{"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":1787220769431,"version":"build-2736575974"},"reference-count":20,"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>Der digitale Zwilling (Digital Twin) bezeichnet die virtuelle, dynamische Repr\u00e4sentation eines realen Objektes, die durch kontinuierlichen Datenaustausch mit ihrem physischen realen Objekt aktualisiert wird. Urspr\u00fcnglich in industriellen Anwendungsfeldern etabliert, gewinnt das Konzept zunehmend auch in der Medizin und hierbei vor allem in der Chirurgie an Bedeutung.<\/jats:p>\n                  <jats:p>Digitale Zwillinge integrieren multimodale Patientendaten, darunter Bilddaten, physiologische Messwerte und intraoperative Sensordaten, zu patientenspezifischen Modellen. Diese k\u00f6nnen in der pr\u00e4operativen Planung, intraoperativen Entscheidungsunterst\u00fctzung sowie in der postoperativen Verlaufskontrolle eingesetzt werden.<\/jats:p>\n                  <jats:p>Erste Anwendungen, insbesondere in der onkologischen und vaskul\u00e4ren Chirurgie, zeigen ein hohes Potenzial zur Verbesserung der chirurgischen Pr\u00e4zision und zur Reduktion von Komplikationen. Dar\u00fcber hinaus er\u00f6ffnen digitale Zwillinge neue M\u00f6glichkeiten in der chirurgischen Ausbildung und Telechirurgie.<\/jats:p>\n                  <jats:p>Trotz vielversprechender Ans\u00e4tze befinden sich digitale Zwillinge in der Chirurgie noch \u00fcberwiegend in fr\u00fchen Entwicklungsstadien. Herausforderungen bestehen insbesondere in der Datenqualit\u00e4t, Modellvalidierung sowie in ethischen und rechtlichen Fragestellungen. Insgesamt besitzen digitale Zwillinge das Potenzial, die chirurgische Behandlung nachhaltig zu ver\u00e4ndern.<\/jats:p>","DOI":"10.1055\/a-2856-4955","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T23:09:33Z","timestamp":1783984173000},"page":"379-386","source":"Crossref","is-referenced-by-count":1,"title":["Digitale Zwillinge in der Chirurgie"],"prefix":"10.1055","volume":"151","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5073-0179","authenticated-orcid":false,"given":"Alexandra","family":"Scheibert","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Schleswig-Holstein, Campus L\u00fcbeck, SH, Deutschland","place":["L\u00fcbeck"],"department":["Klinik f\u00fcr Chirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1719-031X","authenticated-orcid":false,"given":"Marco","family":"Horn","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum 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