{"id":48400,"date":"2024-04-26T09:15:09","date_gmt":"2024-04-26T07:15:09","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=48400"},"modified":"2024-04-26T09:15:10","modified_gmt":"2024-04-26T07:15:10","slug":"na-bulovce-se-konal-kurz-miniinvazivni-chirurgie-pod-vedenim-spanelskeho-lekare","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=48400","title":{"rendered":"NA BULOVCE SE KONAL KURZ MINIINVAZIVN\u00cd CHIRURGIE POD VEDEN\u00cdM \u0160PAN\u011aLSK\u00c9HO L\u00c9KA\u0158E"},"content":{"rendered":"\n<p><strong>Fakultn\u00ed nemocnice Bulovka uspo\u0159\u00e1dala ve spolupr\u00e1ci se spole\u010dnost\u00ed Mediservis 22. a 23. dubna jedine\u010dn\u00fd vzd\u011bl\u00e1vac\u00ed kurz miniinvazivn\u00ed hrudn\u00ed chirurgie Uniportal VATS, kter\u00fd vedl \u0161pan\u011blsk\u00fd l\u00e9ka\u0159 Dr. Diego Gonz\u00e1les Rivas, zakladatel t\u00e9to unik\u00e1tn\u00ed metody. Celkem t\u0159i operace vybran\u00fdch pacient\u016f byly \u017eiv\u011b p\u0159en\u00e1\u0161eny do posluch\u00e1rny Chirurgick\u00e9 kliniky, kde je sledovali l\u00e9ka\u0159i z r\u016fzn\u00fdch \u010desk\u00fdch nemocnic. Odborn\u00fdm garantem kurzu byl MUDr. Pavel Hor\u00e1k, prim\u00e1\u0159 Chirurgick\u00e9 kliniky FNB, 1. LF UK a IPVZ, kter\u00fd je jedn\u00edm z pr\u016fkopn\u00edk\u016f metody Uniportal VATS na Bulovce.<\/strong><\/p>\n\n\n\n<p>Miniinvazivn\u00ed (VATS) anatomickou resekci plic z jedn\u00e9 incize (z jednoho \u0159ezu = uniportal) provedl Dr. Rivas jako v\u016fbec prvn\u00ed chirurg v \u010dervnu 2010. <em>\u201eZp\u016fsob veden\u00ed operace metodou Uniportal VATS je nejmodern\u011bj\u0161\u00edm postupem, kter\u00fd je pro pacienty velmi \u0161etrn\u00fd,\u201c <\/em>vysv\u011btluje prim\u00e1\u0159 Pavel Hor\u00e1k.<em> \u201eJsme r\u00e1di, \u017ee si Dr. Rivas pro uk\u00e1zku sv\u00e9 techniky vybral pr\u00e1v\u011b na\u0161i Chirurgickou kliniku. Byla to p\u0159\u00edle\u017eitost pro v\u0161echny na\u0161e kolegy, kte\u0159\u00ed m\u011bli mo\u017enost sledovat operaci online a o t\u00e9to metod\u011b tak z\u00edskat v\u00edce informac\u00ed. A v&nbsp;neposledn\u00ed \u0159ad\u011b vid\u011bt v praxi, jak\u00fdm zp\u016fsobem se prov\u00e1d\u00ed. V\u011b\u0159\u00edm, \u017ee pr\u00e1v\u011b sd\u00edlen\u00ed znalost\u00ed a zku\u0161enost\u00ed nap\u0159\u00ed\u010d mezin\u00e1rodn\u00ed medic\u00ednskou komunitou posouv\u00e1 obor l\u00e9ka\u0159stv\u00ed kup\u0159edu,&#8220;<\/em> vyhodnotil kurz prim\u00e1\u0159.<\/p>\n\n\n\n<p>\u201e<em>Operoval jsem v\u00edce ne\u017e 7000 pacient\u016f ve 129 zem\u00edch sv\u011bta. Z\u00e1rove\u0148 vedu v\u00fduku miniinvazivn\u00edch technik operac\u00ed plic metodou Uniportal, kter\u00e1 umo\u017enuje operovat uvnit\u0159 dutiny hrudn\u00ed skrz jeden mal\u00fd \u0159ez. Pro pacienty to znamen\u00e1 rychlej\u0161\u00ed zotaven\u00ed a ni\u017e\u0161\u00ed m\u00edru poopera\u010dn\u00edch komplikac\u00ed,\u201c<\/em> sd\u011blil ke sv\u00e9 technice p\u0159\u00edtomn\u00fdm l\u00e9ka\u0159\u016fm Diego Gonzales Rivas.<\/p>\n\n\n\n<p>Ve Fakultn\u00ed nemocnici Bulovka je prov\u00e1d\u011bno \u0161irok\u00e9 spektrum chirurgick\u00fdch v\u00fdkon\u016f miniinvazivn\u00edm p\u0159\u00edstupem, tzv. VATS (videem asistovan\u00e1 torakoskopick\u00e1 chirurgie). V hrudn\u00ed chirurgii se jedn\u00e1 o v\u00fdkony od diagnostick\u00fdch z\u00e1krok\u016f, nap\u0159. odebr\u00e1n\u00ed vzork\u016f pl\u00edce \u010di odb\u011br uzlin z mezihrud\u00ed, a\u017e po onkochirurgick\u00e9 v\u00fdkony na plic\u00edch (plicn\u00ed lobektomie, pneumonektomie \u2013 odstran\u011bn\u00ed lalok\u016f pl\u00edce \u010di dokonce cel\u00e9 pl\u00edce), v j\u00edcnu a mezihrud\u00ed (n\u00e1dory uzlin, brzl\u00edku, nervov\u00e9ho syst\u00e9mu) a dal\u0161\u00ed.<\/p>\n\n\n\n<p>Miniinvazivn\u00ed techniky p\u0159in\u00e1\u0161ej\u00ed sn\u00ed\u017een\u00ed opera\u010dn\u00ed z\u00e1t\u011b\u017ee pro nemocn\u00e9, v\u00fdborn\u00fd p\u0159ehled v opera\u010dn\u00edm poli, men\u0161\u00ed poopera\u010dn\u00ed bolesti a rychlej\u0161\u00ed uzdraven\u00ed pacient\u016f. Slo\u017eit\u00e9 opera\u010dn\u00ed v\u00fdkony na plic\u00edch, v j\u00edcnu a mezihrud\u00ed jsou v zahrani\u010d\u00ed prov\u00e1d\u011bny ji\u017e po dv\u011b desetilet\u00ed. V \u010cR se Fakultn\u00ed nemocnice Bulovka \u0159ad\u00ed mezi n\u011bkolik m\u00e1lo nemocnic, kde je videoasistovan\u00e1 hrudn\u00ed chirurgie u n\u00e1dor\u016f plic a j\u00edcnu prov\u00e1d\u011bna v takov\u00e9m rozsahu i v mno\u017estv\u00ed proveden\u00fdch v\u00fdkon\u016f. <em>\u201eProgram VATS lobektomie na na\u0161em pracovi\u0161ti byl zah\u00e1jen v roce 2015 a nyn\u00ed jsme touto metodou schopni odstranit v\u011bt\u0161inu prim\u00e1rn\u00edch plicn\u00edch n\u00e1dor\u016f,&#8220;<\/em> dodal k&nbsp;opera\u010dn\u00ed metod\u011b prim\u00e1\u0159 Pavel Hor\u00e1k.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Fakultn\u00ed nemocnice Bulovka uspo\u0159\u00e1dala ve spolupr\u00e1ci se spole\u010dnost\u00ed Mediservis 22. a 23. dubna jedine\u010dn\u00fd vzd\u011bl\u00e1vac\u00ed kurz miniinvazivn\u00ed hrudn\u00ed chirurgie Uniportal VATS, kter\u00fd vedl \u0161pan\u011blsk\u00fd l\u00e9ka\u0159 <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=48400\" title=\"NA BULOVCE SE KONAL KURZ MINIINVAZIVN\u00cd CHIRURGIE POD VEDEN\u00cdM \u0160PAN\u011aLSK\u00c9HO L\u00c9KA\u0158E\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14511,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-48400","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\/48400","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=48400"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/48400\/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=48400"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=48400"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=48400"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}