P\u0159inutit zdravou \u010d\u00e1st jater vyr\u016fst natolik, aby pak bylo mo\u017en\u00e9 odoperovat rozs\u00e1hl\u00fd n\u00e1dor, o\u0161et\u0159it nemocnou slinivku jen skrz mal\u00e9 \u0159ezy, dostat se naprosto p\u0159esn\u011b k problematick\u00e9 tk\u00e1ni tam, kde by pacient nezvl\u00e1dl radik\u00e1ln\u00ed z\u00e1krok. Do toho v\u0161eho se pou\u0161t\u00ed zvl\u00e1\u0161tn\u00ed t\u00fdm, kter\u00fd je sou\u010d\u00e1st\u00ed chirurgick\u00e9ho odd\u011blen\u00ed \u010deskobud\u011bjovick\u00e9 nemocnice. Specializovan\u00e9 centrum pro hepatopankreatobili\u00e1rn\u00ed chirurgii si um\u00ed poradit i se slo\u017eit\u00fdmi n\u00e1dorov\u00fdmi a z\u00e1n\u011btliv\u00fdmi onemocn\u011bn\u00edmi jater, slinivky b\u0159i\u0161n\u00ed a \u017elu\u010dov\u00fdch cest. Je jedin\u00e9 sv\u00e9ho druhu v kraji.<\/p>\n\n\n\n
\u201eT\u00fdm, kter\u00fd se t\u00e9to problematice v\u011bnuje, nezahrnuje pouze specializovan\u00e9 chirurgy, ale tak\u00e9 gastroenterology, klinick\u00e9 onkology a interven\u010dn\u00ed radiology. V\u0161echny tyto odbornosti pak navrhuj\u00ed ten nejlep\u0161\u00ed l\u00e9\u010debn\u00fd pl\u00e1n pro ka\u017ed\u00e9ho pacienta, kter\u00fd se do p\u00e9\u010de hepatopankreatobili\u00e1rn\u00edho t\u00fdmu dostane a kde je cel\u00fd jeho p\u0159\u00edpad pe\u010dliv\u011b probr\u00e1n,\u201c nasti\u0148uje prim\u00e1\u0159 chirurgick\u00e9ho odd\u011blen\u00ed Petr Pt\u00e1k. \u201eJsme jedin\u00fdm pracovi\u0161t\u011bm v ji\u017en\u00edch \u010cech\u00e1ch, kter\u00e9 nab\u00edz\u00ed pacient\u016fm komplexn\u00ed \u0159e\u0161en\u00ed jak n\u00e1dorov\u00fdch, tak i z\u00e1n\u011btliv\u00fdch onemocn\u011bn\u00ed jater, slinivky b\u0159i\u0161n\u00ed a \u017elu\u010dov\u00fdch cest,\u201c dod\u00e1v\u00e1.<\/p>\n\n\n\n
\u201eKomplexn\u00ed znamen\u00e1, \u017ee n\u00e1dorov\u00e9 onemocn\u011bn\u00ed d\u00edky t\u00fdmu specializovan\u00fdch chirurg\u016f nejen odoperujeme, ale m\u00e1me tak\u00e9 dostate\u010dn\u00e9 anesteziologicko-resuscita\u010dn\u00ed z\u00e1zem\u00ed. To je jak v pr\u016fb\u011bhu operace, tak v p\u00e9\u010di poopera\u010dn\u00ed nesm\u00edrn\u011b d\u016fle\u017eit\u00e9,\u201c zd\u016fraz\u0148uje z\u00e1stupce prim\u00e1\u0159e Pavel Ko\u017enar.<\/p>\n\n\n\n
D\u016fle\u017eitou roli hraje interven\u010dn\u00ed gastroenterolog. \u201eTen prov\u00e1d\u00ed nejen detailn\u00ed endosonografie a biopsie zm\u00edn\u011bn\u00fdch org\u00e1n\u016f k p\u0159esn\u00e9mu ur\u010den\u00ed povahy onemocn\u011bn\u00ed, ale tak\u00e9 \u0159e\u0161\u00ed p\u0159\u00edpadn\u00e9 poopera\u010dn\u00ed komplikace. Ty bohu\u017eel k tak n\u00e1ro\u010dn\u00e9 chirurgii, jakou je chirurgie slinivky b\u0159i\u0161n\u00ed, celosv\u011btov\u011b pat\u0159\u00ed. Pakli\u017ee se komplikace vyskytnou, zvl\u00e1d\u00e1me je \u0159e\u0161it miniinvazivn\u011b,\u201c zmi\u0148uje Petr Pt\u00e1k. Dal\u0161\u00edm nepostradateln\u00fdm \u010dlenem t\u00fdmu je klinick\u00fd onkolog. Interven\u010dn\u00ed radiologov\u00e9 se dost\u00e1vaj\u00ed ke slovu nap\u0159\u00edklad u pokro\u010dil\u00fdch n\u00e1dor\u016f jater. \u201eD\u00edky speci\u00e1ln\u00ed intervenci nechaj\u00ed zdravou \u010d\u00e1st jater dor\u016fst do pot\u0159ebn\u00e9ho objemu, n\u00e1sledn\u011b pak mohou chirurgov\u00e9 n\u00e1dorem posti\u017een\u00fd jatern\u00ed lalok odstranit,“ p\u0159ibli\u017euje jednu z pou\u017e\u00edvan\u00fdch metod mluv\u010d\u00ed nemocnice Iva Nov\u00e1kov\u00e1.<\/p>\n\n\n\n
Ty by se dnes neobe\u0161ly bez \u0161pi\u010dkov\u00e9ho vybaven\u00ed centra. \u201eD\u00edky vizion\u00e1\u0159sk\u00e9mu veden\u00ed na\u0161\u00ed nemocnice m\u00e1me k dispozici jedny z nejlep\u0161\u00edch p\u0159\u00edstroj\u016f v r\u00e1mci chirurgick\u00e9 l\u00e9\u010dby t\u011bchto typ\u016f onemocn\u011bn\u00ed v \u010cR. Mezi ty nejnov\u011bj\u0161\u00ed pat\u0159\u00ed ultrazvukov\u00fd p\u0159\u00edstroj, kter\u00fd jako prvn\u00ed a dosud jedin\u00fd chirurgick\u00fd t\u00fdm v na\u0161\u00ed republice vlastn\u00edme teprve p\u016fl roku. Je ur\u010den\u00fd zejm\u00e9na pro chirurgick\u00e9 v\u00fdkony v oblasti jater a slinivky b\u0159i\u0161n\u00ed. D\u00edky tomuto za\u0159\u00edzen\u00ed jsme schopni \u0159e\u0161it n\u00e1dorov\u00e1 onemocn\u011bn\u00ed jater pomoc\u00ed tzv. radiofrekven\u010dn\u00ed ablace. To laicky znamen\u00e1, \u017ee pomoc\u00ed jehly sp\u00e1l\u00edme samotn\u00fd n\u00e1dor. Pomoc\u00ed specializovan\u00e9 ultrazvukov\u00e9 sondy vid\u00edme ulo\u017een\u00ed n\u00e1doru v j\u00e1trech ve dvou na sebe kolm\u00fdch rovin\u00e1ch a zac\u00edlen\u00ed tohoto n\u00e1doru pomoc\u00ed jehly je naprosto p\u0159esn\u00e9. Jsme schopni v re\u00e1ln\u00e9m \u010dase zhodnotit jak kvalitu o\u0161et\u0159en\u00ed dan\u00e9ho n\u00e1doru, tak sou\u010dasn\u011b kontrolovat, \u017ee jsme neporanili d\u016fle\u017eit\u00e9 struktury v j\u00e1trech. Tohoto postupu se vyu\u017e\u00edv\u00e1 nap\u0159\u00edklad u pacient\u016f, kte\u0159\u00ed nejsou kv\u016fli nedostate\u010dn\u00e9 funkci jater, nej\u010dast\u011bji na vrub cirh\u00f3zy, schopni podstoupit radik\u00e1ln\u00ed odstran\u011bn\u00ed \u010d\u00e1sti jater,\u201c p\u0159edstavuje pr\u00e1ci s novou technikou chirurg Tom\u00e1\u0161 Jekielek.<\/p>\n\n\n\n
Do p\u00e9\u010de centra pro hepatopankreatobili\u00e1rn\u00ed chirurgii by se m\u011bli dost\u00e1vat pacienti se z\u00e1va\u017en\u00fdmi onemocn\u011bn\u00edmi z cel\u00e9ho Jiho\u010desk\u00e9ho kraje. \u201eV p\u0159\u00edpad\u011b chirurgie jater, slinivky b\u0159i\u0161n\u00ed a \u017elu\u010dov\u00fdch cest plat\u00ed, \u017ee centra prov\u00e1d\u011bj\u00edc\u00ed v\u011bt\u0161\u00ed po\u010dty v\u00fdkon\u016f dosahuj\u00ed v\u00fdznamn\u011b lep\u0161\u00edch v\u00fdsledk\u016f,“ vysv\u011btluje gener\u00e1ln\u00ed \u0159editel nemocnice Michal \u0160norek snahu soust\u0159edit l\u00e9\u010dbu slo\u017eit\u00fdch p\u0159\u00edpad\u016f do Bud\u011bjovic.<\/p>\n\n\n\n
Hana Sv\u00edtilov\u00e1<\/p>\n\n\n\n
\u010ceskobud\u011bjovick\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/ceskobudejovicky.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" P\u0159inutit zdravou \u010d\u00e1st jater vyr\u016fst natolik, aby pak bylo mo\u017en\u00e9 odoperovat rozs\u00e1hl\u00fd n\u00e1dor, o\u0161et\u0159it nemocnou slinivku jen skrz mal\u00e9 \u0159ezy, dostat se naprosto p\u0159esn\u011b k […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":38777,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-49927","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\/49927","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=49927"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/49927\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/38777"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=49927"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=49927"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=49927"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}