{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T10:12:49Z","timestamp":1787220769831,"version":"build-2736575974"},"reference-count":36,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die Ergonomie stellt in der Medizin, aber auch insbesondere in der robotischen Chirurgie weiterhin ein untersch\u00e4tztes Thema dar. Trotz technischer Fortschritte leiden Chirurginnen und Chirurgen h\u00e4ufig unter muskuloskelettalen Beschwerden wie Nacken-, R\u00fccken- und Handgelenksschmerzen. Vorherige Studien konnten zeigen, dass mangelndes Wissen \u00fcber ergonomisches Arbeiten an der Konsole, unphysiologische Haltungen und fehlendes Training h\u00e4ufige Ursachen f\u00fcr Fehlhaltungen und assoziierte Beschwerden sind. Eine physiologische K\u00f6rperhaltung stellt die Grundlage ergonomischen Arbeitens \u2013 sowohl im Stehen als auch im Sitzen dar. Besonderer Relevanz kommt hierbei einer neutralen Kopf-, Becken- und Wirbels\u00e4ulenstellung sowie der Rumpfstabilit\u00e4t und regelm\u00e4\u00dfigem Training der Haltemuskulatur zu.Ein Vergleich verschiedener robotischer Systeme zeigt deutliche Unterschiede in der Konsolengestaltung und damit verbundene ergonomische Herausforderungen. Systeme mit flexibel einstellbarem Kopfteil verbessern z.\u00a0B. die Nackenhaltung, w\u00e4hrend offene Konsolen die Kommunikation im OP-Saal unterst\u00fctzen.Auch die Rolle des Bedside Assistants ist aus ergonomischer Sicht kritisch. Die Diskrepanz zwischen motorischer und visueller Achse f\u00fchrt schnell zu Beschwerden im Nacken-, Schulter- und Armbereich. Strukturierte Ausbildungscurricula und ergonomische Trainings fehlen im chirurgischen Alltag.Zur Pr\u00e4vention von muskuloskelettalen Beschwerden k\u00f6nnen gezielte Dehn- und Mobilisations\u00fcbungen w\u00e4hrend sog. Mikropausen durchgef\u00fchrt werden, die nachweislich Schmerzen reduzieren und die Konzentration sowie die Leistung verbessern. Eine korrekte Einstellung der Konsole kann zudem den robotischen Arbeitsplatz signifikant ergonomisch verbessern.<\/jats:p>","DOI":"10.1055\/a-2768-9435","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T23:36:32Z","timestamp":1769211392000},"page":"372-378","source":"Crossref","is-referenced-by-count":1,"title":["Ergonomie in der Robotik \u2013 ein Leitfaden f\u00fcr die Praxis"],"prefix":"10.1055","volume":"151","author":[{"given":"Dolores","family":"Krauss","sequence":"additional","affiliation":[{"name":"Uniklinik K\u00f6ln, Deutschland","place":["K\u00f6ln"],"department":["Klinik und Poliklinik f\u00fcr Allgemein-, Viszeral-, Thorax- und Transplantationschirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Sharif","sequence":"additional","affiliation":[{"name":"Uniklinik K\u00f6ln, Deutschland","place":["K\u00f6ln"],"department":["Klinik und Poliklinik f\u00fcr Allgemein-, Viszeral-, Thorax- und Transplantationschirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiane","family":"Bruns","sequence":"additional","affiliation":[{"name":"Uniklinik K\u00f6ln, Deutschland","place":["K\u00f6ln"],"department":["Klinik und Poliklinik f\u00fcr Allgemein-, Viszeral-, Thorax- und Transplantationschirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans Friedrich","family":"Fuchs","sequence":"additional","affiliation":[{"name":"Uniklinik K\u00f6ln, Deutschland","place":["K\u00f6ln"],"department":["Klinik und Poliklinik f\u00fcr Allgemein-, Viszeral-, Thorax- und Transplantationschirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,1,23]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/SPV.0000000000000456","article-title":"Ergonomics in Surgery: A Review","volume":"24","author":"T Catanzarite","year":"2018","journal-title":"Female 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