{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T23:03:37Z","timestamp":1780959817540,"version":"3.54.1"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>In der Wirbels\u00e4ulenchirurgie gewinnt die endoskopische OP-Technik in den letzten Jahren zunehmend an Bedeutung. Die Technik an sich existiert zwar bereits seit Jahrzehnten. Durch den technischen Fortschritt und die zunehmend strukturierten Ausbildungskonzepte verbreitet sich die Technik jedoch erst in den letzten Jahren zunehmend. Heutzutage k\u00f6nnen endoskopische Eingriffe an allen Bereichen der Wirbels\u00e4ule vorgenommen werden, auch an der Brustwirbels\u00e4ule.<\/jats:p>\n                  <jats:p>Die beiden standardisierten endoskopischen Techniken an der Brustwirbels\u00e4ule sind der interlamin\u00e4re und der transforaminale Zugang. Dar\u00fcber hinaus gibt es einzelne Fallberichte, die einen endoskopischen transthorakalen oder retropleuralen Zugang beschreiben. Mit diesen Zug\u00e4ngen werden prim\u00e4r degenerative Pathologien wie Spinalkanalstenosen und Bandscheibenvorf\u00e4lle, aber auch Ossifikationen des Lig. flavum oder des hinteren L\u00e4ngsbandes behandelt. In Einzelf\u00e4llen kann der endoskopische Zugang auch zur Behandlung von selteneren Pathologien wie Infektionen, Tumoren und spontan aufgetretenen Duraverletzungen eingesetzt werden.<\/jats:p>\n                  <jats:p>Wie auch in anderen Bereichen der Wirbels\u00e4ule bietet die endoskopische Technik an der Brustwirbels\u00e4ule mutma\u00dfliche Vorteile gegen\u00fcber klassischen Methoden wie z.\u00a0B. geringere postoperative Schmerzen, eine k\u00fcrzere Krankenhausaufenthaltsdauer bzw. insgesamt k\u00fcrzere Rekonvaleszenzzeit.<\/jats:p>\n                  <jats:p>Endoskopische Zug\u00e4nge zur Brustwirbels\u00e4ule bieten mutma\u00dflich Vorteile gegen\u00fcber konventionellen OP-Techniken. Allerdings ist die aktuell vorhandene Literatur unzureichend, um fundierte Aussagen zu klinischen Outcomes und zur zuk\u00fcnftigen Entwicklung zu treffen. Da diese Zug\u00e4nge stets eine Herausforderung darstellen, sollten sie lediglich von in der endoskopischen Technik erfahrenen Chirurgen angewandt werden.<\/jats:p>","DOI":"10.1055\/a-2773-1913","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:21:04Z","timestamp":1768436464000},"page":"307-311","source":"Crossref","is-referenced-by-count":0,"title":["Endoskopische Zug\u00e4nge zur Brustwirbels\u00e4ule"],"prefix":"10.1055","volume":"151","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9081-1234","authenticated-orcid":false,"given":"Vincent","family":"Hagel","sequence":"additional","affiliation":[{"name":"Asklepios Klinik Lindau GmbH, BY, Deutschland","place":["Lindau"],"department":["Wirbels\u00e4ulenzentrum"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregor","family":"Gaudin","sequence":"additional","affiliation":[{"name":"Asklepios Klinik Lindau GmbH, BY, Deutschland","place":["Lindau"],"department":["Wirbels\u00e4ulenzentrum"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1443","DOI":"10.1007\/s00586-016-4380-0","article-title":"Giant central thoracic disc herniations: surgical outcome in 17 consecutive patients treated by mini-thoracotomy","volume":"25","author":"R Roelz","year":"2016","journal-title":"Eur Spine J"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1007\/s00264-018-4224-0","article-title":"Surgical treatment of thoracic disc herniation: an overview","volume":"43","author":"C Bouthors","year":"2019","journal-title":"Int Orthop"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.wneu.2023.08.067","article-title":"Complications of Endoscopic Thoracic Spine Surgery: Overview and Complication Avoidance","volume":"179","author":"MK Park","year":"2023","journal-title":"World Neurosurg"},{"issue":"S 1","key":"ref4","doi-asserted-by":"publisher","first-page":"S41","DOI":"10.21037\/jss.2019.04.19","article-title":"The benefit zone of full-endoscopic spine surgery","volume":"5","author":"S Hasan","year":"2019","journal-title":"J Spine Surg"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1227\/neu.0000000000003034","article-title":"Endoscopic Versus Traditional Thoracic Discectomy: A Multicenter Retrospective Case Series and Meta-Analysis","volume":"96","author":"N Sofoluke","year":"2025","journal-title":"Neurosurgery"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1254","DOI":"10.1007\/s00586-023-07595-7","article-title":"Full-endoscopic discectomy for thoracic disc herniations: a single-arm meta-analysis of safety and efficacy outcomes","volume":"32","author":"JDS Silva","year":"2023","journal-title":"Eur Spine J"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2685","DOI":"10.1007\/s00586-023-07807-0","article-title":"Full-endoscopic anterior excision of thoracic disc herniations, including giant and calcified discs with spinal cord compression: surgical technique and outcomes","volume":"32","author":"M Komp","year":"2023","journal-title":"Eur Spine J"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"762","DOI":"10.14444\/7109","article-title":"Thoracic Endoscopic Spine Surgery: A Comprehensive Review","volume":"14","author":"B Fiani","year":"2020","journal-title":"Int J Spine Surg"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"295","DOI":"10.21037\/jss-23-112","article-title":"A narrative review of endoscopic spine surgery: history, indications, uses, and future directions","volume":"10","author":"CL Antonacci","year":"2024","journal-title":"J Spine Surg"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"887","DOI":"10.3390\/medicina60060887","article-title":"Surgical Treatment of Calcified Thoracic Herniated Disc Disease via the Transthoracic Approach with the Use of Intraoperative Computed Tomography (iCT) and Microscope-Based Augmented Reality (AR)","volume":"60","author":"M Pojskic","year":"2024","journal-title":"Medicina (Kaunas)"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"990","DOI":"10.1016\/j.jocn.2015.01.008","article-title":"Intraoperative neurophysiologic monitoring with Hoffmann reflex during thoracic spine surgery","volume":"22","author":"AM Feyissa","year":"2015","journal-title":"J Clin Neurosci"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"770","DOI":"10.14245\/ns.2448652.326","article-title":"Complications in Minimally Invasive Spine Surgery in the Last 10 Years: A Narrative Review","volume":"21","author":"BI Boadi","year":"2024","journal-title":"Neurospine"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2025.01.004","article-title":"What is the learning curve for endoscopic spine surgery? 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