{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T23:04:46Z","timestamp":1789513486828,"version":"build-2803163510"},"reference-count":35,"publisher":"Georg Thieme Verlag KG","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die roboterassistierte Thoraxchirurgie (RATS) hat sich in den vergangenen Jahren\n\t\t\t\tals wichtige Erweiterung des minimalinvasiven operativen Spektrums etabliert.\n\t\t\t\tGegenw\u00e4rtig bestehen jedoch an den Klinikstandorten erhebliche Unterschiede in der\n\t\t\t\tVerf\u00fcgbarkeit robotischer Systeme und damit in den Ausbildungsbedingungen. Ziel\n\t\t\t\tdieser Arbeit ist die Darstellung des aktuellen Stellenwerts der RATS in der\n\t\t\t\tthoraxchirurgischen Weiterbildung sowie die Identifikation bestehender\n\t\t\t\tHerausforderungen und zuk\u00fcnftiger Entwicklungsperspektiven.<\/jats:p>\n                  <jats:p>Es wurde ein narrativer Review auf Grundlage einer aktuellen Literaturrecherche\n\t\t\t\tdurchgef\u00fchrt. Ber\u00fccksichtigt wurden internationale Publikationen zur Verbreitung der\n\t\t\t\tRATS, zu Ausbildungsstrukturen, Lernkurven, didaktischen Konzepten sowie zu\n\t\t\t\tnationalen und internationalen Curriculum-Entwicklungen.<\/jats:p>\n                  <jats:p>Die Literatur zeigt, dass RATS mit einer hohen Standardisierung operativer\n\t\t\t\tAbl\u00e4ufe, exzellenter Visualisierung und der M\u00f6glichkeit des unmittelbaren Teachings\n\t\t\t\t\u00fcber Dual-Konsolen besondere Vorteile f\u00fcr die chirurgische Ausbildung bietet.\n\t\t\t\tStudien berichten \u00fcber verk\u00fcrzte Lernkurven und eine effektive schrittweise\n\t\t\t\tVermittlung operativer Kompetenzen. Gleichzeitig ist der Zugang zu robotischen\n\t\t\t\tSystemen in Deutschland weiterhin auf wenige Zentren beschr\u00e4nkt, wodurch erhebliche\n\t\t\t\tUnterschiede in den Weiterbildungsm\u00f6glichkeiten entstehen. Industriegest\u00fctzte\n\t\t\t\tTrainingsprogramme adressieren \u00fcberwiegend fortgeschrittene Operateure, w\u00e4hrend\n\t\t\t\tstrukturierte, technologieunabh\u00e4ngige Ausbildungskonzepte f\u00fcr fr\u00fche\n\t\t\t\tWeiterbildungsphasen bislang nur begrenzt verf\u00fcgbar sind. Simulationstraining,\n\t\t\t\tBootcamps sowie Wet- und Cadaver Labs k\u00f6nnen diese L\u00fccke teilweise schlie\u00dfen.\n\t\t\t\tParallel besteht das Risiko eines Kompetenzverlustes in offenen und VATS-basierten\n\t\t\t\tVerfahren, deren Beherrschung weiterhin essenziell bleibt.<\/jats:p>\n                  <jats:p>Die roboterassistierte Thoraxchirurgie besitzt ein hohes Potenzial zur Optimierung\n\t\t\t\tder thoraxchirurgischen Weiterbildung und bietet ein besonders effektives\n\t\t\t\tAusbildungsumfeld. Voraussetzung f\u00fcr eine nachhaltige Integration in die\n\t\t\t\tWeiterbildung sind jedoch fl\u00e4chendeckend verf\u00fcgbare, standardisierte Curricula, die\n\t\t\t\trobotische Kompetenzen mit dem Erhalt konventioneller chirurgischer Fertigkeiten\n\t\t\t\tverbinden. Die Einf\u00fchrung des ersten DGT-zertifizierten RATS-Curriculums stellt\n\t\t\t\thierf\u00fcr einen wichtigen Schritt dar.<\/jats:p>","DOI":"10.1055\/a-2942-5571","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T22:55:40Z","timestamp":1789512940000},"source":"Crossref","is-referenced-by-count":0,"title":["Ausbildung in der roboterassistierten Thoraxchirurgie: Chancen, Grenzen und die Notwendigkeit strukturierter Curricula"],"prefix":"10.1055","author":[{"given":"Bastian","family":"Fakundiny","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Magdeburg A. \u00f6. R., Deutschland","place":["Magdeburg"],"department":["Klinik f\u00fcr Herz- und Thoraxchirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maike","family":"Tilk","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Bonn, Deutschland","place":["Bonn"],"department":["Klinik und Poliklinik f\u00fcr Hals-Nasen-Ohren-Heilkunde"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Hassan","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Magdeburg A. \u00f6. R., Deutschland","place":["Magdeburg"],"department":["Klinik f\u00fcr Herz- und Thoraxchirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henning","family":"Busk","sequence":"additional","affiliation":[{"name":"Otto-von-Guericke-Universit\u00e4t Magdeburg, Medizinische Fakult\u00e4t, Deutschland","place":["Magdeburg"],"department":["Klinik f\u00fcr Herz- und Thoraxchirurgie, Abteilung Thoraxchirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5037-054X","authenticated-orcid":false,"given":"Thorsten","family":"Walles","sequence":"additional","affiliation":[{"name":"Otto-von-Guericke-Universit\u00e4t Magdeburg, Medizinische Fakult\u00e4t, Deutschland","place":["Magdeburg"],"department":["Klinik f\u00fcr Herz- und Thoraxchirurgie, Abteilung 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