{"id":311066,"date":"2024-06-18T17:19:22","date_gmt":"2024-06-18T16:19:22","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=311066"},"modified":"2024-06-20T13:02:44","modified_gmt":"2024-06-20T12:02:44","slug":"jizni-cechy-ceskobudejovicka-nemocnice-disponuje-jako-jedina-v-kraji-specializovanym-centrem-pro-hepatopankreatobiliarni-chirurgii","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=311066","title":{"rendered":"JI\u017dN\u00cd \u010cECHY: \u010ceskobud\u011bjovick\u00e1 nemocnice disponuje jako jedin\u00e1 v kraji specializovan\u00fdm centrem pro hepatopankreatobili\u00e1rn\u00ed chirurgii"},"content":{"rendered":"

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Chirurgick\u00e9 odd\u011blen\u00ed Nemocnice \u010cesk\u00e9 Bud\u011bjovice je za\u0159azeno do velmi \u00fazk\u00e9 skupiny tzv. \u201ehigh volume\u201c neboli vysokoobjemov\u00fdch center, kter\u00e9 se specializuj\u00ed na operace slinivky b\u0159i\u0161n\u00ed, d\u00e1le pak na onemocn\u011bn\u00ed jater a \u017elu\u010dov\u00fdch cest.<\/h6>\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 hepatopankreatobilia\u0301rni\u0301ho t\u00fdmu dostane a kde je cel\u00fd jeho p\u0159\u00edpad pe\u010dliv\u011b probr\u00e1n,\u201c<\/em> uvedl prim\u00e1\u0159 chirurgick\u00e9ho odd\u011blen\u00ed Petr Pt\u00e1k a dodal: \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<\/em><\/p>\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<\/em> sd\u011blil z\u00e1stupce prim\u00e1\u0159e chirurgick\u00e9ho odd\u011blen\u00ed Pavel Ko\u017enar.<\/p>\n

\u201eNa\u0161e centrum disponuje interven\u010dn\u00edm gastroenterologem, kter\u00fd prov\u00e1d\u00ed nejen detailn\u00ed endosonografie a biopsie t\u011bchto 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<\/em> doplnil prim\u00e1\u0159 Pt\u00e1k.<\/p>\n

Dal\u0161\u00edm podstatnou v\u00fdhodou specializovan\u00e9ho centra je dostupnost klinick\u00e9ho onkologa, kter\u00fd je nepostradatelnou sou\u010d\u00e1st\u00ed t\u00fdmu.<\/p>\n

Interven\u010dn\u00ed radiologov\u00e9 \u010deskobud\u011bjovick\u00e9 nemocnice \u0159e\u0161\u00ed nap\u0159\u00edklad pokro\u010dil\u00e1 n\u00e1dorov\u00e1 onemocn\u011bn\u00ed jater, kdy d\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>\n

\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 na\u0161e nejnov\u011bj\u0161\u00ed p\u0159\u00edstroje pat\u0159\u00ed ultrazvukov\u00fd p\u0159\u00edstroj, kter\u00fd vlastn\u00edme teprve p\u016fl roku. Jsme prvn\u00ed a k tomuto datu tak\u00e9 jedin\u00fd chirurgick\u00fd t\u00fdm v na\u0161\u00ed republice, kter\u00fd disponuje t\u00edmto p\u0159\u00edstrojem ur\u010den\u00fdm pr\u00e1v\u011b 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. D\u00edky tomuto p\u0159\u00edstroji 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 schopni podstoupit radik\u00e1ln\u00ed chirurgick\u00fd v\u00fdkon, ve smyslu odstran\u011bn\u00ed \u010d\u00e1sti jater, a to z d\u016fvodu nedostate\u010dn\u00e9 funkce jater (nej\u010dast\u011bji na vrub cirh\u00f3zy),\u201c<\/em> vyj\u00e1d\u0159il se chirurg Tom\u00e1\u0161 Jekielek.<\/p>\n

\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, proto by pacienti s takto z\u00e1va\u017en\u00fdmi onemocn\u011bn\u00edmi m\u011bli b\u00fdt l\u00e9\u010deni pr\u00e1v\u011b zde,\u201c<\/em> uzav\u0159el gener\u00e1ln\u00ed \u0159editel Michal \u0160norek.<\/p>\n

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Iva NOV\u00c1KOV\u00c1, Nemocnice \u010cesk\u00e9 Bud\u011bjovice<\/strong><\/p>\n

Foto: archiv nemocnice<\/p>\n

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