{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T01:31:42Z","timestamp":1755221502942,"version":"3.43.0"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T00:00:00Z","timestamp":1754611200000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100031478","name":"NextGenerationEU","doi-asserted-by":"crossref","award":["F\u00f6rderbstand 9 des Krankenhauszukunftfonds (KHZG)"],"award-info":[{"award-number":["F\u00f6rderbstand 9 des Krankenhauszukunftfonds (KHZG)"]}],"id":[{"id":"10.13039\/100031478","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Das pelvine intraoperative Neuromonitoring (pIONM) gewinnt zunehmend an Bedeutung als Instrument zur Verbesserung funktioneller Ergebnisse nach Rektumchirurgie. Diese Arbeit fasst aktuelle Erkenntnisse zum pIONM zusammen, darunter Ergebnisse der multizentrischen, randomisierten NEUROS-Studie, die signifikante Vorteile f\u00fcr urogenitale und ano-(neo-)rektale Funktionen belegt. Zudem wird die Rolle des Telementorings als Schl\u00fcssel f\u00fcr die standardisierte Einf\u00fchrung des robotisch assistierten pIONM untersucht. Eine Pilotserie demonstriert bei drei Operationen den geringen kognitiven Aufwand f\u00fcr Chirurgen w\u00e4hrend des telemedizinisch unterst\u00fctzten Monitorings, gemessen mittels NASA-TLX-Fragebogen (TLX-Score Spannweite von 5.0 bis 24.3). Die Ergebnisse unterstreichen das Potenzial des pIONM, Nervenverletzungen zu vermeiden und die Lebensqualit\u00e4t von Patienten zu steigern, w\u00e4hrend Telementoring die Verbreitung der Methode erleichtern k\u00f6nnte.<\/jats:p>","DOI":"10.1055\/a-2640-0212","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T22:44:22Z","timestamp":1754693062000},"page":"346-352","source":"Crossref","is-referenced-by-count":0,"title":["Pelvines intraoperatives Neuromonitoring \u2013 Update und Pilotstudie zum Telementoring"],"prefix":"10.1055","volume":"150","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7219-0523","authenticated-orcid":false,"given":"Werner","family":"Kneist","sequence":"additional","affiliation":[{"name":"Chirurgische Klinik 1, Klinik f\u00fcr Allgemein-, Viszeral- und Thoraxchirurgie, Klinikum Darmstadt, Darmstadt, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel Wilhelm","family":"Kauff","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Gef\u00e4\u00dfchirurgie mit Unfallchirurgie Nagold, Klinikverbund S\u00fcdwest GmbH, Sindelfingen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas Friedrich","family":"Schiemer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein- und Viszeralchirurgie, St Josefs-Hospital Wiesbaden, Wiesbaden, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Paschold","sequence":"additional","affiliation":[{"name":"Klinik 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