Clinic for General, Visceral, Vascular and Thoracic Surgery

Overview of Services

Mediziner während einer OP

General and Visceral Surgery
  • Entire spectrum of general, abdominal, vascular and thoracic surgery
Centre for Thoracic Surgery

The Centre for Thoracic Surgery specialises in the diagnostics and surgical treatment of lung diseases, diseases of the thorax as well as the mediastinum. In cooperation with our colleagues from the department for pulmonology, we have all modern diagnostic and interventional methods at our disposal. We provide the entire range of thoracic surgery and, in particular, we use minimally invasive surgery, lung parenchyma-saving bronchoplastic procedures (“cuff resections”) and special laser surgery.

A particular focus area is the treatment of lung cancer and lung metastases (oncological surgery), which is provided by means of an interdisciplinary concept together with specialists from the fields of pulmonology and oncology. We apply VATS lobectomies for the treatment of bronchial carcinomas – a minimally invasive surgical method. Furthermore, we also use surgical lasers (diode lasers), which are specifically used during metastatic surgery. By means of a laser, we are able to provide an extremely tissue-conserving surgical technique.

Vascular Surgery

Vascular surgery is an essential component of the interdisciplinary Vascular Centre at Klinikum Frankfurt Höchst. This is a where clinical pictures, related to blood vessels with widely differing degrees of severity, are treated.

  • Arterial diseases (arteries)
  • Venous diseases
  • Diseases of the lymphatic vessels
  • Minimally invasive procedures, e.g. endovenous radiofrequency ablation (RFA) or hybrid procedures
Endocrine Surgery
  • Goitre (nodular enlargement of the thyroid gland)
  • Thyroid cancer
  • Graves’ disease (autoimmune hyperthyroidism)
  • Autonomous adenoma
  • Thyroiditis
  • Primary, secondary or tertiary hyperparathyroidism (disease of the parathyroid gland)
  • Diseases of the adrenal gland (incidentaloma, adrenal gland adenoma, primary M. Cushing’s, Conn’s adenoma, adrenal gland carcinoma)
  • Pheochromocytoma
Tumour Surgery and Special Surgical Oncological Treatment
  • Entire spectrum of oncological surgery, even in rare cases and complex plastic reconstruction
  • Sarcoma
  • Limb perfusion, (ILP – isolated limb perfusion) for sarcomas and melanomas
  • HIPEC (hyperthermic intraperitoneal chemoperfusion)
  • Metastatic surgery: lung metastases
  • Metastatic surgery: liver metastases
  • Surgery on multiple metastases in the abdominal area
  • Peritonectomy (peritoneum removal)
  • Multiorgan resections (removal of several organs)
  • Laser surgery for removal of metastases
  • Microwave ablation
Minimally Invasive Surgery

General minimally invasive visceral surgery:

  • Explorative laparoscopy
  • Lap. sampling
  • Lap. adhesiolysis
  • Lap. hernia operations (TEP/TAPP)
  • Lap. appendectomy
  • Lap. cholecystectomy (removal of gall bladder to treat gallstones)
  • Lap. windowing of liver cysts
  • Lap. fundoplication and repair of hiatal hernia
  • Lap. oversewing, e.g. for perforations of the stomach
  • Lap. construction of Witzel fistula
  • Lap. removal of adrenal gland adenomas
  • Lap. rectopexy in combination with sigma resection

 
Minimally invasive tumour surgery

  • Lap. hemicolectomy right / left
  • Lap. sigma resection
  • Lap. anterior rectum resection / exstirpations
  • Lap. artificial anus (anus praeter) constructions
Intestine Centre
  • Functional diagnostics (MR defecography, conventional defecography, 3D endosonography, out-patient procto / rectoscopy, sphinctermanometry, surgical ultrasound)
  • Minimally invasive surgery (MIC)
  • Standardised rectum surgery (total and partial mesorectal excision)
  • Standardised colon surgery (mesofascial resection)
  • Modern transanal surgery (TEO, TEM)
  • Modern endoscopic surgery: hybrid-needle-knife for endoscopic submucosal dissection (ESD)
  • Cystoreductive surgery (CRC) and hyperthermic intraperitoneal chemotherapy (HIPEC)
  • Metastastic surgery of the liver (organ-saving, with IOS, combined procedure such as microwave/RFA)
  • Metastastic surgery of the lungs (parenchyma-saving laser resection)
  • Biofeedback therapy / implementation of sacral nerve stimulation
  • Chemoembolisation for liver metastases
  • Image-guided local thermotherapy (microwave, radio frequency ablation)

 
The Intestine Centre has been certified by the German Cancer Society.

Liver Centre

The following operations can be performed after diagnosis of a benign or malignant tumour (lesion):

Anatomical surgery of the liver:

  • Segment resection
  • Left lateral liver resection
  • Right hemihepatectomy, left hemihepatectomy
  • Extended left hemihepatectomy, extended right hemihepatectomy

 
Non-anatomical liver surgery, which is not based on anatomic formations but on localisation of tumours:

  • Laser surgery for liver metastases
  • Liver resection
  • Atypical resection

 
The Liver Centre, which is led by Prof. Dr. med. Matthias Schwarzbach as well as Priv. Doz. Dr. med. Hendrik Manner, was certified as a competence centre for surgical diseases of the liver in May 2013 by the Society for General and Visceral Surgery (DGAV).

Pancreas Centre

One main focus of Klinikum Frankfurt Höchst is the diagnostics and treatment of pancreatic diseases. The Pancreas Centre is certified by the German Society for General and Visceral Surgery (DGAV) as well as by the German Cancer Society (DKG). 

Over 70 interventions are performed on the pancreas per year, due to malignant or benign pancreatic diseases (carcinomas, precancerous stages, acute and chronic pancreatitis). All Patients are jointly discussed by gastroenterologists, radiologists, radiation therapists, oncologists, anaesthetists and pathologists within the context of an interdisciplinary expert conference.

Sarcoma Centre

Sarcomas are malignant tumours, which arise from supporting or connective tissue. Depending on the origin of the tumours, various tumours can be distinguished, such as for instance liposarcomas (arising from fat cells), leiomyosarcomas (arising from muscle cells), angiosarcomas (arising from blood vessels) or fibrosarcomas (arising from connective tissue cells). A common feature of all sarcomas is that they metastasize at a very early stage, i.e. through the bloodstream. Sarcomas occur primarily on the limbs as well as the trunk and the retroperitoneum, whereby the head and the neck may also be affected. A rather rare occurrence of this disease is an infestation of the gastrointestinal tract. These tumours are referred to as gastrointestinal stromal tumours (GIST).

A main focus of the Clinic is the diagnostics and treatment of these soft tissue tumours.  By means of interdisciplinary collaboration with the specialised departments of radiology, nuclear medicine, oncology, anaesthesia and pathology, we provide the best possible medical care for our patients. Furthermore, we also have a cooperation with the University Centre for Tumour Diseases (UCT) in Frankfurt.

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