{"id":9951,"date":"2013-09-05T09:01:47","date_gmt":"2013-09-05T07:01:47","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=9951"},"modified":"2014-10-20T20:06:59","modified_gmt":"2014-10-20T18:06:59","slug":"unikatni-operace-znici-metastaze","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=9951","title":{"rendered":"Unik\u00e1tn\u00ed operace zni\u010d\u00ed metast\u00e1zy"},"content":{"rendered":"

L\u00e9ka\u0159i z Fakultn\u00ed nemocnice Ostrava s n\u011bmeck\u00fdm specialistou poprv\u00e9 v \u010cesku odstranili \u010d\u00e1st jater pomoc\u00ed metody nazvan\u00e9 ALPPS. Poda\u0159ilo se tak odstranit zhoubn\u00e9 metast\u00e1zy, ani\u017e by pacient zcela p\u0159i\u0161el o zivotn\u011b d\u016fle\u017eit\u00e1 j\u00e1tra<\/strong>.<\/strong>
\n
\n„Metoda je zam\u011b\u0159ena na onkologick\u00e9 pacienty s \u010detn\u00fdmi metast\u00e1zami v obou jatern\u00edch laloc\u00edch a vych\u00e1z\u00ed z technik, kdy je \u017eiv\u00e9mu d\u00e1rci odebr\u00e1n jatern\u00ed \u0161t\u011bp, aby mohl b\u00fdt vyu\u017eit u pacienta s nefunk\u010dn\u00edmi j\u00e1try,“ uvedl mluv\u010d\u00ed fakultn\u00ed nemocnice Tom\u00e1\u0161 Oborn\u00fd.<\/p>\n

Ostrava spolupracuje s klinikou v n\u011bmeck\u00e9m Essenu, kter\u00e1 pat\u0159\u00ed k naprost\u00fdm sv\u011btov\u00fdm \u0161pi\u010dk\u00e1m v transplantac\u00edch jater.<\/p>\n

„Proto jsme prvn\u00ed jatern\u00ed resekci provedli ve spolupr\u00e1ci s docentem Math\u00e9 z t\u00e9to kliniky,“ vysv\u011btlil p\u0159ednosta chirurgick\u00e9 kliniky Pavel Zon\u010da.<\/p>\n

Jatern\u00ed resekce ALPPS je zalo\u017eena na dvou operac\u00edch. P\u0159i prvn\u00ed se uzav\u0159e \u017eiln\u00ed z\u00e1soben\u00ed v\u00edce posti\u017een\u00e9 jedn\u00e9 poloviny jater, \u017eivotn\u011b d\u016fle\u017eit\u00fd org\u00e1n se pak rozd\u011bl\u00ed a sou\u010dasn\u011b se odstran\u00ed patologick\u00e1 lo\u017eiska z druh\u00e9 poloviny jater.<\/p>\n

B\u011bhem zhruba sedmi a\u017e deseti dn\u016f od uzav\u0159en\u00ed \u017eiln\u00edho z\u00e1soben\u00ed toti\u017e doch\u00e1z\u00ed k extr\u00e9mn\u00edmu zv\u011bt\u0161en\u00ed \u010d\u00e1sti jater s neuzav\u0159en\u00fdm krevn\u00edm z\u00e1soben\u00edm. Metast\u00e1zemi posti\u017eenou \u010d\u00e1st s uzav\u0159en\u00fdm p\u0159\u00edvodem krve pak lze odstranit p\u0159i druh\u00e9 operaci.<\/p>\n

„D\u0159\u00edve tito pacienti s pokro\u010dil\u00fdm metastatick\u00fdm posti\u017een\u00edm jater obvykle podstoupili chemoterapii nebo biologickou l\u00e9\u010dbu a t\u00edm byly ve\u0161ker\u00e9 l\u00e9\u010debn\u00e9 mo\u017enosti vy\u010derp\u00e1ny. Dnes jim m\u016f\u017eeme pomoci,“ zd\u016fraznil p\u0159ednosta Zon\u010da.<\/p>\n

Metast\u00e1ze jater se nej\u010dast\u011bji objevuj\u00ed u n\u00e1doru tlust\u00e9ho st\u0159eva a kone\u010dn\u00edku. Tento karcinom p\u0159itom pat\u0159\u00ed v k velmi \u010dast\u00fdm n\u00e1dorov\u00fdm onemocn\u011bn\u00edm.<\/strong><\/p>\n

N\u00e1dor tlust\u00e9ho st\u0159eva postihl i 49let\u00e9ho pacienta. P\u0159ed rokem ho za\u010daly tr\u00e1pit prudk\u00e9 bolesti b\u0159icha a kolonoskopie prok\u00e1zala n\u00e1dor v tlust\u00e9m st\u0159ev\u011b. L\u00e9ka\u0159i mu proto vyoperovali zhruba dvacet centimetr\u016f zasa\u017een\u00e9ho org\u00e1nu a podrobil se i chemoterapii. Jen\u017ee v j\u00e1trech se objevily metast\u00e1ze.<\/p>\n

„V\u0161echny konven\u010dn\u00ed metody l\u00e9\u010dby byly vy\u010derp\u00e1ny. Proto jsme mu nab\u00eddli tuto novou mo\u017enost a b\u011bhem dvou operac\u00ed odstranili z jater v\u0161echny metast\u00e1ze,“ \u0159ekl p\u0159ednosta chirurgick\u00e9 kliniky Zon\u010da.<\/p>\n

Dodal, \u017ee po zhruba dvout\u00fddenn\u00ed hospitalizaci a asi po dvou m\u011bs\u00edc\u00edch rekonvalescence by m\u011bl pacient z\u016fstat bez jak\u00fdchkoli pot\u00ed\u017e\u00ed.<\/p>\n

V pr\u016fb\u011bhu z\u00e1\u0159\u00ed provede t\u00fdm chirurgick\u00e9 kliniky dal\u0161\u00ed resekci jater technikou ALPPS. Tentokr\u00e1t bude operov\u00e1na pacientka s podobnou diagn\u00f3zou. L\u00e9ka\u0159i pouze \u010dekaj\u00ed na odezn\u011bn\u00ed efektu biologick\u00e9 l\u00e9\u010dby, j\u00ed\u017e byla \u017eena v p\u0159edchoz\u00ed dob\u011b podrobena.<\/p>\n

Josef Gabzdyl
\nMlad\u00e1 fronta DNES<\/p>\n","protected":false},"excerpt":{"rendered":"

L\u00e9ka\u0159i z Fakultn\u00ed nemocnice Ostrava s n\u011bmeck\u00fdm specialistou poprv\u00e9 v \u010cesku odstranili \u010d\u00e1st jater pomoc\u00ed metody nazvan\u00e9 ALPPS. Poda\u0159ilo se tak odstranit zhoubn\u00e9 metast\u00e1zy, ani\u017e […]<\/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":[11,9],"tags":[],"class_list":["post-9951","post","type-post","status-publish","format-standard","hentry","category-zdravi","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/9951","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=9951"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/9951\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9951"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9951"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9951"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}