{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T12:38:24Z","timestamp":1789648704546,"version":"4.0.0"},"reference-count":226,"publisher":"Georg Thieme Verlag KG","issue":"S 01","license":[{"start":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T00:00:00Z","timestamp":1653264000000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Robotische Systeme f\u00fcr den Einsatz bei Operationen im Kopf-Hals-Bereich befinden sich in unterschiedlichen Stadien der technischen Entwicklung und der klinischen Anwendung. Vorrangig kommen robotische Systeme bei transoralen Operationen im Bereich des Pharynx und Larynx zum Einsatz, erste Erkenntnisse liegen jedoch auch zu onkologischen und funktionellen Ergebnissen nach Roboter-assistierten Operationen an den Halsweichteilen, der Schilddr\u00fcse und im Bereich des Mittel- und Innenohrs vor. Das folgende Referat bietet einen \u00dcberblick \u00fcber die Anwendungsbereiche der Roboter-assistierten Chirurgie im Kopf-Hals-Bereich im Hinblick auf den potenziellen Patienten-Benefit und die post-operative Lebensqualit\u00e4t. Der Schwerpunkt liegt dabei auf der Rolle der transoralen robotischen Chirurgie (TORS) bei der Resektion von Oropharynxkarzinomen. F\u00fcr diesen Anwendungsbereich liegen umfangreiche und langfristige Erkenntnisse vor, welche funktionelle Vorteile f\u00fcr ausgew\u00e4hlte Oropharynxkarzinom-Patienten nach TORS im Vergleich zu Therapiealternativen wie der offenen Chirurgie und der prim\u00e4ren Strahlentherapie zeigen. Da der TORS auch eine wichtige Rolle im Hinblick auf eine m\u00f6gliche Therapiedeeskalation f\u00fcr HPV-positive Oropharynxkarzinom-Patienten zukommt, werden entsprechende laufende Studien vorgestellt. Bei der Beurteilung des Therapie-Benefits und der Lebensqualit\u00e4t ist insbesondere bei Tumorpatienten zu beachten, dass individuelle Patienten-Pr\u00e4ferenzen deutlich variieren k\u00f6nnen. Beeinflussende Faktoren und Tools zur detaillierten Erfassung von Lebensqualit\u00e4tsparametern werden daher zu Beginn des Referats erl\u00e4utert.<\/jats:p><jats:p>W\u00e4hrend einige robotische Systeme f\u00fcr den Einsatz in der Ohrchirurgie und Sch\u00e4delbasischirurgie in Europa entwickelt und angewandt werden, kommen TORS-Systeme derzeit vor allem in Nordamerika und Asien zum Einsatz. Dies liegt darin begr\u00fcndet, dass in Europa und vor allem Deutschland mit der transoralen Laser-Mikrochirurgie (TLM) seit Jahrzenten eine bew\u00e4hrte Technologie f\u00fcr die transorale Tumorresektion zur Verf\u00fcgung steht. Zuk\u00fcnftige Studien zum Vergleich von TORS und TLM mit einer detaillierten Erfassung von Lebensqualit\u00e4tsparametern k\u00f6nnten dazu beitragen, geeignete Anwendungsbereiche f\u00fcr die jeweilige Technologie zu identifizieren.<\/jats:p>","DOI":"10.1055\/a-1647-8650","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T22:43:39Z","timestamp":1653345819000},"page":"S160-S185","source":"Crossref","is-referenced-by-count":6,"special_numbering":"S","title":["Patienten-Benefit und Lebensqualit\u00e4t nach Roboter-assistierten Operationen im Kopf-Hals-Bereich"],"prefix":"10.1055","volume":"101","author":[{"given":"Timon","family":"Hussain","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universit\u00e4tsklinikum Essen, Universit\u00e4t Duisburg-Essen"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,5,23]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/S0140-6736(18)30102-8","article-title":"Progress in clinical research in surgery and IDEAL","volume":"392","author":"P McCulloch","year":"2018","journal-title":"Lancet"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1109\/10.1354","article-title":"A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery","volume":"35","author":"Y S Kwoh","year":"1988","journal-title":"IEEE Trans Biomed Eng"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/01.mlg.0000199899.00479.75","article-title":"Assessment of intraoperative safety in transoral robotic surgery","volume":"116","author":"N G 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