{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T16:42:57Z","timestamp":1764175377597,"version":"3.46.0"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"S 01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Das Leitsymptom des erworbenen einseitigen Zwerchfellhochstands ist die Atemnot, die typischerweise im Liegen, beim B\u00fccken und beim Schwimmen verst\u00e4rkt auftritt. Die \u00c4tiologie ist\n          vielf\u00e4ltig, wobei die idiopathische Genese und die Zwerchfellparese nach Sch\u00e4digung des N. phrenicus, bspw. bei (kardio-)thorakalen Eingriffen, die h\u00e4ufigsten Ursachen darstellen. Trotz\n          vielf\u00e4ltiger Behandlungsans\u00e4tze ist die operative Zwerchfellraffung die aktuell einzige effektive Therapie. Ziel der Operation ist die Wiederherstellung der Spannung des Zwerchfells, wodurch\n          die Atemmechanik verbessert, das Ausdehnungsvolumen erh\u00f6ht und eine m\u00f6gliche Kompression von basal durch abdominelle Organe verringert wird. Hierf\u00fcr stehen verschiedene Operationstechniken\n          mit verschiedenen Zugangswegen zur Verf\u00fcgung. Die roboterassistierte thorakoskopische Zwerchfellraffung verbindet die Vorteile eines minimalinvasiven Zugangs mit einer hervorragenden\n          Darstellung des Situs und einem gro\u00dfen Handlungsspielraum f\u00fcr den Operateur. Diese Operationsmethode ist sehr sicher, vergleichsweise einfach zu erlernen und geht mit deutlichen funktionalen\n          Verbesserungen einher.<\/jats:p>","DOI":"10.1055\/a-2003-1100","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T18:52:36Z","timestamp":1678301556000},"page":"S41-S47","source":"Crossref","is-referenced-by-count":2,"special_numbering":"S","title":["Roboterassistierte thorakoskopische Zwerchfellraffung"],"prefix":"10.1055","volume":"148","author":[{"given":"Uyen-Thao","family":"Le","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Thoraxchirurgie, Universit\u00e4tsklinikum Freiburg, Freiburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurin","family":"Titze","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Thoraxchirurgie, Universit\u00e4tsklinikum Freiburg, Freiburg, 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