{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T23:23:26Z","timestamp":1787354606690,"version":"build-2736575974"},"reference-count":66,"publisher":"Georg Thieme Verlag KG","issue":"S 01","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>Trotz minimalinvasiver Techniken bleibt chronischer Schmerz nach Thoraxchirurgie, oft bezeichnet als Postthorakoskopie-\/Postthorakotomie-Schmerzsyndrom (PTPS), ein relevantes klinisches Problem.<\/jats:p>\n                  <jats:p>Diese narrative \u00dcbersichtsarbeit fasst aktuelle Erkenntnisse zur Epidemiologie, Pathophysiologie, Pr\u00e4vention und Therapie chronischer postoperativer Schmerzen (CPSP) nach thoraxchirurgischen Eingriffen zusammen. Der Schwerpunkt liegt auf Analgesiestrategien im Kontext von Fr\u00fchmobilisation und Fast-Track-Konzepten.<\/jats:p>\n                  <jats:p>Akuter postoperativer Schmerz ist der wichtigste Pr\u00e4diktor f\u00fcr Schmerzchronifizierung. Multimodale Analgesie mit Paracetamol, NSAID\/COX-2-Inhibitoren und opioidsparendem Einsatz erg\u00e4nzender Substanzen bildet die Basis. Bei Thorakotomien bieten thorakale Epiduralanalgesie (TEA) und Paravertebralblockade die zuverl\u00e4ssigsten Ergebnisse. F\u00fcr Thorakoskopien sind Single-Shot-Verfahren in Kombination mit multimodaler Analgesie oft ausreichend; Katheterverfahren sind bei Risikopatienten oder gr\u00f6\u00dferen Eingriffen vorteilhaft. Alternative Optionen wie chirurgisch eingelegte Interkostalkatheter k\u00f6nnen eine pragmatische Erg\u00e4nzung darstellen.<\/jats:p>\n                  <jats:p>Die Pr\u00e4vention chronischer Schmerzen nach Thoraxchirurgie gelingt vor allem durch suffiziente Akutschmerztherapie. Kontinuierliche Regionalverfahren sind entscheidend f\u00fcr Fr\u00fchmobilisation und Fast-Track-Protokolle, w\u00e4hrend bei etabliertem PTPS\/CPSP ein multimodales, interdisziplin\u00e4res Vorgehen erforderlich ist.<\/jats:p>","DOI":"10.1055\/a-2816-4930","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T23:07:11Z","timestamp":1775084831000},"page":"S60-S68","source":"Crossref","is-referenced-by-count":1,"special_numbering":"S","title":["Postoperative Schmerzsyndrome nach Thorakoskopien und Thorakotomien \u2013 Pr\u00e4vention und Behandlung"],"prefix":"10.1055","volume":"151","author":[{"given":"Lisa-Lisett","family":"Schwarze","sequence":"additional","affiliation":[{"name":"Otto-von-Guericke-Universit\u00e4t Magdeburg, Deutschland","place":["Magdeburg"],"department":["Klinik f\u00fcr An\u00e4sthesiologie und Intensivtherapie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1176-161X","authenticated-orcid":false,"given":"Robert","family":"Werdehausen","sequence":"additional","affiliation":[{"name":"Otto-von-Guericke-Universit\u00e4t Magdeburg, Deutschland","place":["Magdeburg"],"department":["Klinik f\u00fcr An\u00e4sthesiologie und Intensivtherapie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bastian","family":"Fakundiny","sequence":"additional","affiliation":[{"name":"Otto-von-Guericke-Universit\u00e4t Magdeburg, Deutschland","place":["Magdeburg"],"department":["Klinik f\u00fcr Herz- und Thoraxchirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Max","family":"Wacker","sequence":"additional","affiliation":[{"name":"Otto-von-Guericke-Universit\u00e4t Magdeburg, Deutschland","place":["Magdeburg"],"department":["Klinik f\u00fcr Herz- und 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