. "406553" . "Z\u00E1v\u011Bre\u010Dn\u00E1 zpr\u00E1va projektu - Zhodnocen\u00ED p\u0159\u00EDnosu robotick\u00E9ho opera\u010Dn\u00EDho syst\u00E9mu da Vinci na \u00FArovni ROLE 3"@cs . "Z\u00E1v\u011Bre\u010Dn\u00E1 zpr\u00E1va projektu - Zhodnocen\u00ED p\u0159\u00EDnosu robotick\u00E9ho opera\u010Dn\u00EDho syst\u00E9mu da Vinci na \u00FArovni ROLE 3" . "RIV/61383082:_____/08:0032!RIV09-MO0-61383082" . . "Z\u00E1v\u011Bre\u010Dn\u00E1 zpr\u00E1va projektu - Zhodnocen\u00ED p\u0159\u00EDnosu robotick\u00E9ho opera\u010Dn\u00EDho syst\u00E9mu da Vinci na \u00FArovni ROLE 3"@cs . "Ryska, Miroslav" . . "Final report of the project Evaluation benefit of the robotic surgical system da Vinci at the Role 3"@en . "Z\u00E1v\u011Bre\u010Dn\u00E1 zpr\u00E1va projektu - Zhodnocen\u00ED p\u0159\u00EDnosu robotick\u00E9ho opera\u010Dn\u00EDho syst\u00E9mu da Vinci na \u00FArovni ROLE 3" . "Final report of the project Evaluation benefit of the robotic surgical system da Vinci at the Role 3"@en . . "P\u0159i 4 m\u011Bs\u00EDce trvaj\u00EDc\u00EDm pobytu v\u00A0prost\u0159ed\u00ED VII. \u010Cesk\u00E9 PN v\u00A0K\u00E1bulu v\u00A0dob\u011B od 12/2007 \u2013 4/2008 (Plk. Prof. MUDR. M Ryska, CSc. \u2013 hlavn\u00ED l\u00E9ka\u0159 PN, Plk. Prim. MUDr. B. Jurenka \u2013 vedouc\u00ED anesteziolog) bylo zji\u0161t\u011Bno, \u017Ee p\u0159i zachov\u00E1n\u00ED podm\u00EDnky p\u0159\u00EDtomnosti vy\u0161kolen\u00E9ho chirurga a anesteziologa lze robotick\u00FD syst\u00E9m da Vinci teoreticky implementovat na opera\u010Dn\u00ED s\u00E1l PN. Z\u00A0praktick\u00E9ho hlediska je probl\u00E9mem jeho sou\u010Dasn\u00E1 robustnost a omezen\u00E1 pou\u017Eitelnost v\u00A0r\u00E1mci ROLE2. Pro anesteziologa znal\u00E9ho patofyziologick\u00E9 problematiky p\u0159in\u00E1\u0161\u00ED oproti manu\u00E1ln\u011B laparoskopick\u00E9 operace robotick\u00E1 asistence zv\u00FD\u0161enou z\u00E1t\u011B\u017E, akcentovanou v p\u0159\u00EDpad\u011B komplikac\u00ED, kterou lze \u010D\u00E1ste\u010Dn\u011B eliminovat striktn\u00EDm dodr\u017Eov\u00E1n\u00EDm kontraindikac\u00ED. Vzhledem k del\u0161\u00ED dob\u011B operace oproti klasick\u00FDm laparoskopick\u00FDm v\u00FDkon\u016Fm m\u016F\u017Ee b\u00FDt v\u00FDsledek operace v\u00FDznamn\u011B ovlivn\u011Bn zku\u0161enost\u00ED cel\u00E9ho t\u00FDmu. Z\u00E1kladn\u00ED podm\u00EDnkou je tedy dostate\u010Dn\u00E1 efektivnost provozu tohoto vybaven\u00ED, kter\u00E1 se m\u016F\u017Ee uplatnit pouze ve \u201Evysokoobjemov\u00FDch\u201C opera\u010Dn\u00EDch provozech."@cs . "P\u0159i 4 m\u011Bs\u00EDce trvaj\u00EDc\u00EDm pobytu v\u00A0prost\u0159ed\u00ED VII. \u010Cesk\u00E9 PN v\u00A0K\u00E1bulu v\u00A0dob\u011B od 12/2007 \u2013 4/2008 (Plk. Prof. MUDR. M Ryska, CSc. \u2013 hlavn\u00ED l\u00E9ka\u0159 PN, Plk. Prim. MUDr. B. Jurenka \u2013 vedouc\u00ED anesteziolog) bylo zji\u0161t\u011Bno, \u017Ee p\u0159i zachov\u00E1n\u00ED podm\u00EDnky p\u0159\u00EDtomnosti vy\u0161kolen\u00E9ho chirurga a anesteziologa lze robotick\u00FD syst\u00E9m da Vinci teoreticky implementovat na opera\u010Dn\u00ED s\u00E1l PN. Z\u00A0praktick\u00E9ho hlediska je probl\u00E9mem jeho sou\u010Dasn\u00E1 robustnost a omezen\u00E1 pou\u017Eitelnost v\u00A0r\u00E1mci ROLE2. Pro anesteziologa znal\u00E9ho patofyziologick\u00E9 problematiky p\u0159in\u00E1\u0161\u00ED oproti manu\u00E1ln\u011B laparoskopick\u00E9 operace robotick\u00E1 asistence zv\u00FD\u0161enou z\u00E1t\u011B\u017E, akcentovanou v p\u0159\u00EDpad\u011B komplikac\u00ED, kterou lze \u010D\u00E1ste\u010Dn\u011B eliminovat striktn\u00EDm dodr\u017Eov\u00E1n\u00EDm kontraindikac\u00ED. Vzhledem k del\u0161\u00ED dob\u011B operace oproti klasick\u00FDm laparoskopick\u00FDm v\u00FDkon\u016Fm m\u016F\u017Ee b\u00FDt v\u00FDsledek operace v\u00FDznamn\u011B ovlivn\u011Bn zku\u0161enost\u00ED cel\u00E9ho t\u00FDmu. Z\u00E1kladn\u00ED podm\u00EDnkou je tedy dostate\u010Dn\u00E1 efektivnost provozu tohoto vybaven\u00ED, kter\u00E1 se m\u016F\u017Ee uplatnit pouze ve \u201Evysokoobjemov\u00FDch\u201C opera\u010Dn\u00EDch provozech." . "da Vinci"@en . . . "[C95D5EF9167B]" . . "1"^^ . . . "During the four-month stay at the VII. Czech Army Field Hospital in Kabul from December 2007 to April 2008 ( Col. Prof. M. Ryska, M.D., PhD \u2013 chief surgeon of the Field Hospital, Col. B. Jurenka M.D. \u2013 chief anaesthetist) we have come to the conclusion that complementation of the da Vinci robotic system in an operating theatre is in principle possible if supervised by a trained surgeon and anaesthetist. For an anaesthetist trained in pathophysiology, in comparison to manual laparoscopic operation, operating with robotic assistance brings additional strain, further increased in case of complications. This can be partly eliminated by strict observation of contraindications. Due to the relatively longer operating time, compared to classical laparoscopy, the result may be influenced significantly by the experience of the whole team. For the implementation in practice, one condition is crucial: that the device be used for \u201Cmass-production\u201D surgery facilities."@en . . "1"^^ . "P(OPUVN20070004)" . . "RIV/61383082:_____/08:0032" . . .