{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T11:10:28Z","timestamp":1767006628529},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n               Hintergrund Darstellung der Anwendbarkeit einer strukturierten\n                    Implementierung der robotisch assistierten Chirurgie (RAS) und Evaluation einer\n                    modularen Trainingsoperation in der Implementierungsphase im\n                    Inhouse-Mentoring.<\/jats:p><jats:p>\n               Methoden Umsetzung eines selbstdefinierten PDCA-Implementierungszyklus\n                    (PDCA: Plan\u2013Do\u2013Check\u2013Act) begleitet durch die prospektive Datenerhebung von\n                    Patientencharakteristika, OP-Zeiten, Komplikationen, Konversionsraten und\n                    postoperativen Liegezeiten einer zeitlich und inhaltlich modular definierten\n                    Trainingsoperation (robotisch assistierte Rektosigmoidresektion \u2013 RARSR).<\/jats:p><jats:p>\n               Ergebnisse Evaluation von 100 konsekutiven Operationen verteilt auf 3\n                    Trainees und einen Inhouse-Mentor als interne Kontrollgruppe. Darstellung einer\n                    qualitativ sicheren und erfolgreichen Implementierung mit kurzer Lernkurve der\n                    Trainingsoperation bei balancierten Patientencharakteristika.<\/jats:p><jats:p>\n               Schlussfolgerung Eine strukturierte Implementierung erm\u00f6glicht die sichere\n                    Einf\u00fchrung der RAS in der Viszeralchirurgie. Modulare Trainingsoperationen\n                    k\u00f6nnen dabei die Adoption der RAS durch die Anwender unter Alltagsbedingungen\n                    erleichtern. Erstmalig demonstrieren wir dies im Inhouse-Mentoring-Ansatz.<\/jats:p>","DOI":"10.1055\/a-1552-4236","type":"journal-article","created":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T01:28:30Z","timestamp":1633397310000},"page":"35-41","source":"Crossref","is-referenced-by-count":4,"title":["Strukturierte Implementierung und modulares inhouse Training als\n                    zentrale Erfolgsfaktoren in der robotisch assistierten Chirurgie \u2013 Evaluation am\n                    Beispiel der kolorektalen Chirurgie"],"prefix":"10.1055","volume":"147","author":[{"given":"Oskar","family":"R\u00fcckbeil","sequence":"additional","affiliation":[{"name":"Chirurgie\/Zentrum f\u00fcr Robotik, Immanuel Klinik\n                    R\u00fcdersdorf, R\u00fcdersdorf bei Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uwe","family":"Sebestyen","sequence":"additional","affiliation":[{"name":"Chirurgie\/Zentrum f\u00fcr Robotik, Immanuel Klinik\n                    R\u00fcdersdorf, R\u00fcdersdorf bei Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tilman","family":"Schlick","sequence":"additional","affiliation":[{"name":"Chirurgie\/Zentrum f\u00fcr Robotik, Immanuel Klinik\n                    R\u00fcdersdorf, R\u00fcdersdorf bei Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colin M.","family":"Kr\u00fcger","sequence":"additional","affiliation":[{"name":"Chirurgie\/Zentrum f\u00fcr Robotik, Immanuel Klinik\n                    R\u00fcdersdorf, R\u00fcdersdorf bei Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,10,4]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1055\/a-0600-9868","article-title":"Initiating a Robotic Program for Abdominal Surgery \u2013 Experiences from a Centre\n                    in Germany","volume":"144","author":"M Brunner","year":"2019","journal-title":"Zentralbl Chir"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1007\/s00423-018-1690-1","article-title":"Implementation of robotic rectal surgery training programme: importance of\n                    standardisation and structured training","volume":"403","author":"S Panteleimonitis","year":"2018","journal-title":"Langenbecks Arch Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"684","DOI":"10.1002\/jso.24006","article-title":"Incorporating resident\/fellow training into a robotic surgery program","volume":"112","author":"MH Vetter","year":"2015","journal-title":"J Surg Oncol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1111\/codi.14475","article-title":"Robotic vs laparoscopic rectal tumour surgery: a cohort study","volume":"21","author":"D Asklid","year":"2019","journal-title":"Colorectal Dis"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1576","DOI":"10.1007\/s00464-015-4381-9","article-title":"A comparison of laparoscopic and robotic colorectal surgery outcomes using the\n                    American College of Surgeons National Surgical Quality Improvement Program (ACS\n                    NSQIP) database","volume":"30","author":"AR Bhama","year":"2016","journal-title":"Surg Endosc"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1569","DOI":"10.1001\/jama.2017.7219","article-title":"Effect of Robotic-Assisted vs Conventional Laparoscopic Surgery on Risk of\n                    Conversion to Open Laparotomy Among Patients Undergoing Resection for Rectal\n                    Cancer: The ROLARR Randomized Clinical Trial","volume":"318","author":"D Jayne","year":"2017","journal-title":"JAMA"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"203","DOI":"10.9738\/INTSURG-D-13-00201.1","article-title":"Diverticular disease complicated with colovesical fistula: laparoscopic versus\n                    robotic management","volume":"99","author":"V Maciel","year":"2014","journal-title":"Int Surg"},{"key":"ref9","first-page":"6","article-title":"F48. Implementation of transanal total mesorectal excision in Denmark:\n                    short-term outcome compared to open, conventional laparoscopic and\n                    robot-assisted procedures","volume":"21","author":"I Ose","year":"2019","journal-title":"Colorectal Dis"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1007\/s10151-018-1920-0","article-title":"Laparoscopic vs. robotic rectal cancer surgery and the effect on conversion\n                    rates: a meta-analysis of randomized controlled trials and\n                    propensity-score-matched studies","volume":"23","author":"K Phan","year":"2019","journal-title":"Tech Coloproctol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1007\/s00464-015-4218-6","article-title":"A population-based study comparing laparoscopic and robotic outcomes in\n                    colorectal surgery","volume":"30","author":"MS Tam","year":"2016","journal-title":"Surg Endosc"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1111\/codi.12872","article-title":"Possible benefits of robot-assisted rectal cancer surgery regarding urological\n                    and sexual dysfunction: a systematic review and meta-analysis","volume":"17","author":"M Broholm","year":"2015","journal-title":"Colorectal Dis"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1907","DOI":"10.1007\/s00384-019-03397-w","article-title":"Clinical, oncological, and functional outcomes of Da Vinci (Xi)-assisted versus\n                    conventional laparoscopic resection for rectal cancer: a prospective, controlled\n                    cohort study of 51 consecutive cases","volume":"34","author":"C Galata","year":"2019","journal-title":"Int J Colorectal Dis"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1097\/SLA.0b013e3182686bbd","article-title":"The impact of robotic surgery for mid and low rectal cancer: a 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robotic rectal resections: a cumulative sum analysis","volume":"31","author":"M Odermatt","year":"2017","journal-title":"Surg Endosc"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1807","DOI":"10.1007\/s00384-016-2660-0","article-title":"Learning curve in robotic rectal cancer surgery: current state of affairs","volume":"31","author":"RM Jimenez-Rodriguez","year":"2016","journal-title":"Int J Colorectal Dis"}],"container-title":["Zentralblatt f\u00fcr Chirurgie - Zeitschrift f\u00fcr Allgemeine, Viszeral-, Thorax- und 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