{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T20:17:26Z","timestamp":1764101846572,"version":"3.46.0"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"S 01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Hintergrund Ziel dieser Arbeitsgruppe der Deutschen Gesellschaft f\u00fcr Thoraxchirurgie (DGT) war die Erarbeitung eines Expertenkonsensus basierend auf dem Delphi-Verfahren zur Definition von \u201eGewebehandling\u201c (Behandlung von und Umgang mit Geweben) und Darstellung des intraoperativen Umgangs mit bestimmten anatomischen Strukturen bei thoraxchirurgischen Eingriffen.<\/jats:p>\n                  <jats:p>Material und Methoden Eingeladene Experten (Fach\u00e4rzte f\u00fcr Thoraxchirurgie; n\u2009=\u200993) bearbeiteten 2 aufeinanderfolgende elektronische Delphi-Fragerunden zu 4 Schwerpunkten: Durchtrennung von Lungenparenchym, Pr\u00e4paration\/Durchtrennung von Lungengef\u00e4\u00dfen, Angioplastik\/Gef\u00e4\u00dfanastomosen und Bronchusabsetzung\/-plastik\/-anastomose. Als Konsens wurde eine \u00dcbereinstimmung in \u2265\u200975% festgelegt. Bei der anschlie\u00dfenden Expertenkonferenz wurden die Ergebnisse der Delphi-Umfragen diskutiert und mittels TED-Abstimmung versucht, Konsens zu erzielen.<\/jats:p>\n                  <jats:p>Ergebnisse In der 1. Fragerunde wurden jeweils 66 (71%) und in der 2. Fragerunde jeweils 33 (35%) Antworten gegeben. Strittige Fragen wurden durch eine finale Abstimmung bei der Expertenkonferenz (54 Teilnehmer; im Durchschnitt 55% Beteiligung) erneut diskutiert. Die Definition des Begriffs \u201eGewebehandling\u201c beinhaltet alle Verfahren zur Pr\u00e4paration, Durchtrennung, Versiegelung und Rekonstruktion von verschiedenen k\u00f6rpereigenen Geweben im Rahmen von thoraxchirurgischen Eingriffen (100% Konsens). Ebenso wurde der Begriff der \u201eangioplastischen Erweiterung\u201c mit einem Konsens von 97% definiert. Ein Konsens wurde zudem bei der Technik zur Durchtrennung des Lungenparenchyms mittels Klammernahtger\u00e4ten, der erforderlichen Deckung von Anastomosen und des Bronchusstumpfes, insbesondere nach einer Vorbehandlung, erreicht (&gt;\u200975%).<\/jats:p>\n                  <jats:p>Schlussfolgerung Dieser Expertenkonsens definiert erstmalig den Begriff des Gewebehandlings in der Thoraxchirurgie. Des Weiteren f\u00fchrte dieser Delphi-Prozess zu einer umfassenden aktuellen Bestandsaufnahme unterschiedlicher intraoperativer Vorgehensweisen in der deutschen Thoraxchirurgie mit daraus abgeleiteten konsentierten Empfehlungen f\u00fcr das Gewebehandling an Lungenparenchym, -gef\u00e4\u00dfen und Bronchialstrukturen.<\/jats:p>","DOI":"10.1055\/a-1502-8008","type":"journal-article","created":{"date-parts":[[2021,7,5]],"date-time":"2021-07-05T19:44:06Z","timestamp":1625514246000},"page":"S9-S15","source":"Crossref","is-referenced-by-count":1,"special_numbering":"S","title":["\u201eGewebehandling\u201c in der Thoraxchirurgie \u2013 Ergebnisse einer Delphi-Konsensuskonferenz der Deutschen Gesellschaft f\u00fcr Thoraxchirurgie"],"prefix":"10.1055","volume":"147","author":[{"given":"Michael","family":"Ried","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Thoraxchirurgie, Universit\u00e4tsklinikum Regensburg, 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