{"id":14072,"date":"2013-12-20T14:19:49","date_gmt":"2013-12-20T13:19:49","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=14072"},"modified":"2013-12-20T14:20:38","modified_gmt":"2013-12-20T13:20:38","slug":"operaci-na-robotu-vratili-lekari-pacientce-chut-k-jidlu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=14072","title":{"rendered":"Operac\u00ed na robotu vr\u00e1tili l\u00e9ka\u0159i pacientce chu\u0165 k j\u00eddlu"},"content":{"rendered":"

Na Homolce odstranili l\u00e9ka\u0159i pacientce bolesti, kter\u00e9 j\u00ed nedovolovaly norm\u00e1ln\u011b j\u00edst. P\u0159\u00ed\u010dinou bylo z\u00fa\u017een\u00ed aorty vy\u017eivuj\u00edc\u00ed horn\u00ed \u010d\u00e1st za\u017e\u00edvac\u00edho traktu. P\u0159i ojedin\u011bl\u00e9 operaci c\u00e9vn\u00ed chirurgov\u00e9 tepnu uvolnili z \u00fatlaku okoln\u00ed tk\u00e1n\u011b, pacientce se ulevilo.<\/strong> <\/p>\n

Ilustra\u010dn\u00ed obr\u00e1zek – licence sn\u00edmek „Image courtesy of\u00a0arztsamui \/ FreeDigitalPhotos.net“.<\/p>\n

Na Homolce odstranili l\u00e9ka\u0159i za pomoci robota t\u0159ia\u010dty\u0159icetilet\u00e9 pacientce bolesti, kter\u00e9 j\u00ed nedovolovaly norm\u00e1ln\u011b j\u00edst. P\u0159\u00ed\u010dinou bylo z\u00fa\u017een\u00ed aorty vy\u017eivuj\u00edc\u00ed horn\u00ed \u010d\u00e1st za\u017e\u00edvac\u00edho traktu. P\u0159i ojedin\u011bl\u00e9 operaci c\u00e9vn\u00ed chirurgov\u00e9 tepnu uvolnili z \u00fatlaku okoln\u00ed lymfatick\u00e9 a nervov\u00e9 tk\u00e1n\u011b, pacientce se okam\u017eit\u011b ulevilo.<\/p>\n

„U\u017e t\u0159et\u00ed den po v\u00fdkonu mohla pacientka sn\u00edst bez obt\u00ed\u017e\u00ed \u0159\u00edzek, co\u017e p\u0159edt\u00edm bylo zcela nemysliteln\u00e9,“ ocenil prim\u00e1\u0159 Nemocnice Na Homolce Petr \u0160t\u00e1dler, kter\u00fd operaci vedl.<\/p>\n

Probl\u00e9m zp\u016fsobilo pom\u011brn\u011b vz\u00e1cn\u00e9 onemocn\u011bn\u00ed zvan\u00e9 Dunbar\u016fv syndrom. Utla\u010denou aortou nem\u016f\u017ee proudit dostatek krve, to se projevuje bolestiv\u00fdmi pocity po j\u00eddle, bu\u010f jen jako tlak, nebo i ost\u0159ej\u0161\u00ed p\u00edch\u00e1n\u00ed \u010di k\u0159e\u010de. Posti\u017een\u00fd se c\u00edt\u00ed p\u0159esycen\u00fd i po mal\u00e9m mno\u017estv\u00ed j\u00eddla a nezdrav\u011b hubne.<\/p>\n

Podobn\u00e9 projevy mohou m\u00edt i jin\u00e1 onemocn\u011bn\u00ed, proto se Dunbar\u016fv syndrom obt\u00ed\u017en\u011b zji\u0161\u0165uje. Internista Pavel Rutar vysv\u011btlil, \u017ee nemoc potvrdili po slo\u017eit\u011bj\u0161\u00edm zkoum\u00e1n\u00ed a\u017e vy\u0161et\u0159en\u00edm c\u00e9v na CT. \u017dena m\u011bla chorobu vrozenou, doned\u00e1vna se nijak neprojevovala. Co ji spustilo, se p\u0159esn\u011b ned\u00e1 ur\u010dit.<\/p>\n

P\u0159i zhruba t\u0159\u00edhodinov\u00e9 operaci se chirurgov\u00e9 dostanou k ur\u010den\u00e9 \u010d\u00e1sti tepny n\u00e1stroji z p\u011bti mal\u00fdch vstup\u016f. U\u017e druh\u00fd den po operaci mohla \u017eena j\u00edst bez obt\u00ed\u017e\u00ed ka\u0161ovitou stravu, po \u0161esti dnech byla propou\u0161t\u011bna dom\u016f. Pokud by se operace d\u011blala velk\u00fdm \u0159ezem p\u0159es b\u0159icho, hojen\u00ed by trvalo n\u011bkolikan\u00e1sobn\u011b d\u00e9le. Nav\u00edc by na b\u0159i\u0161e z\u016fstala velk\u00e1 jizva, v n\u00ed\u017e by se mohla \u010dasem ud\u011blat k\u00fdla, kter\u00e1 by se musela tak\u00e9 operovat. Po robotick\u00e9 operaci z\u016fstaly \u017een\u011b na b\u0159i\u0161e jen zcela mal\u00e9 jizvi\u010dky.<\/p>\n

Homolka je mezin\u00e1rodn\u00edm \u0161kolic\u00edm centrem robotick\u00e9 chirurgie. Od roku 2005 tamn\u00ed l\u00e9ka\u0159i provedli t\u00e9m\u011b\u0159 300 robotick\u00fdch c\u00e9vn\u00edch operac\u00ed. Operuj\u00ed se zejm\u00e9na b\u0159i\u0161n\u00ed aorty a p\u00e1nevn\u00ed tepny, prov\u00e1d\u011bj\u00ed se ale i jin\u00e9 typy v\u00fdkon\u016f.<\/p>\n

\u0160t\u00e1dler je uzn\u00e1van\u00fdm odborn\u00edkem na robotick\u00e9 c\u00e9vn\u00ed operace v Evrop\u011b i v z\u00e1mo\u0159\u00ed, \u0161kol\u00ed l\u00e9ka\u0159e po cel\u00e9m sv\u011bt\u011b. Je p\u0159edsedou podv\u00fdboru pro robotickou c\u00e9vn\u00ed chirurgii americk\u00e9 spole\u010dnosti pro miniinvazivn\u00ed robotiku se s\u00eddlem v Los Angeles. Vyu\u010doval postupy robotick\u00fdch operac\u00ed c\u00e9v v USA, Polsku, Rusku, Indii a Ji\u017en\u00ed Koreji a nyn\u00ed chyst\u00e1 spolupr\u00e1ci s britsk\u00fdmi odborn\u00edky.<\/p>\n","protected":false},"excerpt":{"rendered":"

Na Homolce odstranili l\u00e9ka\u0159i pacientce bolesti, kter\u00e9 j\u00ed nedovolovaly norm\u00e1ln\u011b j\u00edst. P\u0159\u00ed\u010dinou bylo z\u00fa\u017een\u00ed aorty vy\u017eivuj\u00edc\u00ed horn\u00ed \u010d\u00e1st za\u017e\u00edvac\u00edho traktu. P\u0159i ojedin\u011bl\u00e9 operaci c\u00e9vn\u00ed chirurgov\u00e9 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14074,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-14072","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/14072","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=14072"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/14072\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14074"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=14072"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=14072"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=14072"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}