{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T08:44:45Z","timestamp":1779093885835,"version":"3.51.4"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T00:00:00Z","timestamp":1689638400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T00:00:00Z","timestamp":1689638400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oper Orthop Traumatol"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Operationsziel<\/jats:title>\n                <jats:p>Tumoren mit Lokalisation in der Regio axillaris stellen durch die enge anatomische Beziehung zu neurovaskul\u00e4ren Strukturen eine besondere Herausforderung f\u00fcr die Resektion dar. Operationsziel ist die R0-Resektion unter Wahrung eines maximalen Funktionserhalts.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Indikationen<\/jats:title>\n                <jats:p>Weichteilsarkome, Metastasen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Kontraindikationen<\/jats:title>\n                <jats:p>Fortgeschrittene Stadien mit Infiltration neurovaskul\u00e4rer Strukturen, Lokalisation des Biopsietrakts erfordert ausgedehnte Resektion, palliative Behandlungssituation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Operationstechnik<\/jats:title>\n                <jats:p>Erweiterter deltoideopektoraler Zugang. Ansatznahes Abl\u00f6sen des M.\u00a0pectoralis major et minor. Pr\u00e4paration der Vasa axillaria und der Faszikel des Plexus brachialis. Ligatur der in den Tumor eintretenden Gef\u00e4\u00dfe. Tumorresektion, Fadenmarkierung. Rekonstruktion mittels transoss\u00e4rer Reinsertion des M.\u00a0pectoralis minor am Processus coracoideus. Setzen von Bohrkan\u00e4len und transoss\u00e4re Refixation des M.\u00a0pectoralis major am Humerus.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Weiterbehandlung<\/jats:title>\n                <jats:p>Schulterabduktionskissen f\u00fcr 6\u00a0Wochen, passive Mobilisation Woche\u00a06 bis 12, dann aktive Mobilisation. Kompressionsorthese. Onkologische Nachsorge.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Zwischen 2017 und 2022 erfolgte in 6 konsekutiven F\u00e4llen (4 prim\u00e4re Weichteilsarkome, 2\u00a0Metastasen) die chirurgische Resektion. In 100\u202f% der F\u00e4lle wurde eine prim\u00e4re R0-Resektion erreicht. Das mittlere Follow-up lag bei 22,5\u00a0Monaten (3 bis 60\u00a0Monate), im gesamten Nachuntersuchungszeitraum traten keine Lokalrezidive auf. Der durchschnittliche Bewegungsumfang f\u00fcr die Abduktion im Schultergelenk lag bei 135,0\u202f\u00b1\u200941,4\u00b0 (Range 90\u2013180\u00b0). Es traten keine postoperativen sensomotorischen Defizite auf. Die subjektive Schulterfunktion lag bei 80,0\u202f\u00b1\u200921,0\u202f% (Range 50\u2013100\u202f%). Der mittlere MSTS-Score lag bei 89,5\u202f% (Range 32\u2013100\u202f%) und belegt somit ein gutes funktionales Outcome.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00064-023-00824-8","type":"journal-article","created":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T11:02:36Z","timestamp":1689678156000},"page":"377-389","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Extremit\u00e4tenerhaltende Resektion von Weichteilsarkomen in der Regio axillaris","Limb-sparing resection of axillary soft tissue sarcomas"],"prefix":"10.1007","volume":"35","author":[{"given":"Ricarda","family":"Stauss","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tilman","family":"Graulich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarek","family":"Omar Pacha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Omar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,7,18]]},"reference":[{"key":"824_CR1","unstructured":"Robert Koch-Institut (Hrsg) und die Gesellschaft der epidemiologischen Krebsregister in Deutschland e.\u202fV. 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Von allen beteiligten Patient\/-innen liegt eine Einverst\u00e4ndniserkl\u00e4rung vor. Alle Patienten, die \u00fcber Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}