{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T04:04:12Z","timestamp":1754021052043},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T00:00:00Z","timestamp":1669766400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T00:00:00Z","timestamp":1669766400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Bonn"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurgie"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Robotergest\u00fctzten Rektumresektionen wird nachgesagt, dass sie bekannte Schwierigkeiten der laparoskopischen Rektumchirurgie durch technische Vorteile \u00fcberwinden und so zu besseren Behandlungsergebnissen f\u00fchren. Ver\u00f6ffentlichte Studien berichten jedoch sehr heterogene Ergebnisse. Ziel dieser Arbeit ist es daher, festzustellen, ob es eine Klasse-1a-Evidenz f\u00fcr den Vergleich von robotergest\u00fctzten vs. laparoskopischen Rektumresektionen gibt. Weiterhin m\u00f6chten wir die Behandlungsergebnisse unserer Klinik mit den berechneten Effekten aus der Literatur vergleichen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Eine systematische Literaturrecherche nach Klasse-1a-Evidenz wurde durchgef\u00fchrt und die berechneten Effekte f\u00fcr 7\u00a0vorausgew\u00e4hlte Endpunkte wurden miteinander verglichen. Anschlie\u00dfend analysierten wir alle elektiven Rektumresektionen, die zwischen 2017 und 2020 in unserer Klinik durchgef\u00fchrt wurden, und verglichen die Behandlungsergebnisse mit den Ergebnissen der identifizierten Metaanalysen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die Ergebnisse der\u00a07 identifizierten Metaanalysen zeigten keine homogenen Effekte f\u00fcr die Endpunkte Operationszeit und Konversionsrate, w\u00e4hrend die berechneten Effekte der anderen untersuchten Endpunkte weitgehend konsistent waren. Unsere Patientendaten zeigten, dass robotergest\u00fctzte Rektumresektionen mit signifikant l\u00e4ngeren Operationszeiten assoziiert waren, w\u00e4hrend die anderen Outcomes kaum von der Operationstechnik beeinflusst wurden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Obwohl bereits Klasse-1a-Metaanalysen zum Vergleich von robotergest\u00fctzten und laparoskopischen Rektumresektionen vorliegen, erlauben diese keine evidenzbasierte Empfehlung zur Bevorzugung einer der beiden Operationstechniken. Die Analyse unserer Patientendaten zeigte, dass die in unserer Klinik erzielten Ergebnisse weitgehend mit den beobachteten Effekten der Metaanalysen \u00fcbereinstimmen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00104-022-01774-w","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T13:07:06Z","timestamp":1669813626000},"page":"138-146","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Robotergest\u00fctzte Rektumresektionen\u00a0\u2013 Scoping-Review f\u00fcr Klasse-1a-Evidenz und retrospektive Analyse klinikinterner Daten"],"prefix":"10.1007","volume":"94","author":[{"given":"Maria A.","family":"Willis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophia L. 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