The article describes the development of oncosurgery in the Czech Republic since the beginning of the century, as well as other perspectives regarding this specialty. The development of surgical treatment of solid malignant tumours in the Czech Republic was evaluated according to the National Cancer Register database and compared to the neighbouring countries, and the educational system of surgeons in oncosurgery was assessed. Although surgery plays a key role in cancer therapy, starting from the beginning of this millennium it has been pushed aside as a service specialty for other disciplines in oncology. In 2002, these changes were supported by the activities of the newly founded Division of Oncosurgery under the Czech Society for Oncology, which became part of the Czech Surgical Society in 2016. An official educational programme of surgeons in oncology was successfully implemented and since 2011, a specialization examination in oncosurgery has been introduced, organized by the subdepartment of oncosurgery of the Institute of Postgraduate Medical Education (IPVZ), Prague. To date, this examination has been completed by 112 physicians and approximately the same number is currently registered in the educational programme. Currently, 34 centres are accredited for education in oncosurgery. The establishment of Complex Oncology Centres based on an initiative of the Czech Society for Oncology of 2006 only addressed pharmaceutical and radiation oncology. Despite progress in oncosurgery, more clearly defined conditions for this specialty are needed. Conclusion: The education of surgeons in oncosurgery should be continued. It is necessary to expand the number of centres with accreditation for oncosurgery and develop a concept for oncosurgery in the Czech Republic which would be associated with rational concentration of this treatment in connection with organization and provision of continuous urgent and acute surgical care in the Czech Republic, including control mechanisms to ensure its quality. This proposal should be discussed by the Czech Surgical Society in order to further enhance the quality of oncosurgery in the Czech Republic.
本文描述了本世纪初以来捷克共和国肿瘤外科学的发展情况，以及该专业的其他方面。根据国家癌症登记数据库评估了捷克共和国实体恶性肿瘤外科治疗的发展情况，并与邻国进行了比较，评估了肿瘤外科医师的教育体系。尽管手术在癌症治疗中起着关键作用，但从本世纪初开始，它已被推到其他肿瘤学科的服务专业之外。2002 年，这些变化得到了新成立的捷克肿瘤学会肿瘤外科分部活动的支持，该分部于 2016 年成为捷克外科学会的一部分。成功实施了肿瘤外科医师的官方教育计划，自 2011 年以来，引入了肿瘤外科的专业考试，由布拉格研究生医学教育学院（IPVZ）的肿瘤外科分部组织。迄今为止，已有 112 名医生完成了该考试，目前约有相同数量的医生注册参加该教育计划。目前，有 34 个中心获得了肿瘤外科学教育认证。尽管肿瘤外科学取得了进展，但仍需要为该专业制定更明确的条件。结论：应继续进行肿瘤外科医师的教育。有必要扩大获得肿瘤外科学认证的中心数量，并制定捷克共和国的肿瘤外科学概念，这将与这种治疗的合理集中相关联，同时与捷克共和国组织和提供持续的紧急和急性外科护理以及确保其质量的控制机制相关联。捷克外科学会应讨论这一提议，以进一步提高捷克共和国的肿瘤外科学质量。
