{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T14:47:26Z","timestamp":1770821246627,"version":"3.50.1"},"reference-count":66,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\u00dcbung macht den Meister \u2013 ein Spruch, den sicherlich jeder schon geh\u00f6rt hat. Das \u00dcben von Chirurginnen und Chirurgen jeder Weiterbildungsstufe kann nachweislich zu einem Teil an Simulatoren\n          absolviert werden. Dieses Training au\u00dferhalb des Operationssaales und unabh\u00e4ngig von Patienten ist sowohl ethisch als auch finanziell sinnvoll. Obwohl die Effektivit\u00e4t von Simulation in der\n          Chirurgie mehrfach erwiesen wurde, ist ein Simulationstraining in Deutschland bisher kein verpflichtender Bestandteil der chirurgischen Facharztweiterbildung. Simulation umfasst dabei ein\n          sehr breites Spektrum hinsichtlich Anwendung, Aufwand und Kosten. Die vorliegende Arbeit gibt einen \u00dcberblick \u00fcber die Systeme und deren Einsatzgebiete und Zielgruppe. Der Fokus soll auf den\n          g\u00e4ngigen verf\u00fcgbaren Systemen liegen und m\u00f6gliche Vor- und Nachteile herausarbeiten. Praktische Fertigkeiten stehen dabei im Vordergrund und alle 3 S\u00e4ulen der Allgemein- und\n          Viszeralchirurgie \u2013 konventionelle Techniken, Laparoskopie und Robotik \u2013 werden ber\u00fccksichtigt. Simulatoren erzielen f\u00fcr sich genommen jedoch keine Kosten-Nutzen-Effektivit\u00e4t. Erst durch ein\n          standortspezifisches strukturiertes Weiterbildungskonzept, in dem weiterbildungsstufengerechtes Simulationstraining mit entsprechender Einteilung im Operationssaal eng miteinander verzahnt\n          werden, kann das volle Potenzial einer solchen Investition genutzt werden. Basisfertigkeiten sollten immer vor Ort trainiert werden k\u00f6nnen. Komplexe Simulationssysteme sind je nach\n          finanzieller Ausstattung realisierbar oder sollten aufgrund der deutlichen Mehrkosten im Verbund oder f\u00fcr \u00fcberregionale Kurse angeschafft werden. Die Techniken der immersiven virtuellen\n          Realit\u00e4t in Kombination mit k\u00fcnstlicher Intelligenz und Deformationsalgorithmen werden f\u00fcr die Zukunft der Simulation sicherlich eine entscheidende Rolle spielen, wobei zun\u00e4chst die Nutzung\n          der verf\u00fcgbaren Systeme ein prim\u00e4res Ziel sein muss. Die Integration von Simulation in die Facharztweiterbildung ist dabei anzustreben, nicht zuletzt, um die Finanzierung zu erleichtern.<\/jats:p>","DOI":"10.1055\/a-2111-0916","type":"journal-article","created":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T22:30:26Z","timestamp":1691706626000},"page":"337-346","source":"Crossref","is-referenced-by-count":5,"title":["Evidenz, Verf\u00fcgbarkeit und Zukunftsvisionen der Simulation in der Allgemein- und Viszeralchirurgie"],"prefix":"10.1055","volume":"148","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3219-501X","authenticated-orcid":false,"given":"Tobias","family":"Huber","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Transplantationschirurgie, Universit\u00e4tsmedizin der Johannes Gutenberg-Universit\u00e4t Mainz, Mainz, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florentine","family":"Huettl","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Transplantationschirurgie, Universit\u00e4tsmedizin der Johannes Gutenberg-Universit\u00e4t Mainz, Mainz, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Vradelis","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Transplantationschirurgie, Universit\u00e4tsmedizin der Johannes Gutenberg-Universit\u00e4t Mainz, Mainz, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hauke","family":"Lang","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Transplantationschirurgie, Universit\u00e4tsmedizin der Johannes Gutenberg-Universit\u00e4t Mainz, Mainz, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Grimminger","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Transplantationschirurgie, Universit\u00e4tsmedizin der Johannes 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