the diagnosis and treatment of ophthalmic disorders. The authors' wealth of experience in the field is presented to the reader in a didactic text supported by illustrations and photographs (many in colour) which enable the reader to readily convert the knowledge presented into practice.

Smart Advice on the leading causes of back problems and the best ways to relieve the pain
Smart Ways to stretch, exercise, and strengthen the muscles in your back
Smart Tips on how today's leading medical techniques and therapies can make your back feel good again
An all-you-need-to-know introduction to understanding why your back hurts and how to make it feel good again
* Smart Insights into the causes of back pain and the many factors--including

Smart Advice on the leading causes of back problems and the best ways to relieve the pain
Smart Ways to stretch, exercise, and strengthen the muscles in your back
Smart Tips on how today's leading medical techniques and therapies can make your back feel good again
An all-you-need-to-know introduction to understanding why your back hurts and how to make it feel good again
* Smart Insights into the causes of back pain and the many factors--including

Cancer is a major issue in the provision of health care. It is estimated that one in four people in developed countries are likely to develop it at some time. As longevity steadily increases, the incidence of malignant disease is expected to rise further. Important advances in the control of cancer have taken place and curative treatment has improved, notably in some of the rarer tumours, particularly in children. Advances in the more common cancers have been less marked, although adjunctive systemic treatment and population screening are lowering mortality from the most prevalent cance- carcinoma of the breast. Despite this progress, complete control of malignant disease is still a long way off. However, our understanding of the molecular biology of cancer has increased enormously in recent years and the application of this knowledge holds considerable promise for developing new therapeutic strategies. As for prevention, the cause of most cancers is still poorly understood although it is clear that tobacco avoidance would prevent most lung cancers and several others. Cancer is studied at many different levels: molecular and cellular biology, pathology in patients (particularly clinical trials), and prevention and populations (epidemiology). The psychosocial problems caused to patients and their families are being increasingly recognized and subjected to systematic study. Workers in the field, therefore, range from basic scientists to epidemiologists, from hospital specialists to community support teams. Each needs to have at least some knowledge of the role the others play.

Review Questions for Dentistry is an essential exam practice tool designed for undergraduate dentistry students, postgraduate MJDF candidates, and overseas candidates sitting their OREs. Using the questions as a platform for learning consolidation, this exam preparation guide provides feedback to students to enable them to assess their knowledge and understanding of the subject. * Features multiple question formats including MCQs, EMQs, SAQs and find the missing word questions * Answers include detailed explanations to help expand and consolidate learning * The text is divided into two sections; introductory questions and questions exploring the subjects in more detail * The book is accompanied by a companion website offering further interactive self-assessment tools

This book contains a compilation of papers based on pres entations made at the International Symposium on Penile Disorders held in Hamburg, Germany, 26-27 January 1996, under the Chairmanship of Hartmut Porst. This was a unique conference in that it comprehensively addressed various disorders that affect the organ situated at the "center of the male," the penis. As an important beginning, the sociocultural aspects of the erect phallus were presented by G. Wagner from Copen hagen. The anatomy of the penis and the physiological con ditions of erection were then discussed by K. -P. J Unemann from Mannheim, Germany. Previous conferences on the penis had concentrated only on specific areas of disease such as impotence. However, it became readily apparent that at this conference something new for almost every as pect of disease would be discussed, including congenital disorders such as hypospadias and epispadias, sexually transmitted and noninfectious dermatological diseases, and congenital and acquired penile curvatures and penile fractures. An excellent presentation of managing penile cancer by stage related therapeutic decision was presented by S. C. MUller from Bonn, Germany. There is no better per son to present a discussion of Peyronie' s disease in 1996 from a historical and management perspective than J. Pryor from London, UK. This same degree of expertise was also demonstrated by I. Saenz de Tejada from Madrid, Spain, re garding priapism."

In 1987, Dr. Benjamin Carson gained worldwide recognition for his part in the first successful separation of Siamese twins joined at the back of the head. Carson pioneered again in a rare procedure known as a hemispherectomy, giving children without hope a second chance at life through a daring operation in which he literally removes one half of their brain. Such breakthroughs aren t unusual for Ben Carson. He s been beating the odds since he was a child. Raised in inner-city Detroit by a mother with a third grade education, Ben lacked motivation. He had terrible grades. And a pathological temper threatened to put him in jail. But Sonya Carson convinced her son he could make something of his life, even though everything around him said otherwise. Trust in God, a relentless belief in his own capabilities, and sheer determination catapulted Ben from failing grades to the directorship of pediatric neurosurgery at Johns Hopkins Hospital in Baltimore, Maryland. Gifted Hands takes you into the operating room to witness surgeries that made headlines around the world---and into the private mind of a compassionate, God-fearing physician who lives to help others."

}The emerging picture of medicine looks gloriously sunny for the 21st century, promising untold rewards for humanitys future health. The 20th century, in contrast, has proved disappointing in eradicating disease. Surgery today, still in the Dark Ages, relies on scalpels and other such Medieval tools. Is the end of illness within our grasp for the next century?Alexandra Wykea correspondent for The Economist and one of the worlds most experienced medical journaliststraveled the globe in search of an answer to the future of medicine. She interviewed the most celebrated and innovative doctors, researchers, and medical scientists, and visited their laboratories. What she discovered is revealed in this astonishing work through her observant eye and splendid prose. Cancer, heart disease, and devastating ailments, she predicts, will be blights of the past.One of the greatest revolutions in medicine will be created by the advances in computers and telecommunications. Surgery, we learn, will be performed from afar. After too many years, medicine is at long last poised to absorb and exploit the triumphs of the computer and the information revolution.This comprehensive, must read book not only illuminates the seemingly miraculous cures and advances that may soon prevail, but delineates how this wealth of stunning innovation will serve to shake up and streamline the entire health care industry. Wyke introduces us to the wonders that await us: } *Special cocktails will counteract heart disease and eradicate genetic ailments *Energy beams will search out and destroy malignant cells *Robots will perform surgery with speed and precision *Gizmos on our wrists will monitor our blood for trouble before it happens *Top-level expertise will be delivered worldwide..

Die Grundungsversammlung der "Deutschen Gesellschaft fur Tropenchirurgie e. V. (DTC)", die am 25. 9. 1992 in Homburg/Saar aus der "Vereinigung zur Forderung der Chirurgie in Entwicklungslandern e. Y. " hervorging, verlief nicht ohne Geburtswe- hen. Allein die lebhafte Diskussion um die Anerkennung des Begriffs "Tropenchirur- gie" wird noch allen Beteiligten gegenwartig sein. Mittlerweile ist die Existenz der DTC ebenso selbstverstandlich und vertraut geworden wie der BegriffTropenchirurgie. Die DTC hat sich zum Forum der operativ tatigen und praxisorientierten Tropenmediziner entwickelt. Die wachsende Beliebt- heit der tropenchirurgischen Workshops in Homburg/Saar sowie der tropenchirurgi- schen Symposien zeugen von einem lebhaften Bedurfnis nach praktischer Weiterbil- dung und fachlichem Austausch. Auch das H. Tropenchirurgische Symposium in Ulm beschrankt sich wiederum thematisch auf zwei Schwerpunkte: "Sonographie in der Tropenchirurgie" und "Neu- rologie/Neurotraumatologie". Auch wenn die tropenchirurgische Realitat von mate- riellen Engpassen gekennzeichnet ist, die haufig nur die Anwendung einfacher und kostengunstiger Mittel erlaubt, so ist damit in keiner Weise ein Verzicht auf moderne Technologien verbunden. Nicht zuletzt unter dem Gesichtspunkt der Kosten-Nutzen- Re~ation verdient die Sonographie gebuhrende Aufmerksamkeit. Durch eine recht- zeitige und prazisere Diagnostik lassen sich nicht selten operative Eingriffe besser planen, risikoarmer gestalten oder gar vermeiden. Teure Verlegungen in oft weit ent- fernte medizinische Zentren werden mitunter uberflussig, Verlaufskontrollen unter konservativer Therapie zuverlassiger. Die Frage nach der Wertigkeit der Sonographie fur Tropenmedizin und Tropenchirurgie wird von P. Langenscheidt und Mitarbeitern sowie von H. Diefenthal positiv beantwortet.

Der wirtschaftliche Druck auf Arzte nimmt standig zu. Fehlentscheidungen in der Arztpraxis kosten nicht nur Gewinn, sondern gefahrden die Selbstandigkeit.

Dieses Praxis-Buch hilft Ihnen

- die Erfolgsfaktoren Ihrer Arztpraxis zu steuern
- wirtschaftliches Handeln konkret anzuwenden
- fit in Fachausdrucken zu werden
- Gesprachskompetenz bei Steuerberatern, Anwalten, Banken und Behorden zu erlangen
- Ihren Erfolg zu planen

Steigern Sie Ihren Praxis-Erfolg in wenigen Schritten Konzentrieren Sie sich auf die wirklich wichtigen Massnahmen. Senken Sie Kosten und Steuern Mit zahlreichen Checklisten."

This textbook provides practical advice for junior surgical trainees on basic procedures in all surgical specialties. There are concise descriptions of minor and intermediate procedures that the trainee may be expected to perform and they are illustrated by clear line diagrams.

Updated, revised and organized, the new Second Editions in the Clinical Sciences Series reflect the format of the USMLE Step 2. Each volume systematically presents the core information of a single segment of the medical curriculum, from Family Medicine to Psychiatry. You will also learn time-honored tricks of the trade,as well as the latest advances in clinical medicine: new diagnostic tools, new therapeutic interventions, and new pharmacologic options.

Das 4. Heidelberger Symposium uber "Hamostase in der Anasthesiologie" hat es sich zum Ziel gesetzt, fachubergreifend die noch ungelosten Fragen in der Hamostaseologie offenzulegen und auf der Basis einer kritischen Wertung der bekannten Studien klare Handlungsanweisungen fur den praktisch tatigen Arzt zu geben. Die angesprochenen Themen sind haufig in der Klinik auftretende Probleme wie die perioperative Einstellung von Hamophilen, die Betreuung von Patienten mit Massivtransfusion, Protein Z-Mangel, Lungenembolie, Katheterthrombose und Probleme der Gerinnungsanalyse und die Sicherheit von Praparaten mit Gerinnungsfaktoren. Das vorliegende Buch hat es sich zum Ziel gesetzt, den Leser uber die neuen Entwicklungen zu informieren und Anleitungen zum praktischen klinischen Handeln zu geben.

Chronic critical limb ischemia remains one of the most frequent causes of illness and hospitalization in the western world. Interest in critical limb ischemia has increased markedly in recent years. There have been significant achievements in diagnostic pro cedures as well as in the medical, invasive, and surgical treatment of patients with critical limb ischemia. Despite a considerable research effort, the pathophysiological mechanisms of critical limb ischemia in humans remains to be established. Prominent is the increasing interest in the microcirculation, as well as in the hemorheological, hemostatic and inflammatory changes which may promote critical limb ischemia. Further research is necessary to quantify the relevance of microcirculatory in vestigations in terms of predicting the prognosis or to evaluate the effects of new therapies. Our main task is to offer the patient the best possible therapy in order to avoid limb loss and to improve quality of life. The various methods of treatment, their suc cess rates, and their complications, must be carefully evaluated and discussed. This volume presents the complex field of diagnosis and treatment of critical limb ischemia. The diagnosis and treatment involves different specialists including angio logists, interventional radiologists, vascular surgeons, plastic surgeons, diabeto logists, etc. Individual chapters have been written by Belgian and German experts in the various specialities, who present their own experience. We are very grateful that these experts have joined us to produce this book on the epidemiology, pathophysiology, and rational therapy.

The Illustrated Handbook of Cardiac Surgery is adapted from the Second Edition of the color illustrated Manual of Cardiac Surgery (Springer-Verlag, 1995). The Illustrated Handbook of Cardiac Surgery communicates all the important informa tion, but eliminates the detailed explanation of judgment and technique that is relevant only to cardiac surgeons or other individuals intensely interested in these details. The chapters covering operations explain the basic concepts and fundamentals of the operations. A selection of the most important biblio graphic sources follows each chapter, but are not cited in the text. Individuals interested in more exhaustive coverage of information sources should consult the Second Edition of the Manual of Cardiac Surgery. The Illustrated Handbook of Cardiac Surgery should appeal to all individuals caring for cardiac surgical patients: cardiologists, anesthesiologists, radiolo gists, general surgery residents rotating on cardiac surgery, medical students, physician assistants, nurses, perfusionists, and all other members of the car diac surgery team. It should even appeal to laypeople who want to read about cardiac surgery in more depth than is available in lay publications. Our attempt has been to produce a book that is clearly written, clearly illustrated, and affordable. The techniques chosen are those developed over three decades of clinical practice and resident training at the Oregon Health Sciences University and St. Vincent Hospital, Portland, Oregon, and Sutter Memorial Hospital, Sacra mento, California. These techniques have served us well."