Carsten N. Gutt

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Minimally invasive surgery has gained significantly in importance over the last decade due to the numerous advantages on patient-side. The surgeon has to adapt special operation-techniques and deal with difficulties like the complex hand-eye coordination, limited field of view and restricted mobility. To alleviate these constraints we propose to enhance the(More)
Intraoperative assistance systems aim to improve the quality of the surgery and enhance the surgeon's capabilities. Preferable would be a system which provides support depending on the surgery context and surgical skills accomplished. Therefore, the automated analysis and recognition of surgical skills during an intervention is necessary. In this paper a(More)
BACKGROUND Restorative proctocolectomy is increasingly being performed minimal invasively but a totally laparoscopic technique has not yet been compared to the standard open technique in a randomized study. METHODS/DESIGN This is a two armed, single centre, expertise based, preoperatively randomized, patient blinded study. It is designed as a two-group(More)
INTRODUCTION Mesh augmentation seems to reduce recurrences following laparoscopic paraesophageal hernia repair (LPHR). However, there is an uncertain risk of mesh-associated complications. Risk-benefit analysis might solve the dilemma. MATERIALS AND METHODS A systematic literature search was performed to identify randomized controlled trials (RCTs) and(More)
BACKGROUND To evaluate the effectiveness and safety of the DS Titanium Ligation Clip for appendicular stump closure in laparoscopic appendectomy. METHODS Overall, 502 patients undergoing laparoscopic appendectomy were recruited for this observational multicentre study in nine study centres between October 2011 and July 2013. The clip was finally applied(More)
BACKGROUND The effect of additional treatment strategies with antineoplastic agents on intraperitoneal tumor stimulating interleukin levels are unclear. Taurolidine and Povidone-iodine have been mainly used for abdominal lavage in Germany and Europe. METHODS In the settings of a multicentre (three University Hospitals) prospective randomized controlled(More)
PURPOSE Laparoscopic hiatal hernia repair with additional fundoplication is a commonly recommended standard surgical treatment for symptomatic large hiatal hernias with paraesophageal involvement (PEH). However, due to the risk of persistent side effects, this method remains controversial. Laparoscopic mesh-augmented hiatoplasty without fundoplication(More)