{"id":58532,"date":"2025-06-17T17:54:53","date_gmt":"2025-06-17T15:54:53","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=58532"},"modified":"2025-06-17T17:56:06","modified_gmt":"2025-06-17T15:56:06","slug":"zachranuji-zivoty-pres-vpich-velky-10-milimetru","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=58532","title":{"rendered":"Operuj\u00ed pl\u00edce p\u0159es vpichy velk\u00e9 jen 10 mm"},"content":{"rendered":"\n

Praha, 11. 6. 2025 \u2013 Chirurgov\u00e9 z Motola u\u017e prov\u00e1d\u00ed v\u00edce ne\u017e polovinu operac\u00ed plic miniinvazivn\u011b. N\u00e1dory operuj\u00ed s vyu\u017eit\u00edm robotick\u00e9 ruky, kterou ovl\u00e1daj\u00ed p\u0159es \u010dty\u0159i mal\u00e9 vpichy v t\u011ble pacienta. P\u0159\u00edpadn\u011b operuj\u00ed s videoasistenc\u00ed. Pacient tak p\u0159ijde na III. chirurgickou kliniku na z\u00e1krok, a kdy\u017e nenastanou komplikace, odch\u00e1z\u00ed po 3 dnech dom\u016f. R\u00e1na se l\u00e9pe hoj\u00ed a bol\u00ed m\u00e9n\u011b ne\u017e p\u0159i otev\u0159en\u00e9 operaci. V dal\u0161\u00edch dnech ji\u017e nemocn\u00fd rehabilituje a rychle se vrac\u00ed zp\u011bt do b\u011b\u017en\u00e9ho \u017eivota.<\/strong><\/p>\n\n\n\n

Zat\u00edmco v\u00a0roce 2014 l\u00e9ka\u0159i III. chirurgick\u00e9 kliniky 1 LF UK a FN Motol provedli 126 anatomick\u00fdch resekc\u00ed plic, v\u0161echny metodou, p\u0159i kter\u00e9 doch\u00e1z\u00ed k\u00a0otev\u0159en\u00ed hrudn\u00ed st\u011bny, loni operovali pl\u00edce 181kr\u00e1t, z toho v 54 % p\u0159\u00edpad\u016f miniinvazivn\u011b. Pou\u017eit\u00ed takov\u00e9ho typu z\u00e1kroku sn\u00ed\u017eilo pr\u016fm\u011brnou dobu hospitalizace z\u00a010 dn\u016f (rok 2014) na 4,4 dne (2024). <\/p>\n\n\n\n

\u201eKa\u017ed\u00e9 l\u00e9\u010db\u011b p\u0159edch\u00e1z\u00ed \u0159ada vy\u0161et\u0159en\u00ed, jejich\u017e c\u00edlem je navrhnout pro konkr\u00e9tn\u00edho pacienta na m\u00edru u\u0161it\u00fd l\u00e9\u010debn\u00fd pl\u00e1n. Vyu\u017e\u00edv\u00e1me p\u0159itom um\u011blou inteligenci, 3D model plic a pokro\u010dil\u00e9 zobrazovac\u00ed metody, v\u010detn\u011b modelace pomoc\u00ed virtu\u00e1ln\u00ed a roz\u0161\u00ed\u0159en\u00e9 reality,\u201c<\/em> vysv\u011btluje prof. MUDr. Robert Lischke, p\u0159ednosta kliniky a\u00a0vedouc\u00ed Pneumoonkochirurgick\u00e9ho centra a N\u00e1rodn\u00edho programu transplantace plic. P\u0159\u00edkladem, kdy pokro\u010dil\u00e1 technologie pomohla se z\u00e1krokem, k\u00a0n\u011bmu\u017e by je\u0161t\u011b p\u0159ed p\u00e1r lety nedo\u0161lo, je p\u0159\u00edpad mlad\u00e9 pacientky, kter\u00e1 m\u011bla n\u00e1dor bl\u00edzko u srdce. \u201e3D model plic n\u00e1m napov\u011bd\u011bl, \u017ee n\u00e1dor m\u016f\u017eeme bezpe\u010dn\u011b operovat,\u201c<\/em> \u0159\u00edk\u00e1 prof. Lischke.<\/p>\n\n\n\n

Obrovsk\u00fd posun v l\u00e9\u010db\u011b umo\u017e\u0148uj\u00ed nejen pokro\u010dil\u00e9 technologie, ale tak\u00e9 \u0161pi\u010dkov\u00ed l\u00e9ka\u0159i. Mal\u00e9 n\u00e1dory zvl\u00e1dnou operovat s vyu\u017eit\u00edm robotick\u00e9 ruky p\u0159es \u010dty\u0159i men\u0161\u00ed vpichy v t\u011ble pacienta. Do nich zavedou l\u00e9ka\u0159i kameru a pot\u0159ebn\u00e9 n\u00e1stroje, kter\u00e9 ovl\u00e1d\u00e1 zku\u0161en\u00fd chirurg. \u201eNe\u017e se l\u00e9ka\u0159 nau\u010d\u00ed robota rutinn\u011b ovl\u00e1dat, pot\u0159ebuje l\u00e9ta praxe a b\u00fdt neust\u00e1le na s\u00e1le. Vzhledem k tomu, \u017ee na na\u0161\u00ed klinice ro\u010dn\u011b provedeme p\u0159ibli\u017en\u011b 3 000 operac\u00ed, o praxi nen\u00ed nouze,\u201c<\/em> p\u0159ipom\u00edn\u00e1 prof. Robert Lischke.<\/p>\n\n\n\n

Do motolsk\u00e9ho pracovi\u0161t\u011b, kter\u00e9 je z\u00e1rove\u0148 centrem vysoce specializovan\u00e9 pneumoonkochirurgick\u00e9 p\u00e9\u010de, p\u0159ich\u00e1zej\u00ed na z\u00e1kroky lid\u00e9 s rakovinou plic. Tou v \u010cesku ro\u010dn\u011b onemocn\u00ed p\u0159ibli\u017en\u011b 6 600 lid\u00ed. Jedn\u00edm z pacient\u016f byl i 60let\u00fd Roman, u n\u011bj\u017e se na n\u00e1dor v plic\u00edch p\u0159i\u0161lo d\u00edky p\u0159edopera\u010dn\u00edmu vy\u0161et\u0159en\u00ed, kter\u00e9 absolvoval kv\u016fli zcela jin\u00e9mu z\u00e1kroku. Do Motola na III. chirurgickou kliniku jej poslala o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159ka. V Praze mu chirurgov\u00e9 odstranili plicn\u00ed lalok s n\u00e1dorem. Dom\u016f \u0161el za 3 dny. N\u011bkolik m\u011bs\u00edc\u016f po operaci u\u017e b\u011b\u017eel desetikilometrov\u00fd z\u00e1vod B\u011bchovice\u2013Praha.<\/p>\n\n\n\n

Ne v\u0161ichni pacienti se v\u0161ak ke \u0161pi\u010dkov\u00e9 p\u00e9\u010di dostanou. L\u00e9ka\u0159i upozor\u0148uj\u00ed na to, \u017ee \u0159ada operac\u00ed v\u00a0oblasti hrudn\u00ed chirurgie se v sou\u010dasnosti prov\u00e1d\u00ed prakticky na jak\u00e9mkoliv pracovi\u0161ti, kter\u00e9 se rozhodne takov\u00e9 z\u00e1kroky d\u011blat. <\/p>\n\n\n\n

\u201eAby bylo mo\u017en\u00e9 garantovat nemocn\u00fdm stejn\u011b kvalitn\u00ed p\u00e9\u010di, je t\u0159eba, aby se takov\u00e9 operace centralizovaly. Nap\u0159\u00edklad lid\u00e9 s\u00a0rakovinou plic by se m\u011bli v\u017edy dostat do center vysoce specializovan\u00e9 pneumoonkochirurgick\u00e9 p\u00e9\u010de. Zde se na jednom m\u00edst\u011b soust\u0159ed\u00ed kvalitn\u00ed p\u0159\u00edstrojov\u00e9 vybaven\u00ed, zku\u0161enosti i l\u00e9ka\u0159i pat\u0159i\u010dn\u00fdch specializac\u00ed a na v\u0161e\u00a0navazuje komplexn\u00ed onkologick\u00e9 centrum. \u0160ance pacienta na del\u0161\u00ed p\u0159e\u017eit\u00ed \u010di uzdraven\u00ed z\u00e1vis\u00ed do zna\u010dn\u00e9 m\u00edry pr\u00e1v\u011b na tom, kde se l\u00e9\u010d\u00ed,\u201c<\/em> vysv\u011btluje prof. Robert Lischke. Podle n\u011bj se \u201emimo syst\u00e9m\u201c \u0161pi\u010dkov\u00e9 p\u00e9\u010de ocit\u00e1 a\u017e 40 % lid\u00ed s\u00a0karcinomem plic. \u201e\u010cesk\u00e1 republika by pot\u0159ebovala systematickou a\u00a0koncep\u010dn\u00ed centralizaci hrudn\u00ed chirurgie,\u201c<\/em> dod\u00e1v\u00e1.<\/p>\n\n\n\n

III. chirurgick\u00e1 klinika 1. LF UK a FN Motol je v tuzemsku jedin\u00fdm pracovi\u0161t\u011bm hrudn\u00ed chirurgie s akreditac\u00ed II. typu a jedin\u00fdm centrem pro transplantace plic v r\u00e1mci \u010ceska a Slovenska. Za posledn\u00edch 27 let zde dostalo nov\u00e9 pl\u00edce v\u00edce ne\u017e 700 lid\u00ed. Po\u010det transplantac\u00ed neust\u00e1le roste \u2013 loni ji podstoupilo 72 pacient\u016f, co\u017e je pro srovn\u00e1n\u00ed s rokem 2014 o 40 osob v\u00edce. \u201eNa\u0161e pracovi\u0161t\u011b a spektrum v\u00fdkon\u016f, kter\u00e9 v sou\u010dasn\u00e9 dob\u011b prov\u00e1d\u00edme, je pln\u011b srovnateln\u00e9 se zahrani\u010d\u00edm,\u201c<\/em> dopl\u0148uje prof. Robert Lischke.<\/p>\n\n\n\n

O III. chirurgick\u00e9 klinice <\/strong>1. LF UK a FN Motol<\/strong><\/p>\n\n\n\n

Specializuje se p\u0159edev\u0161\u00edm na hrudn\u00ed chirurgii, kam pat\u0159\u00ed operace n\u00e1dor\u016f plic<\/a> a transplantace plic. L\u00e9ka\u0159i se zde v\u011bnuj\u00ed tak\u00e9 b\u0159i\u0161n\u00ed chirurgii, endokrinochirurgii a l\u00e9\u010db\u011b sarkom\u016f m\u011bkk\u00fdch tk\u00e1n\u00ed. Spolupracuj\u00ed s l\u00e9ka\u0159i dal\u0161\u00edch odbornost\u00ed. III. chirurgick\u00e1 klinika 1. LF UK a FN Motol je jedin\u00fdm pracovi\u0161t\u011bm hrudn\u00ed chirurgie s akreditac\u00ed II. typu v \u010cR a jedin\u00fdm centrem pro transplantace plic v r\u00e1mci \u010cesk\u00e9 republiky a Slovenska. Hrudn\u00ed v\u00fdkony prov\u00e1d\u00ed t\u00fdm zku\u0161en\u00fdch anesteziolog\u016f s expert\u00edzou v oblasti kardiopulmon\u00e1ln\u00ed a hrudn\u00ed anestezie. V\u00edce informac\u00ed na https:\/\/www.plicnichirurgie.cz<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

Praha, 11. 6. 2025 \u2013 Chirurgov\u00e9 z Motola u\u017e prov\u00e1d\u00ed v\u00edce ne\u017e polovinu operac\u00ed plic miniinvazivn\u011b. N\u00e1dory operuj\u00ed s vyu\u017eit\u00edm robotick\u00e9 ruky, kterou ovl\u00e1daj\u00ed p\u0159es \u010dty\u0159i mal\u00e9 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":58533,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-58532","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\/58532","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=58532"}],"version-history":[{"count":1,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/58532\/revisions"}],"predecessor-version":[{"id":58539,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/58532\/revisions\/58539"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/58533"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=58532"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=58532"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=58532"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}