{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:56Z","timestamp":1740126836269,"version":"3.37.3"},"reference-count":35,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Laut aktuellen revidierten Fukuoka-Leitlinien besteht die Indikation zur Resektion von BD-IPMN des Pankreas mit Worrisome Features, da hier ein Risiko der malignen Entartung von bis zu 30%\n          besteht. Die Resektion kann bei fehlenden klinischen, bildmorphologischen und laborchemischen Malignit\u00e4tszeichen als eine nicht anatomische, lokale Exzision durchgef\u00fchrt werden.<\/jats:p><jats:p>Eine robotische Enukleation bei benignen Raumforderungen der Bauchspeicheldr\u00fcse stellt eine sehr gute Alternative zu den resezierenden Verfahren, insbesondere zu denjenigen in offener\n          Technik, dar. Diese operative Behandlungsoption wird bei einem Mindestabstand bis zum pankreatischen Hauptgang von mindestens 2\u00a0mm im \u201eInternational consensus statement on robotic pancreatic\n          surgery\u201c nahegelegt.<\/jats:p><jats:p>Neben den bekannten Vorteilen der minimalinvasiven Chirurgie f\u00fchrt diese parenchymsparende Methode zum Erhalt von endo- und exokriner Funktion (ca. 90%) und zu einem progressfreien\n          10-Jahres-\u00dcberleben von ca. 75% bei etwas erh\u00f6hter Morbidit\u00e4t (ca. 60%) verglichen mit den resezierenden Verfahren.<\/jats:p><jats:p>Der folgende Videobeitrag pr\u00e4sentiert das Operationsvideo einer robotischen Zystenenukleation (bei Verdacht auf eine BD-IPMN mit Worrisome Features) im Pankreaskopf und Processus uncinatus\n          bei einer 62-j\u00e4hrigen Patientin mit besonderer Betonung der wichtigsten vaskul\u00e4ren Landmarken, Besonderheiten der Herangehensweise und Vorteile der robotischen Technik.<\/jats:p>","DOI":"10.1055\/a-1768-1123","type":"journal-article","created":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T22:39:22Z","timestamp":1649111962000},"page":"137-144","source":"Crossref","is-referenced-by-count":0,"title":["Robotisch gest\u00fctzte Enukleation einer zystischen Neoplasie des Pankreaskopfes"],"prefix":"10.1055","volume":"147","author":[{"given":"Stanislav","family":"Litkevych","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Chirurgie, Universit\u00e4tsklinikum Schleswig Holstein - Campus L\u00fcbeck, L\u00fcbeck, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Thomaschewski","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Chirurgie, Universit\u00e4tsklinikum Schleswig Holstein - Campus L\u00fcbeck, L\u00fcbeck, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Zimmermann","sequence":"additional","affiliation":[{"name":"Klinik 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