{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T05:30:11Z","timestamp":1730871011747,"version":"3.28.0"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Im vorliegenden Manuskript stellen wir unser Konzept zur Ausbildung in der robotischen Chirurgie des oberen Gastrointestinaltraktes vor. Das hier vorgestellte Ausbildungskonzept fokussiert sich auf die beiden chirurgischen \u201eBenutzergruppen\u201c, (Table Assists) und Fach\u00e4rzt*innen (Operateur*innen), und stellt separat die Kernaspekte des Trainings der jeweiligen Gruppe vor.<\/jats:p><jats:p>F\u00fcr Table Assists stellen wir M\u00f6glichkeiten f\u00fcr die fr\u00fchzeitige Einbindung in die Robotik dar und stellen unseren Ansatz zur Erlernung von ersten Schritten in der Vorbereitung der Operation, der Assistenz w\u00e4hrend der Operation, der Kommunikation als Schl\u00fcsselfaktor in der robotischen Chirurgie sowie des alternativen Trainings vor.<\/jats:p><jats:p>F\u00fcr Fach\u00e4rzt*innen, welche die eigenst\u00e4ndige Durchf\u00fchrung robotischer Eingriffe erlernen sollen, diskutieren wir das virtuelle Training mittels SimNow Trainer und den von uns pr\u00e4ferierten fr\u00fchen klinischen Einsatz. Weiter stellen wir M\u00f6glichkeiten der Assistenz wie das Dual-Console-Setup und das Telestration-System vor. Abschlie\u00dfend pr\u00e4sentieren wir unser Trainingskonzept zur Entwicklung robotischer operativer Fertigkeiten im oberen Gastrointestinaltrakt durch eine Kombination aus Teilschritten und steigendem Schwierigkeitsgrad der Eingriffe. Essenziell hierbei ist aus unserer Sicht, die Stepstones der Roboterchirurgie zu vermitteln und sicher zu beherrschen. Hierzu muss das Training strukturiert und regelm\u00e4\u00dfig erfolgen, sodass Schritt f\u00fcr Schritt komplexere Teilschritte und Eingriffe \u00fcbernommen werden k\u00f6nnen.<\/jats:p>","DOI":"10.1055\/a-2258-0471","type":"journal-article","created":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T23:47:25Z","timestamp":1709250445000},"page":"187-194","source":"Crossref","is-referenced-by-count":1,"title":["How I Teach It: robotische Chirurgie am oberen Gastrointestinaltrakt"],"prefix":"10.1055","volume":"149","author":[{"given":"Justus","family":"Baecker","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemeine Chirurgie, Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie, Universit\u00e4tsmedizin Greifswald, Greifswald, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Hummel","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemeine Chirurgie, Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie, Universit\u00e4tsmedizin Greifswald, Greifswald, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,2,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1091","DOI":"10.1007\/s004649900788","article-title":"Telesurgical laparoscopic cholecystectomy","volume":"12","author":"J Himpens","year":"1998","journal-title":"Surg Endosc"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1569","DOI":"10.1001\/jama.2017.7219","article-title":"Effect of Robotic-Assisted vs Conventional Laparoscopic Surgery on Risk of Conversion to Open Laparotomy Among Patients Undergoing Resection for Rectal Cancer: The ROLARR Randomized Clinical Trial","volume":"318","author":"D Jayne","year":"2017","journal-title":"JAMA"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1219","DOI":"10.1002\/bjs.8841","article-title":"Randomized clinical trial of robot-assisted versus standard laparoscopic right colectomy","volume":"99","author":"JS Park","year":"2012","journal-title":"Br J Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1719","DOI":"10.1136\/ijgc-2020-001611","article-title":"Cost-effectiveness of robotic hysterectomy versus abdominal hysterectomy in early endometrial cancer","volume":"30","author":"ES Lundin","year":"2020","journal-title":"Int J Gynecol Cancer"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"m2457","DOI":"10.1136\/bmj.m2457","article-title":"Robotic versus laparoscopic ventral hernia repair: multicenter, blinded randomized controlled trial","author":"OA Olavarria","year":"2020","journal-title":"BMJ"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1007\/s00464-019-06775-1","article-title":"A comprehensive review of robotic surgery curriculum and training for residents, fellows, and postgraduate surgical education","volume":"34","author":"R Chen","year":"2020","journal-title":"Surg Endosc"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1007\/s11701-023-01813-6","article-title":"Conception and prospective multicentric validation of a Robotic Surgery Training Curriculum (RoSTraC) for surgical residents: from simulation via laboratory training to integration into the operation room","volume":"18","author":"M Thomaschewski","year":"2024","journal-title":"J Robotic Surg"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"621","DOI":"10.1097\/SLA.0000000000003031","article-title":"Robot-assisted Minimally Invasive Thoracolaparoscopic Esophagectomy Versus Open Transthoracic Esophagectomy for Resectable Esophageal Cancer: A Randomized Controlled Trial","volume":"269","author":"PC van der Sluis","year":"2019","journal-title":"Ann Surg"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1007\/s11701-015-0513-4","article-title":"Virtual reality robotic surgery simulation curriculum to teach robotic suturing: a randomized controlled trial","volume":"9","author":"DJ Kiely","year":"2015","journal-title":"J Robotic Surg"}],"container-title":["Zentralblatt f\u00fcr Chirurgie - Zeitschrift f\u00fcr Allgemeine, Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2258-0471.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:45:07Z","timestamp":1730825107000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2258-0471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,29]]},"references-count":9,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2024,4,2]]},"published-print":{"date-parts":[[2024,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2258-0471","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0044-409X","1438-9592"],"issn-type":[{"type":"print","value":"0044-409X"},{"type":"electronic","value":"1438-9592"}],"subject":[],"published":{"date-parts":[[2024,2,29]]}}}