{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T23:23:56Z","timestamp":1787181836744,"version":"build-2736575974"},"reference-count":9,"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>Dieser Case-Report zeigt die rein robotisch assistierte Teilresektion und\n\t\t\t\t-rekonstruktion der Pars membranacea der Trachea mit bovinem Perikardpatch.<\/jats:p>\n                  <jats:p>Im Rahmen einer robotisch assistierten McKeown-\u00d6sophagektomie einer 36-j\u00e4hrigen\n\t\t\t\tPatientin mit neoadjuvant radiochemotherapiertem Plattenepithelkarzinom des\n\t\t\t\tmittleren \u00d6sophagus wurde w\u00e4hrend der Pr\u00e4parationsphase im Bereich der Trachea die\n\t\t\t\tMitresektion von Teilen der Pars membranacea notwendig zur sicheren\n\t\t\t\tR0-Resektion.<\/jats:p>\n                  <jats:p>Es erfolgten sowohl die Pr\u00e4paration als auch die Resektion und die komplette\n\t\t\t\tRekonstruktion mittels bovinem Perikardpatch rein robotisch assistiert.<\/jats:p>\n                  <jats:p>Bei ausgedehnten T4-Karzinomen ist durch die enge Lagebeziehung trotz\n\t\t\t\tneoadjuvanter Therapie nicht selten eine Mitresektion zur sicheren R0-Resektion\n\t\t\t\tnotwendig. Auch eine tracheobronchiale Verletzung im Rahmen einer \u00d6sophagektomie ist\n\t\t\t\teine seltene, aber schwerwiegende Komplikation mit potenziell letaler Konsequenz.\n\t\t\t\tTrotz der immer weiter steigenden Zahl der thorakoskopisch oder robotisch\n\t\t\t\tassistierten \u00d6sophagektomien ist i.\u00a0d.\u00a0R. eine Verletzung der Trachea oder der\n\t\t\t\tgro\u00dfen Bronchien mit einer Konversion zu einer Thorakotomie zur Versorgung der\n\t\t\t\tVerletzung notwendig. Dieser Case Report zeigt die sichere und gut durchf\u00fchrbare\n\t\t\t\trein robotisch assistierte Versorgung einer Teilresektion der Pars\n\t\t\t\tmembranacea.<\/jats:p>","DOI":"10.1055\/a-2794-1516","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:25:37Z","timestamp":1773102337000},"page":"345-350","source":"Crossref","is-referenced-by-count":0,"title":["Roboterassistierte Versorgung einer Verletzung des Tracheobronchialsystems w\u00e4hrend einer \u00d6sophagektomie"],"prefix":"10.1055","volume":"151","author":[{"given":"Julia","family":"Umstadt","sequence":"additional","affiliation":[{"name":"Israelitisches Krankenhaus Hamburg, Deutschland","place":["Hamburg"],"department":["Chirurgische Klinik"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan Niklas","family":"Hochstein","sequence":"additional","affiliation":[{"name":"Israelitisches Krankenhaus Hamburg, Deutschland","place":["Hamburg"],"department":["Chirurgische Klinik"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan Hendrik","family":"Egberts","sequence":"additional","affiliation":[{"name":"Israelitisches Krankenhaus Hamburg, Deutschland","place":["Hamburg"],"department":["Chirurgische Klinik"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"key":"ref3","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1007\/s11605-018-3746-5","article-title":"Multivisceral Resection for Locally Advanced Gastric and gastroesophageal\n\t\t\t\t\tJunction Cancers-11-Year Experience at a High-Volume North American\n\t\t\t\t\tCenter","volume":"23","author":"JC Molina","year":"2019","journal-title":"J Gastrointest Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1046\/j.1365-2168.1998.00579.x","article-title":"Tracheobronchial lesions following oesophagectomy: Prevalence,\n\t\t\t\t\tpredisposing factors and outcome","volume":"85","author":"HE Bartels","year":"1998","journal-title":"Br J Surg"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1016\/j.thorsurg.2015.04.008","article-title":"Intraoperative tracheal injury","volume":"25","author":"N Lui","year":"2015","journal-title":"Thorac Surg Clin"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"6143","DOI":"10.21037\/jtd-2019-as-05","article-title":"Management of tracheobronchial injuries","volume":"12","author":"S Welter","year":"2020","journal-title":"J Thorac Dis"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"621","DOI":"10.1097\/SLA.0000000000003031","article-title":"Robot-assisted Minimally Invasive Thoracolaparoscopic Esophagectomy Versus\n\t\t\t\t\tOpen Transthoracic Esophagectomy for Resectable Esophageal Cancer: A Randomized\n\t\t\t\t\tControlled Trial","volume":"269","author":"PC van der Sluis","year":"2019","journal-title":"Ann Surg"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/j.thorsurg.2014.02.010","article-title":"Robotic-assisted minimally invasive esophagectomy: the Ivor Lewis\n\t\t\t\t\tapproach","volume":"24","author":"IS Sarkaria","year":"2014","journal-title":"Thorac Surg Clin"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1055\/s-2001-11704","article-title":"Latrogenic tracheobronchial lesions \u2013 A report on 13 cases","volume":"49","author":"M Meyer","year":"2001","journal-title":"Thorac Cardiovasc Surg"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1002\/rcs.2175","article-title":"Ivor-Lewis oesophagectomy: A standardized operative technique in 11\n\t\t\t\t\tsteps","volume":"17","author":"F Franke","year":"2021","journal-title":"Int J Med Robot"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/jcm9113513","article-title":"Long-Term, Health-Related Quality of Life after Open and Robot-Assisted\n\t\t\t\t\tIvor-Lewis Procedures-A Propensity Score-Matched Study","volume":"9","author":"AS Mehdorn","year":"2020","journal-title":"J Clin Med"}],"container-title":["Zentralblatt f\u00fcr Chirurgie - Zeitschrift f\u00fcr Allgemeine, Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2794-1516.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T22:35:39Z","timestamp":1787178939000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2794-1516"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,9]]},"references-count":9,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2026,8,19]]},"published-print":{"date-parts":[[2026,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2794-1516","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0044-409X","1438-9592"],"issn-type":[{"value":"0044-409X","type":"print"},{"value":"1438-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,9]]}}}