Thoracic Surgery Offenbach – Prof. Dr Peter Kleine

Prof. Dr Peter Kleine
Clinic Director and Chief Physician
Specialist in Thoracic Surgery
Offenbach, Germany

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Treatment Focus

  • Lung cancer surgery
  • Pulmonary nodule
  • Surgery of diseases of the costal pleura
  • Lung metastases 
  • Surgeries for thymic diseases
  • Diaphragmatic surgery

Medical Range

Range of Diagnostic Services

  • CT
  • MRI
  • Interventional radiological procedures
  • In cooperation Positron Emission Tomography (PET)
  • Lung scintigraphy
  • Bronchoscopy with endo-bronchial ultrasound (EBUS)
  • Thoracoscopy
  • Mediastinoscopy

Range of Therapeutic Services

  • Lung cancer surgery
  • VATS lobectomies
  • Robotic surgery
  • Lung metastasis surgery
  • Thymus tumours
  • Plastic surgery for benign or malignant tumours
  • Laser resections for benign or malignant tumours
  • Pneumothorax (collapsed lung)
  • Pleural effusion
  • COPD/lung volume reduction
  • Pleural mesothelioma
  • Diseases of the thymus (Mysthenia gravis)
  • Corrective surgery for elevated diaphragm
  • Treatments of the pulmonary nodule
  • Intensive treatments for lung diseases
  • Paediatric thoracic surgery

About Prof. Dr Peter Kleine – Thorax Specialist Hessen

Lung Centre at Sana Clinic Offenbach | Sana Clinics

Video, video length 2:27

Patients with lung diseases are treated at the Rhein Main Lung Center at the Sana Clinic Offenbach.


Prof. Dr Peter Kleine is a specialist in thoracic surgery and Chief Physician at the Sana Clinic Offenbach. Professor Kleine is also a Specialist Physician in surgery and cardiovascular surgery. The medical team at the Sana Clinic Offenbach offers a wide range of services for the diagnosis and treatment of the diseases of the organs in the thorax.

The focus is on minimally invasive procedures such as keyhole surgery and procedures on the lungs and costal pleura. In addition to major lung surgery, corrective surgery for elevated diaphragm, and laser resections for benign and malignant tumours, the clinic also offers the gentle VATS lobectomy method for lung cancer. This allows patients to recover quickly.

Thorax Clinic Offenbach – Experts in Minimally Invasive Thoracic Surgery

The Thoracic Clinic at the Sana Clinic Offenbach offers an extensive range of surgical services. The focus is on operations on the lungs and costal pleura as well as the diaphragm, trachea, and mediastinum. Whenever possible, these are operated on in a minimally invasive and tissue conserving manner. From the beginning of 2021, the surgical team will be putting a unique surgical robot into operation. This will make lung surgeries even more precise.

For every type of treatment, Professor Kleine attaches particular importance to open communication, good clarification, and close cooperation with the other specialist disciplines. As an experienced thoracic surgeon, Professor Kleine offers his patients his experience and expertise – from diagnosis to the treatment of thoracic diseases.

Interdisciplinary Collaboration for the Benefit of the Patient

Prof. Kleine is supported by other experts in diagnosis and therapy, especially pulmonologists and radiologists. In addition to conventional standard procedures such as CT, MRI, or lung endoscopy, special examination methods such as CT-guided puncture and marking of round lung foci and positron emission tomography (PET) via local cooperation are used. Thanks to the infrastructure of the clinic and the close networking with the other clinics of the building, the department of thoracic surgery also offers interdisciplinary interventions.

Specialist for Lung Cancer Surgery

One focus of the thoracic clinic is lung cancer surgery. Ahead of the surgery, Professor Kleine provides detailed information about the surgical methodology in the consultation hours. Before and after the surgical procedure, Dr Kleine discusses the patient's findings with the other medical specialists in a tumour board. The tumour board is an interdisciplinary team of pulmonologists, oncologists, radiation therapists, radiologists, and pathologists with whom Professor Kleine discusses tumour cases and determines the individual therapy.

VATS Lobectomy of the Lungs

Professor Kleine operates on early-stage lung cancer with the VATS lobectomy (video-assisted thoracoscopic lobectomy). This involves removing the lobes of the lungs affected by the cancer as well as the lymph nodes on the affected side. The post-surgical pain after a minimally invasive VATS lobectomy is less than after a conventional surgical method. Patients are also able to leave the clinic more quickly. Whether or not a VATS lobectomy is appropriate for a patient is determined individually after a thorough examination.

Having the Pulmonary Nodule Investigated Quickly

The pulmonary nodule is diagnosed and treated by Professor Kleine. The pulmonary nodule is a radiologically detected, roundishly delimited shadow, which is up to 3 cm in size. This can be either a lung tumour (benign or malignant) or a metastasis from a tumour in another part of the body. In most cases it is a benign, small growth - inflammatory changes - caused by an infection, or an immunological reaction. Imaging procedures or a histopathological examination ensure the diagnosis of the pulmonary nodule. Regular check-ups at the Department of Thoracic Surgery as well as discussions in a multidisciplinary team support the patient with the diagnosis of a pulmonary nodule, which is observed at regular intervals. If a surgical intervention is necessary, it is usually minimally invasive.

Pleural Cancer Surgery

Pleural mesothelioma or pleural carcinoma is most often caused by contact with asbestos. It requires treatment by a multidisciplinary team of surgeons, oncologists, pneumologists, and radiotherapists. During the surgery, the costal pleura is completely removed, whereby the lung tissue is preserved as completely as possible. This surgical procedure is carefully planned by Professor Klein and discussed in detail with the patient and his or her family.
Other tumours can also adhere to the costal pleura as metastases. This is usually the case when an accumulation of fluid appears in the thorax (i.e. pleural effusion). The fluid restricts the function of the lungs. Ttherefore, most patients suffer from shortness of breath. A minimally invasive surgery can achieve a permanent improvement of the symptoms by affixing the lung to the chest wall so no more fluid can accumulate.

Thymus Surgery

The thymus is a gland of the immune system. It is a recognizable, independent organ in children and adolescents and regresses during adulthood. Benign or malignant tumours can form from the cell remnants of the relapse. These are surgically removed at Professor Kleine’s Department of Thoracic Surgery. While the procedure is minimally invasive for small tumours (thoracoscopy), open surgery is necessary for larger ones. In addition to tumour surgery, Professor Kleine also removes the thymus in case of myasthenia gravis (muscle weakness) to improve a patient’s symptoms supporting the effectiveness of medications.

Diaphragm Surgery for an Elevated Diaphragm

The diaphragm is the most important respiratory muscle in the human body. An elevated diaphragm - causes can vary - is revealed by respiratory distress. This is particularly pronounced during exercise. Here, the therapy consists of a plastic correction in which the diaphragm is brought back into the proper position. This adjustment is one of Professor Kleine’s specialities at the Sana Clinic Offenbach. Thanks to his experience, the procedure is a low-risk incision which can be performed at any time after symptoms occur.

Learn more about Professor Kleine on the website of the Sana Clinic Offenbach.

 

Curriculum Vitae

University Education

1979 – 1985 Medical studies at the RWTH Aachen University
Preliminary medical examination 1981 (good)
1st state examination 1982 (good)
2nd state examination 1984 (good)
3rd state examination 1985 (very good)
1981 – 1982 Internship at Regina General Hospital, Regina, Canada
25.11.1985 Licence to practice medicine
(District President Düsseldorf)

Clinical activity

01/1986 – 03/1988 Junior Doctor at the Clinic for Surgery (Cardiac, Thoracic, General and Trauma Surgery), Westend Hospital, Berlin (Prof. Dr E. S. Bücherl)
04/1988 – 02/1990 Junior Doctor at the Clinic for Cardiac Surgery at the Central Hospital Augsburg (Prof. Dr E. Struck)
03/1990 – 09/1993 Assistant Doctor at the Clinic for General Vascular, Thoracic, and Trauma Surgery of the Singen City Hospital (Prof. Dr D. Rühland, Prof. Dr D. Veihelmann)
10/1993 – 06/1994 Junior Doctor at the Clinic for Cardiac, Thoracic, and Vascular Surgery at the Bevensen Cardiovascular Clinic (Prof. Dr J. Laas)
07/1994 – 09/2000 Senior Physician at the Clinic for Cardiac, Thoracic, and Vascular Surgery at the Bevensen Cardiovascular Clinic (Prof. Dr J. Laas)
10/2000 – 12/2006 Senior Physician at the Clinic for Thoracic, Cardiac, and Thoracic Vascular Surgery at the Clinic of the Johann-Wolfgang-Goethe University Frankfurt/Main (Prof. Dr A. Moritz)
01/2007 – 06/2017 Head of the Thoracic Surgery Department at the Johann-Wolfgang-Goethe University Hospital in Frankfurt/Main

Establishment of the University Lung Centre with locations at the University Clinic, St. Elisabethen Hospital Frankfurt, Ketteler-KH Offenbach, Asklepios-Clinic Langen, and Helios-Clinic DKD Wiesbaden
07/2017 – 08/2019 Clinic Director at the clinic for thoracic surgery at the HSK Wiesbaden
Since 01.09.2019   Chief Physician at the Clinic for Thoracic Surgery at SANA Clinic Offenbach

Recognition as a Specialist Physician

11/1993 Recognition as Specialist Physician for Surgery (State Medical Association of Baden-Württemberg)
02/1995 Recognition of the sub-specialty of Thoracic and Cardiovascular Surgery (Medical Association of Lower Saxony)

Academic activity

05/1987 Doctorate (magna cum laude), RWTH Aachen University: “Experimental investigations on the implantation behaviour and primary stability of a spherical Ti-6Al-4V acetabular prosthesis”
04/2003 Habilitation, J.W. Goethe University Frankfurt am Main
“The influence of the orientation of mechanical aortic valve prostheses on haemodynamics and coronary flow”
04/2009 Appointment as APL Professor at the J.W. Goethe University Frankfurt am Main
Editorial Board: International Journal of Cardiology.
Reviewer: The Annals of Thoracic Surgery
Journal of Thoracic and Cardiovascular Surgery
European Journal of Cardio.Thoracic Surgery
Expert Review of Medical Devices
The Journal of Heart Valve Disease
Surgical Technologies
Awards: Hans Borst Prize for the best lecture registration at the 36th Annual Meeting for Thoracic, Cardiovascular and Vascular Surgery 02/2007 (senior author of the abstract)

Consultancy

Since 1998 Medtronic Inc., Minnepolis, MN, US (member of the Global Advisory Board USA since 2009)
Since 2000 Guidant Inc., Cupertino, CA, US
Since 2005 St Jude Medical, St Paul, MN, US
Since 2006 Aesculap GmbH (Member of the Advisory Board Thoracic Surgery)

Quality management

02/2002 Certified “Medical Quality Manager” according to the curriculum of the German Medical Association
2002 – 2003 Development of a quality management system at the Clinic for Thoracic, Cardiac, and Thoracic Vascular Surgery at the Clinic of the Johann-Wolfgang-Goethe University Frankfurt/Main
Since 10/2003 DIN ISO 9001: 2000 Certification of the clinic (meanwhile recertified twice)
Since 2005 Chair of the “Quality management” working group of the German Society for Cardiac, Thoracic, and Vascular Surgery

Business Administration for Doctors

01/2003 Graduate “Health Economist”
Completion of a two-year part-time course in the study of “Business Management for Doctors” (Grade: 1.2)
  • Study module 1: Healthcare
  • Study module 2: Basics of General Business Administration
  • Study module 3: Business Administration in Hospitals

Medical Team

  • Dr José Mauricio Soriano Romero
    Deputy Chief Physician
  • Dr Panagiotis Therapidis
    Head Senior Physician
  • Dr Ulrich von Eichel
    Senior Physician with functional area
  • Ms Anja Ploss
    Specialist Physician for thoracic surgery
  • Ms Dr Filomena Quotadamo
    Specialist Physician for surgery
  • Mr Osma Ali
    Specialist Physician for cardiac surgery

Extras

Special private ward with single and double rooms and luxurious chamber facilities (also to be used with extra payment).

Location

Offenbach Central Station 0.5 km
Frankfurt (Main) Central Station 18 km
Frankfurt Airport 16 km

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Contact

Prof. Dr Peter Kleine
Clinic Director and Chief Physician

Sana Clinic Offenbach
Department of Thoracic Surgery
Starkenburgring 66, D-63069 Offenbach

T: +49 69 9893 9875
F: +49 69 8405 5677

Clinic:

Fridays 9:00 a.m. to 2:30 p.m.
and by appointment

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