{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T04:10:25Z","timestamp":1745554225999,"version":"3.40.4"},"reference-count":14,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gyn\u00e4kol Geburtshilfliche Rundsch"],"published-print":{"date-parts":[[2005]]},"abstract":"<jats:p>Ziel dieser Untersuchung war es, die eigene Lernkurve der Sentinel-Lymphonodektomie mit den Erfahrungen anderer Autoren zu vergleichen. &lt;i&gt;Resultate:&lt;\/i&gt; Zwischen Juli 1999 und Mai 2004 haben die Autoren 218 Sentinel-Lymphonodektomien, davon 48 in der 24-monatigen Evaluationsphase mit zus\u00e4tzlicher vollst\u00e4ndiger axill\u00e4rer Lymphonodektomie, durchgef\u00fchrt. Die Detektionsrate betrug insgesamt 212\/218 oder 97,2%, w\u00e4hrend sie in der Evaluationsphase 38\/48 oder 89,6% betrug (Versager waren die Fallnummern 6, 7, 22, 24 und 47). Unter den 48 F\u00e4llen in der Evaluationsphase wiesen 24 positive axill\u00e4re Lymphknoten auf. Bei 3 dieser F\u00e4lle konnte kein Sentinel-Lymphknoten gefunden werden, und bei weiteren 4 F\u00e4llen war er im Schnellschnitt falsch negativ. Die falsch negativen Ergebnisse in der Lernphase waren die Fallnummern 2, 10, 23 und 29 (4\/21 oder 19%). Ab September 2001 bis Mai 2004 betrug die Detektionsrate \u00fcber 99% (165\/166). &lt;i&gt;Diskussion:&lt;\/i&gt; Die eigene Erfahrung zeigt, dass die Anfangsphase mit Schwierigkeiten und Unsicherheiten verbunden ist. Die allgemeinen Empfehlungen, w\u00e4hrend der Lernphase auf die Erfahrung anderer zur\u00fcckzugreifen und erst nach absolvierter Lernkurve eine alleinige Sentinel-Lymphonodektomie ohne komplettierende Axilladissektion anzubieten, dienen der diagnostischen Sicherheit und k\u00f6nnen deshalb auch anhand der eigenen Erfahrungen nur unterst\u00fctzt werden.<\/jats:p>","DOI":"10.1159\/000083786","type":"journal-article","created":{"date-parts":[[2005,4,6]],"date-time":"2005-04-06T15:01:56Z","timestamp":1112799716000},"page":"116-120","source":"Crossref","is-referenced-by-count":0,"title":["Sentinel-Lymphonodektomie beim Mammakarzinom \u2013 Eigene Erfahrungen"],"prefix":"10.1159","volume":"45","author":[{"given":"Christoph J.","family":"Rageth","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatrix","family":"Scholl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eliane","family":"Sarasin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"Saurenmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2005,4,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016%2FS0959-8049%2802%2900748-7"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1038%2Fsj.bjc.6601290"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.amjsurg.2003.10.012"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1056%2FNEJMoa012782"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.amjsurg.2003.04.004"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097%2F01.sla.0000128304.13522.00"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1245%2FASO.2003.01.022"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1245%2FASO.2004.10.014"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007%2Fs10434-000-0636-2"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097%2F01.sla.0000109156.26378.90"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097%2F01.sla.0000128302.05898.a7"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1002%2F1097-0142%2820000801%2989%3A3%3C574%3A%3AAID-CNCR12%3E3.0.CO%3B2-Y"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1001%2Farchsurg.136.9.1059"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1001%2Farchsurg.136.6.688"}],"container-title":["Gyn\u00e4kologisch-geburtshilfliche Rundschau"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/83786","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/83786","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T03:36:28Z","timestamp":1745465788000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000083786"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005]]},"references-count":14,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2005,4,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000083786","archive":["Portico"],"relation":{},"ISSN":["1018-8843","1423-0011"],"issn-type":[{"type":"print","value":"1018-8843"},{"type":"electronic","value":"1423-0011"}],"subject":[],"published":{"date-parts":[[2005]]}}}