{"id":154469,"date":"2019-03-07T15:51:09","date_gmt":"2019-03-07T14:51:09","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=154469"},"modified":"2019-03-08T14:25:09","modified_gmt":"2019-03-08T13:25:09","slug":"jizni-cechy-nemocnice-ceske-budejovice-zavadi-robotickou-chirurgii","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=154469","title":{"rendered":"JI\u017dN\u00cd \u010cECHY: Nemocnice \u010cesk\u00e9 Bud\u011bjovice zav\u00e1d\u00ed robotickou chirurgii"},"content":{"rendered":"

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Syst\u00e9mem da Vinci pro robotem asistovan\u00e9 operace nov\u011b disponuje Nemocnice \u010cesk\u00e9 Bud\u011bjovice. Prvn\u00ed operace s t\u00edmto velmi modern\u00edm p\u0159\u00edstrojem v hodnot\u011b 33 000 000 korun byla provedena v pond\u011bl\u00ed 4. b\u0159ezna 2019. Vyu\u017eit\u00ed robotick\u00e9ho syst\u00e9mu bude zejm\u00e9na p\u0159i operac\u00edch onkologick\u00fdch onemocn\u011bn\u00ed v urologii, gynekologii a chirurgii.<\/h6>\n

\"\"\u201eDa Vinci X je nejnov\u011bj\u0161\u00ed syst\u00e9m pro roboticky asistovan\u00e9 chirurgick\u00e9 v\u00fdkony spadaj\u00edc\u00ed do IV. generace robotick\u00fdch syst\u00e9m\u016f spole\u010dnosti Intuitive Surgical. Je vyu\u017e\u00edv\u00e1n pro opera\u010dn\u00ed v\u00fdkony v dutin\u011b b\u0159i\u0161n\u00ed, dutin\u011b hrudn\u00ed a ORL v\u00fdkonech,\u201c<\/em> uv\u00e1d\u00ed MUDr. Jaroslav Nov\u00e1k, \u0159editel \u00faseku zdravotn\u00ed p\u00e9\u010de a \u010dlen p\u0159edstavenstva Nemocnice \u010cesk\u00e9 Bud\u011bjovice, a.s., s t\u00edm, \u017ee se jedn\u00e1 o prvn\u00ed instalaci tohoto typu robotick\u00e9ho syst\u00e9mu ve st\u0159edn\u00ed a v\u00fdchodn\u00ed Evrop\u011b.<\/p>\n

\u201eP\u0159ednosti roboticky asistovan\u00fdch operac\u00ed jsou v urologii zn\u00e1m\u00e9 a prok\u00e1zan\u00e9. Miniinvazivn\u00ed robotick\u00fd chirurgick\u00fd z\u00e1krok je pro pacienta m\u00e9n\u011b zat\u011b\u017euj\u00edc\u00edm, pacient m\u00e1 men\u0161\u00ed poopera\u010dn\u00ed bolestivost, ni\u017e\u0161\u00ed ztr\u00e1ty krve. Dokonal\u00e9, desetkr\u00e1t zv\u011bt\u0161en\u00e9 prostorov\u00e9 zobrazen\u00ed (3D-HD) opera\u010dn\u00edho pole v konzoli chirurga spolu s u\u017eit\u00edm robotick\u00fdch n\u00e1stroj\u016f imituj\u00edc\u00edch pohyb lidsk\u00e9ho z\u00e1p\u011bst\u00ed posouv\u00e1 limity o\u010d\u00ed i rukou. V\u00fdrazn\u011b se tak zlep\u0161uje p\u0159esnost a preciznost proveden\u00ed operace. Nap\u0159\u00edklad u nej\u010dast\u011bj\u0161\u00ed robotick\u00e9 operace – radik\u00e1ln\u00ed prostatektomie pro n\u00e1dor – p\u0159in\u00e1\u0161\u00ed asistence robota vysokou pravd\u011bpodobnost vyl\u00e9\u010den\u00ed zhoubn\u00e9ho onemocn\u011bn\u00ed, ale z\u00e1rove\u0148 se zlep\u0161uj\u00ed i funk\u010dn\u00ed v\u00fdsledky operace, tzn. \u00fapln\u00e9 kontinence (udr\u017een\u00ed mo\u010de) a v n\u011bkter\u00fdch p\u0159\u00edpadech i zachov\u00e1n\u00ed erekce,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Zden\u011bk Stan\u011bk, vedouc\u00ed robotick\u00e9ho opera\u010dn\u00edho t\u00fdmu urologick\u00e9ho odd\u011blen\u00ed.<\/p>\n

Cel\u00fd syst\u00e9m se skl\u00e1d\u00e1 ze t\u0159\u00ed \u010d\u00e1st\u00ed:<\/strong><\/p>\n

Chirurgick\u00e1 konzole – zde sed\u00ed chirurg, jen\u017e ovl\u00e1d\u00e1 na d\u00e1lku pomoc\u00ed speci\u00e1ln\u00edch prstov\u00fdch ovlada\u010d\u016f t\u0159i robotick\u00e9 n\u00e1stroje a endoskopickou kameru. P\u0159enos jemn\u00fdch pohyb\u016f ruky chirurga je intuitivn\u00ed s potla\u010den\u00edm p\u0159irozen\u00e9ho t\u0159esu rukou.<\/p>\n

V\u011b\u017e \u2013 centr\u00e1ln\u00ed po\u010d\u00edta\u010d syst\u00e9mu, p\u0159ipojen\u00ed 3D-HD kamery, koagula\u010dn\u00ed jednotka a monitor.<\/p>\n

Vlastn\u00ed robot \u2013 z\u00e1kladna se \u010dty\u0159mi univerz\u00e1ln\u00edmi rameny pro uchycen\u00ed n\u00e1stroj\u016f a endoskopick\u00e9 kamery. N\u00e1stroje maj\u00ed pr\u016fm\u011br pouh\u00fdch 8 mm a konce se pohybuj\u00ed v\u0161emi sm\u011bry (tzv. EndoWrist). Umo\u017e\u0148uj\u00ed operat\u00e9rovi pracovat v mal\u00e9m prostoru a v oblastech, kam by se vlastn\u00ed rukou \u010di laparoskopick\u00fdmi n\u00e1stroji dost\u00e1val velmi komplikovan\u011b \u010di v\u016fbec.<\/p>\n

\u201eZaveden\u00ed robotick\u00e9 chirurgie mimo jin\u00e9 znamen\u00e1 zkr\u00e1cen\u00ed hospitalizace (nap\u0159\u00edklad z dev\u00edti na \u010dty\u0159i a p\u016fl dne u operac\u00ed n\u00e1dor\u016f prostaty) a rekonvalescence s rychlej\u0161\u00edm n\u00e1vratem do b\u011b\u017en\u00e9ho aktivn\u00edho \u017eivota,\u201c<\/em>\u00a0upozor\u0148uje MUDr. Jaroslav Nov\u00e1k a z\u00e1rove\u0148 dod\u00e1v\u00e1: \u201eP\u0159\u00ednosn\u00e9 je z na\u0161eho pohledu tak\u00e9 um\u00edst\u011bn\u00ed chirurgick\u00e9ho robotick\u00e9ho p\u0159\u00edstroje v na\u0161\u00ed nemocnici, kter\u00e1 se tak stala des\u00e1t\u00fdm robotick\u00fdm centrem v \u010cR, kdy v sou\u010dasn\u00e9 dob\u011b je nejbl\u00ed\u017ee dostupn\u00fd p\u0159\u00edstroj v Praze. Nov\u00fd p\u0159\u00edstroj bude slou\u017eit pot\u0159eb\u00e1m pacient\u016f z Jiho\u010desk\u00e9ho kraje, okrajov\u00fdch \u010d\u00e1st\u00ed Plze\u0148sk\u00e9ho kraje a kraje Vyso\u010dina, kde nen\u00ed dosud robotick\u00e1 chirurgie dostupn\u00e1.\u201c<\/em><\/p>\n

P\u0159edpokladem je, \u017ee na p\u0159\u00edstroji budou prov\u00e1d\u011bny p\u0159ev\u00e1\u017en\u011b v\u00fdkony z oblasti urologie (zhruba 250 v\u00fdkon\u016f ro\u010dn\u011b) a d\u00e1le z oblasti chirurgie a gynekologie (zhruba 100 v\u00fdkon\u016f ro\u010dn\u011b). V budoucnu se po\u010d\u00edt\u00e1 s vyu\u017eit\u00edm i v oblasti c\u00e9vn\u00ed chirurgie, kardiochirurgie \u010di ORL<\/p>\n

Text a foto: (tznem)<\/strong><\/p>\n

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