{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T05:21:11Z","timestamp":1768886471981,"version":"3.49.0"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Robotische Mikrochirurgie ist ein wachsendes Feld in der rekonstruktiven\n                    Chirurgie und beinhaltet viele Vorteile wie eine optimale Ergonomie sowie eine\n                    Reduktion des physiologischen Tremors. Allerdings sind bis zum heutigen\n                    Zeitpunkt nur eine geringe Anzahl an robotischen Systemen verf\u00fcgbar, die ein\n                    mikrochirurgisches Arbeiten erm\u00f6glichen. Nach wie vor ist die Durchf\u00fchrung einer\n                    robotischen mikrochirurgischen Nervenkoaptation eine Herausforderung in der\n                    klinischen Praxis. Targeted Muscle Reinnervation (TMR) ist eine innovative\n                    rekonstruktive Methode mit mehrfachen Nerventransfers zu den Muskeln des\n                    Amputationsstumpfes, welche zum einen die Neuromentwicklung verhindern und zum\n                    anderen die Anwendungsm\u00f6glichkeit einer bionischen Prothese verbessern sollen.\n                    Robotische Mikrochirurgie erm\u00f6glicht ein hohes Ma\u00df an Pr\u00e4zision und die\n                    Reduktion des physiologischen Tremors, verlangt jedoch hohe Investitionskosten\n                    was eine gro\u00dfe Herausforderung f\u00fcr unser Gesundheitssystem darstellt.\n                    Zusammenfassend zeigt diese Studie die M\u00f6glichkeit der Anwendung von robotischer\n                    Mikrochirurgie in der peripheren Nervenchirurgie, insbesondere f\u00fcr\n                    Nerventransfers, bei denen eine pr\u00e4zise Durchf\u00fchrung in einem limitierten Platz\n                    durchgef\u00fchrt werden muss. Zuk\u00fcnftige Studien werden das Potenzial von\n                    robotischer Mikrochirurgie f\u00fcr die peripheren Nervenchirurgen weiter evaluieren\n                    m\u00fcssen<\/jats:p>","DOI":"10.1055\/a-2241-5678","type":"journal-article","created":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T00:00:45Z","timestamp":1711065645000},"page":"257-260","source":"Crossref","is-referenced-by-count":9,"title":["Bionische Chirurgie trifft Bionische Rekonstruktion \u2013 erstes in-human\n                    Projekt von robotischer Mikrochirurgie zur Targeted Muscle\n                    Reinnervation"],"prefix":"10.1055","volume":"56","author":[{"given":"Martin","family":"Aman","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische und Rekonstruktive Chirurgie,\n                    Schwerbrandverletztenzentrum, BG Unfallklinik Ludwigshafen, Ludwigshafen,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Struebing","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische und Rekonstruktive Chirurgie,\n                    Schwerbrandverletztenzentrum, BG Unfallklinik Ludwigshafen, Ludwigshafen,\n                    Germany"},{"name":"Klinik f\u00fcr Plastische und Handchirurgie der Universit\u00e4t Heidelberg,\n                    Heidelberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian","family":"Mayrhofer-Schmid","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische und Rekonstruktive Chirurgie,\n                    Schwerbrandverletztenzentrum, BG Unfallklinik Ludwigshafen, Ludwigshafen,\n                    Germany"},{"name":"Klinik f\u00fcr Plastische und Handchirurgie der Universit\u00e4t Heidelberg,\n                    Heidelberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila","family":"Harhaus","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische und Rekonstruktive Chirurgie,\n                    Schwerbrandverletztenzentrum, BG Unfallklinik Ludwigshafen, Ludwigshafen,\n                    Germany"},{"name":"Klinik f\u00fcr Plastische und Handchirurgie der Universit\u00e4t Heidelberg,\n                    Heidelberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Kneser","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische und Rekonstruktive Chirurgie,\n                    Schwerbrandverletztenzentrum, BG Unfallklinik Ludwigshafen, Ludwigshafen,\n                    Germany"},{"name":"Klinik f\u00fcr Plastische und Handchirurgie der Universit\u00e4t Heidelberg,\n                    Heidelberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arne Hendrik","family":"B\u00f6cker","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische und Rekonstruktive Chirurgie,\n                    Schwerbrandverletztenzentrum, BG Unfallklinik Ludwigshafen, Ludwigshafen,\n                    Germany"},{"name":"Klinik f\u00fcr Plastische und Handchirurgie der Universit\u00e4t Heidelberg,\n                    Heidelberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,3,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1078","DOI":"10.1097\/PRS.0000000000010108","article-title":"First-in-Human Free Flap Tissue Reconstruction Using a Dedicated Microsurgical\n                    Robotic Platform","volume":"151","author":"M Innocenti","year":"2023","journal-title":"Plast Reconstr Surg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"3378","DOI":"10.3390\/JCM11123378","article-title":"Robotic-Assisted Microsurgery 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Marescaux","year":"2002","journal-title":"Ann Surg"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1016\/J.JPRA.2022.09.002","article-title":"Exploring the learning curve of a new robotic microsurgical system for\n                    microsurgery","volume":"34","author":"C Barbon","year":"2022","journal-title":"JPRAS Open"}],"container-title":["Handchirurgie \u00b7 Mikrochirurgie \u00b7 Plastische 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