{"id":27570,"date":"2017-03-17T11:49:09","date_gmt":"2017-03-17T10:49:09","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27570"},"modified":"2017-03-17T11:49:09","modified_gmt":"2017-03-17T10:49:09","slug":"liberecka-nemocnice-planuje-kardiochirurgii-roboticke-operace-i-novou-lecbu-nadoru","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27570","title":{"rendered":"Libereck\u00e1 nemocnice pl\u00e1nuje kardiochirurgii, robotick\u00e9 operace i novou l\u00e9\u010dbu n\u00e1dor\u016f"},"content":{"rendered":"

S nov\u00fdm pavilonem libereck\u00e9 nemocnice p\u016fjdou ruku v ruce i nov\u00e9 technologie, kter\u00e9 odpov\u00eddaj\u00ed nejnov\u011bj\u0161\u00edm medic\u00ednsk\u00fdm trend\u016fm.<\/strong> <\/p>\n

Liberec \u2013 Nebude to hned, ale pokud se to poda\u0159\u00ed, nebude u\u017e muset cel\u00e1 \u0159ada pacient\u016f odj\u00ed\u017ed\u011bt kv\u016fli n\u00e1ro\u010dn\u00e9 l\u00e9\u010db\u011b do Prahy. Nad\u011bji budou m\u00edt zejm\u00e9na pacienti se z\u00e1va\u017en\u00fdm kardiovaskul\u00e1rn\u00edm onemocn\u011bn\u00edm \u010di lid\u00e9 se zhoubn\u00fdmi n\u00e1dory.<\/p>\n

PRO BY-PASS DO PRAHY<\/p>\n

Kardiochirurgick\u00e9 operace se nyn\u00ed v \u010cesk\u00e9 republice prov\u00e1d\u011bj\u00ed na 12 m\u00edstech, p\u011bt z nich se koncentruje v Praze, dv\u011b jsou na severn\u00ed Morav\u011b, v severn\u00edch \u010cech\u00e1ch nen\u00ed \u017e\u00e1dn\u00e1. A to i p\u0159esto, \u017ee Krajsk\u00e1 nemocnice v Liberci m\u00e1 \u0161pi\u010dkov\u00e9 kardiocentrum. Ro\u010dn\u011b zachra\u0148uje nap\u0159\u00edklad stovky pacient\u016f se srde\u010dn\u00edm infarktem, kte\u0159\u00ed by d\u0159\u00edve nem\u011bli v\u016fbec \u0161anci p\u0159e\u017e\u00edt.<\/p>\n

„Na\u0161e pracovi\u0161t\u011b pat\u0159\u00ed z hlediska objemu v\u00fdkon\u016f, p\u0159edev\u0161\u00edm tzv. koron\u00e1rn\u00edch intervenc\u00ed, k p\u011bti nejv\u011bt\u0161\u00edm v republice. Ro\u010dn\u011b jich tu prov\u00e1d\u00edme kolem 1400,“ potvrzuje l\u00e9ka\u0159sk\u00fd \u0159editel KNL Richard Luk\u00e1\u0161.<\/p>\n

„Jsme progresivn\u00ed nap\u0159\u00edklad v o\u0161et\u0159ov\u00e1n\u00ed komplexn\u00edho posti\u017een\u00ed v\u011bn\u010dit\u00fdch tepen, prov\u00e1d\u00edme specializovan\u00e9 z\u00e1kroky, kter\u00e9 se d\u0159\u00edv nedaly \u0159e\u0161it bez chirurgie, a na\u0161i l\u00e9ka\u0159i jezd\u00ed u\u010dit tyto metody i na jin\u00e1 pracovi\u0161t\u011b, tak\u017ee m\u00e1me odborn\u00fd t\u00fdm, a proto bychom r\u00e1di poskytli pacient\u016fm komplexn\u00ed l\u00e9\u010dbu, kterou zat\u00edm absence kardiochirurgie do ur\u010dit\u00e9 m\u00edry omezuje,“ ilustruje p\u0159ednosta krajsk\u00e9ho kardiocentra, Rostislav Pol\u00e1\u0161ek.<\/p>\n

Pacienti, kte\u0159\u00ed pot\u0159ebuj\u00ed chirurgick\u00fd z\u00e1sah, ale zat\u00edm mus\u00ed do Prahy. Libereck\u00e1 nemocnice jich tam ro\u010dn\u011b po\u0161le kolem p\u011bti set. „Operace se p\u0159edem pl\u00e1nuj\u00ed, n\u011bkdy je v\u0161ak pot\u0159eba akutn\u00edho z\u00e1sahu a pak se p\u0159evozem ztr\u00e1c\u00ed drahocenn\u00fd \u010das, co\u017e m\u016f\u017ee ovlivnit v\u00fdsledek,“ dod\u00e1v\u00e1 p\u0159ednosta.<\/p>\n

P\u0158IJDEME O ODD\u011aLEN\u00cd?<\/p>\n

V\u011bc m\u00e1 je\u0161t\u011b jeden, a to velmi podstatn\u00fd h\u00e1\u010dek. Pokud by libereck\u00e1 nemocnice neza\u010dala d\u016frazn\u011b o vznik kardiocentra usilovat, mohlo by se st\u00e1t, \u017ee o to v\u0161echno pacienti v kraji a jeho nejbli\u017e\u0161\u00edm okol\u00ed p\u0159ijdou. „V sou\u010dasn\u00e9 dob\u011b jsou akreditovan\u00e1 pracovi\u0161t\u011b kardiovaskul\u00e1rn\u00edch center ve dvou kategori\u00edch. Komplexn\u00ed, tedy v\u010detn\u011b kardiochirurgie, a bez n\u00ed. Do budoucna se po\u010d\u00edt\u00e1, \u017ee akredita\u010dn\u00ed komise uznaj\u00ed pouze jeden typ, a to pouze pracovi\u0161t\u011b s kardiochirurgi\u00ed, co\u017e by pro Libereck\u00fd kraj znamenalo ztr\u00e1tu kardiocentra,“ vysv\u011btlil p\u0159ednosta Pol\u00e1\u0161ek.<\/p>\n

L\u00e9ka\u0159i p\u0159itom nezast\u00edraj\u00ed, \u017ee p\u0159i vybudov\u00e1n\u00ed kardiochirurgie nep\u016fjde jen o souboj se zdravotn\u00edmi poji\u0161\u0165ovnami, kter\u00e9 mus\u00ed d\u00e1t projektu zelenou, ale i politiku. Nejv\u011bt\u0161\u00ed po\u010det pacient\u016f m\u00ed\u0159\u00ed za operac\u00ed srdce do pra\u017esk\u00e9ho Motola, jeho\u017e \u0159editelem byl doned\u00e1vna sou\u010dasn\u00fd ministr zdravotnictv\u00ed Miloslav Ludv\u00edk. A vzhledem ke spekulac\u00edm o jeho n\u00e1vratu na post \u0159editele po volb\u00e1ch tak pravd\u011bpodobn\u011b nebude cht\u00edt p\u0159epustit kus kraj\u00edce, proto\u017ee poji\u0161\u0165ovny rozd\u00e1vaj\u00ed jen z jednoho bal\u00edku ve\u0159ejn\u00fdch pen\u011bz. A ten je st\u00e1le men\u0161\u00ed.<\/p>\n

PET KAMERY SI POSV\u00cdT\u00cd NA METAST\u00c1ZY<\/p>\n

Nejnov\u011bj\u0161\u00ed medic\u00ednsk\u00e9 technologie by se m\u011bli v r\u00e1mci strategick\u00e9ho planu rozvoje krajsk\u00e9 nemocnice do\u010dkat v dohledn\u00e9 dob\u011b i onkologi\u010dt\u00ed pacienti. A to d\u00edky za\u0159\u00edzen\u00ed s n\u00e1zvem PET\/CT \u010dili pozitronov\u00e1 emisn\u00ed tomografie. „U t\u00e9to metody se nepou\u017e\u00edv\u00e1 radiofarmakum vyza\u0159uj\u00edc\u00ed z\u00e1\u0159en\u00ed gama, ale l\u00e1tky, kter\u00e9 p\u0159i sv\u00e9m rozpadu produkuj\u00ed takzvan\u00e9 pozitrony. Z velk\u00e9ho mno\u017estv\u00ed detekovan\u00fdch pozitron\u016f lze pak zrekonstruovat s velkou p\u0159esnost\u00ed aktivitu v jednotliv\u00fdch \u010d\u00e1stech t\u011bla,“ vysv\u011btlil stru\u010dn\u011b prim\u00e1\u0159 radiodiagnostick\u00e9ho odd\u011blen\u00ed KNL Ladislav Endrych.<\/p>\n

„Nov\u00e1 metoda pom\u016f\u017ee s lokalizac\u00ed n\u00e1dor\u016f, posouzen\u00edm biologick\u00e9ho chov\u00e1n\u00ed tumoru, zhodnocen\u00edm efektu protin\u00e1dorov\u00e9 terapie \u010di posouzen\u00edm mo\u017en\u00e9 recidivy n\u00e1doru,“ up\u0159esnil p\u0159ednosta krajsk\u00e9ho onkologick\u00e9ho centra Ji\u0159\u00ed Barto\u0161. Podle n\u011bj je metoda velmi \u00fa\u010dinn\u00e1 zejm\u00e9na p\u0159i zobrazen\u00ed vzd\u00e1len\u00fdch metast\u00e1z.<\/p>\n

Velk\u00fdm p\u0159\u00ednosem bude pro pacienty s n\u011bkter\u00fdmi typy n\u00e1dor\u016f plic, tlust\u00e9ho st\u0159eva, slinivky, vaje\u010dn\u00edk\u016f, prsu, ale i zhoubn\u00fdmi ko\u017en\u00edmi n\u00e1dory. Ro\u010dn\u011b zam\u00ed\u0159\u00ed do krajsk\u00e9 nemocnice na 1600 nov\u00fdch pacient\u016f s rakovinou. Alarmuj\u00edc\u00ed je podle p\u0159ednosty Barto\u0161e zejm\u00e9na n\u00e1r\u016fst po\u010dtu pacient\u016f s rakovinou prostaty a to u v\u0161ech v\u011bkov\u00fdch kategori\u00ed.<\/p>\n

„P\u0159\u00ednos pro pacienty je z hlediska p\u0159esnosti diagnostiky obrovsk\u00fd,“ zd\u016fraznil gener\u00e1ln\u00ed \u0159editel KNL Lud\u011bk Ne\u010desan\u00fd, podle n\u011bho\u017e je po\u0159\u00edzen\u00ed PET\/CT kamery nezbytn\u00e9.<\/p>\n

S N\u00c1DORY SI L\u00c9PE PORAD\u00cd ROBOT<\/p>\n

V\u011bt\u0161ina lid\u00ed, kter\u00e1 absolvovala klasickou i laparoskopickou operaci, dok\u00e1\u017ee docenit rozd\u00edl. A to nejen z pohledu d\u00e9lky samotn\u00e9 operace, ale i bolestivosti a n\u00e1sledn\u00e9 l\u00e9\u010dby. Je\u0161t\u011b lep\u0161\u00ed v\u00fdsledky ne\u017e \u0161etrn\u00e1 laparoskopie m\u00e1 operace s pomoc\u00ed robota.<\/p>\n

Nejmodern\u011bj\u0161\u00ed technologii m\u00e1 zat\u00edm u n\u00e1s jen n\u011bkolik nemocnic. Krom\u011b Prahy je to nap\u0159\u00edklad sousedn\u00ed \u00dast\u00ed nad Labem a Hradec Kr\u00e1lov\u00e9. Pro sv\u00e9 chirurgick\u00e9 obory ji chce nov\u011b z\u00edskat i Liberec.<\/p>\n

ROBOT \u2013 OPERAT\u00c9R<\/p>\n

Podle prim\u00e1\u0159e Petera Hrom\u00e1dky jde o vysoce sofistikovan\u00fd syst\u00e9m, kter\u00fd dok\u00e1\u017ee nahradit \u010dlov\u011bka v p\u0159\u00edpadech, kdy by klasick\u00e1 metoda byla \u010dasov\u011b n\u00e1ro\u010dn\u011bj\u0161\u00ed, rizikov\u011bj\u0161\u00ed nebo dokonce technicky neprovediteln\u00e9. „Ruce operat\u00e9ra jsou nahrazeny robotick\u00fdmi rameny, prsty velmi jemn\u00fdm instrument\u00e1riem, v\u0161e v\u011brn\u011b p\u0159en\u00e1\u0161\u00ed zv\u011bt\u0161en\u00fd obraz ve 3D,“ popsal l\u00e9ka\u0159.<\/p>\n

Robot sv\u00fdm vnit\u0159n\u00edm nastaven\u00edm eliminuje n\u011bkter\u00e9 chyby, jako je nap\u0159\u00edklad t\u0159es rukou, a zbavuje chirurga n\u011bkter\u00fdch nedokonalost\u00ed, jako jsou fyzick\u00e1 \u00fanava, bolesti zad, zrakov\u00e1 \u00fanava a omezen\u00fd po\u010det rukou.<\/p>\n

„Jeliko\u017e robotick\u00e1 ramena maj\u00ed nav\u00edc jak\u00e9si „vnit\u0159n\u00ed z\u00e1p\u011bst\u00ed“, m\u016f\u017ee chirurg vykon\u00e1vat v t\u011bln\u00edch dutin\u00e1ch pohyby a z\u00e1kroky, kter\u00e9 by byly standardn\u00ed laparoskopickou technikou nemo\u017en\u00e9. Vzhledem ke sv\u00e9 velikosti mohou prov\u00e1d\u011bt z\u00e1kroky p\u0159esn\u011bji nebo rychleji, ne\u017e by je provedl \u010dlov\u011bk,“ dod\u00e1v\u00e1 prim\u00e1\u0159 Hrom\u00e1dka.<\/p>\n

Operaci \u0159\u00edd\u00ed pochopiteln\u011b \u010dlov\u011bk a tak zat\u00edmco jemn\u00e1 technologie nahrad\u00ed ruce operat\u00e9ra, \u010dlov\u011bk i nad\u00e1le z\u016fst\u00e1v\u00e1 jej\u00edm mozkem.<\/p>\n

Podle l\u00e9ka\u0159sk\u00e9ho \u0159editele Richarda Luk\u00e1\u0161e je robot vhodn\u00fd nap\u0159\u00edklad p\u0159i odstran\u011bn\u00ed prostaty nebo \u010d\u00e1sti ledvin posti\u017een\u00fdch n\u00e1dorem, p\u0159i odstran\u011bn\u00ed \u010d\u00e1sti tlust\u00e9ho st\u0159eva zasa\u017een\u00e9ho n\u00e1dorem s v\u00fdhodou absence v\u00fdvodu, pro odstran\u011bn\u00ed d\u011blohy nebo plastick\u00e9 operaci pro z\u00fa\u017eeniny ledvinn\u00e9 p\u00e1nvi\u010dky. Robotick\u00e9 operace se tak\u00e9 s \u00fasp\u011bchem vyu\u017e\u00edvaj\u00ed p\u0159i operaci c\u00e9v a z\u00e1krok\u016f v oblasti ORL.<\/p>\n

—<\/p>\n

Pohled odborn\u00edk\u016f KRAJSK\u00c9 KARDIOCENTRUM se v \u010cR \u0159ad\u00ed na \u0161pi\u010dku. Z pohledu po\u010dtu proveden\u00fdch z\u00e1sah\u016f, pat\u0159\u00ed k p\u011bti nejv\u011bt\u0161\u00edm z celkem 22 pracovi\u0161\u0165 v republice. T\u00fdk\u00e1 se to jak koron\u00e1rn\u00edch intervenc\u00ed, elektrofyziologie, akutn\u00ed kardiologie, tak echokardiografie. V oblasti koron\u00e1rn\u00edch intervenc\u00ed pat\u0159\u00ed mezi l\u00eddry v programu rotablace, perkut\u00e1nn\u00edho o\u0161et\u0159en\u00ed chronick\u00fdch uz\u00e1v\u011br\u016f v\u011bn\u010dit\u00fdch tepen (CTO), vyu\u017e\u00edv\u00e1n\u00ed FFR a IVUS. V elektrofyziologii pat\u0159\u00ed k nejv\u011bt\u0161\u00edm centr\u016fm v kardiostimulaci a srde\u010dn\u00ed resynchroniza\u010dn\u00ed l\u00e9\u010db\u011b. Akutn\u00ed kardiologie je progresivn\u00ed v u\u017e\u00edv\u00e1n\u00ed mimot\u011bln\u00edho ob\u011bhu p\u0159i l\u00e9\u010db\u011b refraktern\u00edho kardiogenn\u00edho \u0161oku (ECMO) a uplat\u0148ov\u00e1n\u00edm konceptu Cardiac Arrest Centrum. Libere\u010dt\u00ed l\u00e9ka\u0159i jsou vysoce hodnoceni spolupracuj\u00edc\u00edmi kardiochirurgy v anal\u00fdze chlopenn\u00edch vad, v\u010detn\u011b techniky trojrozm\u011brn\u00e9 echokardiografie, kter\u00e9 je obt\u00ed\u017en\u011b zvl\u00e1dnout bez p\u0159\u00edm\u00e9 n\u00e1vaznosti na kardiochirurgii.<\/p>\n

JANA \u0160VECOV\u00c1
\nLibereck\u00fd den\u00edk
\nhttp:\/\/www.liberecky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

S nov\u00fdm pavilonem libereck\u00e9 nemocnice p\u016fjdou ruku v ruce i nov\u00e9 technologie, kter\u00e9 odpov\u00eddaj\u00ed nejnov\u011bj\u0161\u00edm medic\u00ednsk\u00fdm trend\u016fm.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":14511,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-27570","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27570","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=27570"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27570\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14511"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27570"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27570"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27570"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}