{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T04:53:39Z","timestamp":1782190419055,"version":"3.54.5"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die \u00dcbertragung k\u00fcnstlicher Intelligenz (KI) in die Chirurgie schreitet rasch voran \u2013 vielf\u00e4ltige Forschungsprojekte und teils Medizinprodukte versprechen Unterst\u00fctzung entlang des chirurgischen Behandlungspfades von der pr\u00e4operativen Entscheidungsunterst\u00fctzung \u00fcber intraoperative Assistenzsysteme bis hin zur automatisierten postoperativen Qualit\u00e4tsbewertung. K\u00fcnstliche Intelligenz in der Chirurgie verspricht Effizienz, Objektivit\u00e4t und Skalierbarkeit des Zugangs zu chirurgischen F\u00e4higkeiten. Gleichzeitig wirft sie grundlegende ethische Fragen auf: Wie k\u00f6nnen Chirurg*innen und Patient*innen der KI vertrauen? Wer tr\u00e4gt die ethische und rechtliche Verantwortung f\u00fcr KI-gest\u00fctzte Entscheidungen? Wie kann sichergestellt werden, dass datengest\u00fctzte Systeme im Dienst der Patient*innensicherheit stehen? Der vorliegende Beitrag illustriert anhand eines klinischen Szenarios zentrale ethische Spannungsfelder und L\u00f6sungsans\u00e4tze, die am Beispiel der Initiative \u201eSurgical AI Hub Germany\u201c\n          diskutiert werden.<\/jats:p>","DOI":"10.1055\/a-2652-7696","type":"journal-article","created":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T22:47:48Z","timestamp":1759445268000},"page":"389-392","source":"Crossref","is-referenced-by-count":1,"title":["Ethische Herausforderungen durch KI in der Chirurgie"],"prefix":"10.1055","volume":"150","author":[{"given":"Andr\u00e9","family":"Schulze","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie, Technische Universit\u00e4t Dresden, Dresden, Deutschland"},{"name":"Nationales Centrum f\u00fcr Tumorerkrankungen (NCT), NCT\/UCC, Dresden, Deutschland"},{"name":"Centre for Tactile Internet with Human-in-the-loop (CeTI), Technische Universit\u00e4t Dresden, 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