{"id":4367,"date":"2013-05-02T09:36:12","date_gmt":"2013-05-02T07:36:12","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=4367"},"modified":"2014-10-20T20:13:49","modified_gmt":"2014-10-20T18:13:49","slug":"roboti-operuji-jako-divi-jenze-draz-nez-se-myslelo","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=4367","title":{"rendered":"Roboti operuj\u00ed jako div\u00ed. Jen\u017ee dr\u00e1\u017e, ne\u017e se myslelo"},"content":{"rendered":"

Za\u010dne se ustupovat od robotick\u00fdch operac\u00ed? Podle VZP jsou p\u0159\u00edli\u0161 drah\u00e9 a studie tvrd\u00ed, \u017ee v\u00fdsledky operace jsou srovnateln\u00e9 s tou, kdy skalpel dr\u017e\u00ed ruka operat\u00e9ra.<\/strong>
\n
\n\u010cesk\u00fd operat\u00e9r Petr \u0160t\u00e1dler z pra\u017esk\u00e9 Nemocnice Na Homolce z\u00edskal v Americe presti\u017en\u00ed ocen\u011bn\u00ed za 250 c\u00e9vn\u00edch operac\u00ed proveden\u00fdch robotem da Vinci. Dov\u011btek k cen\u011b zn\u011bl: celosv\u011btov\u011b jde o nejv\u00edc takov\u00fdch operac\u00ed ud\u011blan\u00fdch na jednom pracovi\u0161ti. Mal\u00e9 \u010cesko je tak robotickou velmoc\u00ed.<\/p>\n

Zpr\u00e1va v\u0161ak p\u0159i\u0161la pr\u00e1v\u011b v okam\u017eiku, kdy roboti neusp\u011bli v hodnocen\u00ed pilotn\u00edho projektu ministerstva zdravotnictv\u00ed, kter\u00fd zkoumal pom\u011br ceny a v\u00fdkonu. Jsou p\u0159\u00edli\u0161 draz\u00ed, sou\u010d\u00e1stky robota jsou dokonce v \u010cesku dra\u017e\u0161\u00ed ne\u017e v zahrani\u010d\u00ed. Pacienti sice maj\u00ed m\u00e9n\u011b komplikac\u00ed ne\u017e p\u0159i b\u011b\u017en\u00e9 operaci, ale nap\u0159\u00edklad v\u00fdsledky operace prostaty jsou podle hodnotitel\u016f i oponent\u016f srovnateln\u00e9 s laparoskopi\u00ed. A\u017e na to, \u017ee ta je n\u00e1sobn\u011b levn\u011bj\u0161\u00ed.<\/p>\n

O kolik p\u0159esn\u011b? MF DNES se poda\u0159ilo z\u00edskat \u010d\u00edsla, kolik se plat\u00ed za operace robotem a kolik za ty, kdy\u017e skalpel dr\u017e\u00ed chirurg, a ne rameno robota. Nap\u0159\u00edklad odstran\u011bn\u00ed d\u011blohy robotem vyjde na 140 tis\u00edc korun, kde\u017eto operace chirurga stoj\u00ed od 39,5 tis\u00edce korun do necel\u00fdch 70 tis\u00edc. V pr\u016fm\u011bru je tedy robot dra\u017e\u0161\u00ed trojn\u00e1sobn\u011b, a to u v\u0161ech z\u00e1krok\u016f, kter\u00e9 se z ve\u0159ejn\u00e9ho poji\u0161t\u011bn\u00ed dosud hrad\u00ed. V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna, od n\u00ed\u017e data poch\u00e1zej\u00ed, propl\u00e1c\u00ed celkem t\u0159i druhy operac\u00ed robotem na sedmi pracovi\u0161t\u00edch v \u010cesku.<\/p>\n

Po operaci robotem se r\u00e1ny rychleji hoj\u00ed, pacienti jdou d\u0159\u00edv dom\u016f a maj\u00ed m\u00e9n\u011b komplikac\u00ed. Pot\u00ed\u017e je v tom, \u017ee ani to v\u0161echno nedok\u00e1\u017ee zat\u00edm nikde na sv\u011bt\u011b vyrovnat nejv\u011bt\u0161\u00ed handicap: cenu z\u00e1krok\u016f.<\/p>\n

„Jsou velmi n\u00e1kladn\u00e9, proto nen\u00ed \u00fa\u010deln\u00e9 prov\u00e1d\u011bt takto i b\u011b\u017en\u00e9 v\u00fdkony,“ \u0159\u00edk\u00e1 mluv\u010d\u00ed Tich\u00fd s t\u00edm, \u017ee nyn\u00ed VZP hrad\u00ed jen to, co doporu\u010dilo ministerstvo zdravotnictv\u00ed, tedy t\u0159i typy operace n\u00e1dor\u016f.<\/p>\n

\u017dlu\u010dn\u00edk robotem? Vyhazov\u00e1n\u00ed pen\u011bz<\/strong><\/p>\n

I odborn\u00edci, kte\u0159\u00ed robotick\u00e9 operace h\u00e1j\u00ed, \u0159\u00edkaj\u00ed, \u017ee na b\u011b\u017en\u00e9 z\u00e1kroky se robot nehod\u00ed. „Operovat s n\u00edm \u017elu\u010dn\u00edk je vyhazov\u00e1n\u00ed pen\u011bz,“ souhlas\u00ed i c\u00e9vn\u00ed chirurg Petr \u0160t\u00e1dler.<\/p>\n

V\u00fdsledky jsou srovnateln\u00e9<\/strong><\/p>\n

Nejv\u00edc operac\u00ed se prov\u00e1d\u00ed pr\u00e1v\u011b u n\u00e1dor\u016f prostaty \u010di d\u011blohy, studie z cel\u00e9ho sv\u011bta v\u0161ak dokazuj\u00ed, \u017ee v\u00fdsledky robot\u016f o moc lep\u0161\u00ed nejsou.<\/p>\n

„Aby to bylo f\u00e9r, je nutn\u00e9 zvolit spr\u00e1vn\u00e9 srovn\u00e1n\u00ed a to nen\u00ed se skalpelem chirurga, ale s laparoskopick\u00fdmi operacemi,“ \u0159\u00edk\u00e1 Vladim\u00edr Rogalewicz z Fakulty biomedic\u00ednsk\u00e9ho in\u017een\u00fdrstv\u00ed \u010cVUT, kter\u00e1 se na zhodnocen\u00ed p\u0159\u00ednos\u016f robot\u016f pod\u00edlela.<\/p>\n

„V\u00fdsledky co do zdrav\u00ed jsou srovnateln\u00e9, ale finan\u010dn\u011b robot ze studi\u00ed vych\u00e1z\u00ed efektivn\u011bji, jen kdyby b\u011b\u017eel naplno 24 hodin denn\u011b. Co\u017e by u n\u00e1s nikdo nezaplatil.“<\/p>\n

Projekt na zhodnocen\u00ed efektivity robot\u016f vymyslel poradce ministra zdravotnictv\u00ed Pavel Vep\u0159ek. Ten \u0159\u00edk\u00e1, \u017ee kdyby o hrazen\u00ed t\u011bchto operac\u00ed z ve\u0159ejn\u00e9ho poji\u0161t\u011bn\u00ed rozhodoval s\u00e1m, ponechal by je jen jako nadstandard.<\/p>\n

Mlad\u00e1 fronta DNES<\/p>\n

redak\u010dn\u011b kr\u00e1ceno, pln\u00fd text v dne\u0161n\u00edm vyd\u00e1n\u00ed MfD<\/p>\n","protected":false},"excerpt":{"rendered":"

Za\u010dne se ustupovat od robotick\u00fdch operac\u00ed? Podle VZP jsou p\u0159\u00edli\u0161 drah\u00e9 a studie tvrd\u00ed, \u017ee v\u00fdsledky operace jsou srovnateln\u00e9 s tou, kdy skalpel dr\u017e\u00ed ruka […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-4367","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/4367","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=4367"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/4367\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4367"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4367"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4367"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}