{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T02:18:39Z","timestamp":1781662719414,"version":"3.54.5"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die robotergest\u00fctzte (RATS) anatomische Resektion ist eine neue, aber wegen ihrer\n\t\t\t\tKosten umstrittene Methode in der Behandlung von Lungentumoren. Das Ziel unserer\n\t\t\t\tretrospektiven Studie war der Vergleich klinischer Daten der anatomischen RATS- und\n\t\t\t\tVATS-Resektionen.<\/jats:p><jats:p>Die ersten 100 VATS- und RATS-Resektionen wurden hinsichtlich Tumorstadium, intra-\n\t\t\t\tund postoperativer Komplikationen, Konversion, OP-Zeit, Krankenhausaufenthalt und\n\t\t\t\tL\u00e4nge der Drainagebehandlung, postoperativer Schmerzen (numerische Rating-Skala NRS)\n\t\t\t\tund Letalit\u00e4t analysiert. Die Ergebnisse wurden mit Chi-Quadrat-, Fisher- und\n\t\t\t\tunabh\u00e4ngigem t-Test verglichen.<\/jats:p><jats:p>In der VATS-Gruppe war das Stadium I h\u00e4ufiger, das Stadium II seltener (St. I:\n\t\t\t\t73,4%; St. II: 19,2%) als in der RATS-Gruppe (St. I: 65,5%; St. II. 23%; p\u00a0=\u00a00,695).\n\t\t\t\tDie OP-Zeit war bei RATS l\u00e4nger (213,5\u00a0min vs. 190,3\u00a0min; p\u00a0=\u00a00,008), bedingt durch\n\t\t\t\tdie An- und Abdockzeiten des Robotersystems an den Patienten. In der RATS-Gruppe war\n\t\t\t\tdie Rate der sublob\u00e4ren Resektionen signifikant h\u00f6her (28% vs. 7%; p\u00a0&lt;\u00a00,001).\n\t\t\t\tDer Anteil intraoperativer Komplikationen (7% vs. 14%; p\u00a0=\u00a00,073) und die\n\t\t\t\tKonversionsrate (9% vs. 11%; p\u00a0=\u00a00,407) waren niedriger bei den RATS-Operationen.\n\t\t\t\tDie Anzahl der entfernten Lymphknoten war in beiden Gruppen hoch, jedoch nicht\n\t\t\t\tsignifikant unterschiedlich (VATS: 21,6; RATS: 22,1). Der Krankenhausaufenthalt war\n\t\t\t\tk\u00fcrzer nach RATS (8,8 Tage) als nach VATS (12,5 Tage; p\u00a0&lt;\u00a00,001), ebenso die\n\t\t\t\tL\u00e4nge der postoperativen Drainagebehandlung (5,6 vs. 8 Tage; p\u00a0&lt;\u00a00,001). In der\n\t\t\t\tRATS-Gruppe waren die postoperativen Schmerzen am 1. und 2. postoperativen Tag\n\t\t\t\tdeutlich niedriger ermittelt anhand der numerischen Rating-Skala (1,68 vs. 2,83;\n\t\t\t\tp\u00a0&lt;\u00a00,001; 0,99 vs. 2,41; p\u00a0&lt;\u00a00,001). Nach VATS war die Komplikationsrate\n\t\t\t\tsignifikant h\u00f6her als nach RATS (57% vs. 33%; p\u00a0=\u00a00,001), ebenso gab es weniger\n\t\t\t\tReoperationen in der RATS- (3%) im Vergleich zur VATS-Gruppe (8%; p\u00a0=\u00a00,121). In\n\t\t\t\tVATS-Gruppe starben 4 Patienten, nach RATS kein Patient (p\u00a0=\u00a00,043).<\/jats:p><jats:p>Die robotergest\u00fctzte Technik erm\u00f6glicht anatomische Resektionen zur Entfernung von\n\t\t\t\tLungentumoren, bei geringerer Konversions- und Komplikationsrate bzw. Letalit\u00e4t\n\t\t\t\tsowie geringeren postoperativen Schmerzen. Die Roboteroperationen zeigen sich somit\n\t\t\t\tals sicher und onkologisch vergleichbar mit den anatomischen VATS-Resektionen bei\n\t\t\t\tLungenkarzinom.<\/jats:p>","DOI":"10.1055\/a-2351-4297","type":"journal-article","created":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T23:58:11Z","timestamp":1738799891000},"page":"28-34","source":"Crossref","is-referenced-by-count":2,"title":["Die Ergebnisse der RATS und VATS bei anatomischen Resektionen in der Anfangsphase"],"prefix":"10.1055","volume":"150","author":[{"given":"Tamas","family":"Sz\u00f6ke","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Thoraxchirurgie, Krankenhaus Barmherzige Br\u00fcder Regensburg, Regensburg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Gro\u00dfer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Thoraxchirurgie, Krankenhaus Barmherzige Br\u00fcder Regensburg, Regensburg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rudolf","family":"Schemm","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Thoraxchirurgie, Krankenhaus Barmherzige Br\u00fcder Regensburg, Regensburg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Bruckmeier","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Thoraxchirurgie, Krankenhaus Barmherzige Br\u00fcder Regensburg, Regensburg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans Stefan","family":"Hofmann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Thoraxchirurgie, Krankenhaus Barmherzige Br\u00fcder Regensburg, Regensburg, 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