Duda M, Zaloudík J, Ryska M, Dusek L
II. Chirurgická Klinika LF a FN Olomouc.
Rozhl Chir. 2010 Oct;89(10):588-93.
The aim of this work was to point out the role and the significance of surgery in the management of oncology patients in the Czech Republic (CR).
Involvement of surgery in the management of patients with solid tumors is documented based on statistical data collected from the National Oncologic Registry.
In the Czech Republic, the number of patients operated for newly diagnosed malignant tumors is constantly increasing, e.g. over 44,000 patients in 2005. Considering tumor locations, various surgical specialists are involved in the surgical management of solid tumors. Overall, during the studied period, surgeons were involved in 32,760 surgical procedures, i.e. 73.6 % of all newly diagnosed malignant solid tumors. Oncosurgical procedures are, to a certain extent, performed in all surgical clinics in the Czech Republic (currently, there are 157 surgical clinics in the Czech Republic). The rates of procedures for individual diagnoses do not correspond with the "high volume hospital" principle.
Based on the analysis of the current situation in the management of solid tumors in the Czech Republic, the authors recommend rational concentration of oncosurgical procedures to fewer surgical clinics, adequate financing of sophisticated oncosurgical procedures in these clinics and classification of oncosurgery as a recognized official medical specialty.
本研究旨在指出手术在捷克共和国肿瘤患者管理中的作用和意义。
基于从国家肿瘤登记处收集的统计数据，记录手术在实体瘤患者管理中的参与情况。
在捷克共和国，因新诊断恶性肿瘤而接受手术的患者数量持续增加，例如2005年超过44000例。考虑到肿瘤位置，各类外科专家参与实体瘤的手术管理。总体而言，在研究期间，外科医生参与了32760例手术，即占所有新诊断恶性实体瘤的73.6%。肿瘤外科手术在捷克共和国的所有外科诊所均有一定程度的开展（目前，捷克共和国有157家外科诊所）。各个诊断的手术率与“高容量医院”原则不相符。
基于对捷克共和国实体瘤管理现状的分析，作者建议将肿瘤外科手术合理集中到较少的外科诊所，为这些诊所的复杂肿瘤外科手术提供充足资金，并将肿瘤外科归类为公认的官方医学专科。
