Dostalík J, Martínek L, Gunková P, Gunka I
Chirurgická klinika Fakultní nemocnice s poliklinikou, Ostrava.
Rozhl Chir. 2006 Jul;85(7):361-4.
The aim of the study was to assess the present status of minimally invasive surgery in the Czech Republic.
A questionnaire was sent to all public hospitals in the Czech Republic with the aim to find out absolute numbers of all minimally invasive surgeries in 2004. Consequently the spectrum and extent of miniinvasive procedures in hospitals and the proportion of selected laparoscopic operations in the Czech Republic was evaluated.
A total of 109 (67%) of public hospitals replied to the questionnaire. 34,273 minimally invasive surgeries were performed in the Czech Republic in 2004. 33,721 of these operations were laparoscopic, 441 thoracoscopic and 111 of them were performed by means of TEM (transanal endoscopic microsurgery). Laparoscopic cholecystectomies comprised 51% of all laparoscopic operations in the abdominal cavity. Elective cholecystectomies comprised 87%. Laparoscopic appendectomies comprised 19% of all laparoscopic operations in abdominal cavity. The indication was acute appendicitis in 46%. 92% of laparoscopic hernia repairs were inguinal repair, 94% of which were performed with transperitoneal approach. Laparoscopic adhesiolyses comprised 3.8%, laparoscopic fundoplications 2.7% and laparoscopic colorectal procedures 1.3% of all laparoscopic operations in the abdominal cavity. Other surgeries with lower absolute numbers comprised of operations in the regions of oesophagus, stomach, small intestine, liver, spleen, pancreas, kidneys, adrenal glands, vascular system, lumbar sympaticus, gynecological procedures and some diagnostic and therapeutic procedures. Laparoscopic cholecystectomies were performed by all questioned surgical departments, 94% of questioned hospitals performed laparoscopic appendectomy, 85% performed laparoscopic hernia repair and 26% practiced laparoscopic colorectal surgery. In the Czech Republic 76% of cholecystectomies, 38% of appendectomies, 19% of hernia repairs and 7% of colorectal surgeries are performed laparoscopically.
Minimally invasive surgery is an established and respected method with wide a spectrum of performed operations and increasing numbers of procedures.
本研究旨在评估捷克共和国微创手术的现状。
向捷克共和国所有公立医院发送了一份问卷，目的是了解2004年所有微创手术的绝对数量。随后评估了医院微创手术的范围和程度以及捷克共和国选定的腹腔镜手术比例。
共有109家（67%）公立医院回复了问卷。2004年捷克共和国共进行了34273例微创手术。其中33721例为腹腔镜手术，441例为胸腔镜手术，111例通过经肛门内镜显微手术（TEM）进行。腹腔镜胆囊切除术占腹腔内所有腹腔镜手术的51%。择期胆囊切除术占87%。腹腔镜阑尾切除术占腹腔内所有腹腔镜手术的19%。46%的手术指征为急性阑尾炎。92%的腹腔镜疝修补术为腹股沟修补术，其中94%采用经腹途径进行。腹腔镜粘连松解术占腹腔内所有腹腔镜手术的3.8%，腹腔镜胃底折叠术占2.7%，腹腔镜结直肠手术占1.3%。其他绝对数量较少的手术包括食管、胃、小肠、肝脏、脾脏、胰腺、肾脏、肾上腺、血管系统、腰交感神经、妇科手术以及一些诊断和治疗手术。所有接受调查的外科科室均进行腹腔镜胆囊切除术，94%的受调查医院进行腹腔镜阑尾切除术，85%进行腹腔镜疝修补术，26%开展腹腔镜结直肠手术。在捷克共和国，76%的胆囊切除术、38%的阑尾切除术、19%的疝修补术和7%的结直肠手术是通过腹腔镜进行的。
微创手术是一种既定且受认可的方法，手术范围广泛，手术数量不断增加。
