Head of Department: Prof. Petr Štádler, MD, Ph.D.
The Department of Vascular Surgery at Na Homolce Hospital was established in 1990. Throughout its existence it has operated as a national and international department, receiving patients from all over the Czech Republic and abroad. It is the largest specialized department of vascular surgery in the Czech Republic and a training center in the field of vascular surgery at the graduate level. It also provides consultative services in severe and complicated vascular surgical cases. The department also participates in the training of Czech and foreign physicians in robotic vascular surgery and in teaching medical students attending the First Faculty of Medicine, Charles University in Prague. Each year 1,400-1,500 vascular surgeries are performed with excellent results that are comparable with leading international centers. More than 70 percent of the operations performed are categorized challenging vascular reconstructive procedures.
We provide comprehensive diagnosis and surgical treatment of vascular diseases, especially narrowing or closure due to atherosclerotic changes, and treatment of arteriovenous injury excluding the coronary arteries, ascending aorta and aortic arch which are traditionally the domain of cardiac surgery. The range of surgical procedures performed includes aortic arch branch operations, operations on the thoracic and abdominal aorta including aneurysms, reconstruction of arteries supplying abdominal and retroperitoneal organs as well as arteries supplying the limbs. Some of the most frequently performed procedures include those involving lower limb ischemia, brain ischemia due to narrowing of the arteries supplying the brain with blood, and vascular aneurysms. In the treatment of aneurysms we use endovascular procedures (stengrafts). From minimally invasive approaches we perform thoracoscopic thoracic sympathectomy, laparoscopic lumbar sympathectomy and endoscopic operations of the venous system. In 2002 we began to perform minilaparotomy for surgical access to the abdominal aorta, which results in a substantially smaller surgical wound. Other recent adaptations include the radio-frequency removal of varicose veins, which can significantly reduce the period of hospitalization, and the endoscopic harvesting of veins (greater saphenous vein) used for arterial reconstruction procedures.
In November 2005 we became one of a few site in the world to use the da Vinci 1200 robotic system. Robotic vascular surgery constitutes the introduction of leading technology for our vascular patients. The robot vascular surgery team has developed their own surgical procedures for robotic vascular surgery and has performed a broad range of operations on the aorta and pelvic arteries. Approximately 200 robotic vascular interventions have been performed, making our department one of the most experienced globally. In addition, some procedures have been performed as the first in the world. Our experience has enriched not only domestic but also international sites. We participate in physician training in Brno and also Mephis (USA), under the leadership of prim. doc. MUDr. Petra Štádlera, PhD., who performed the first robotic vascular surgery. Interest in our robotic surgery is great both at home and abroad, as evidenced by the number of publications and lectures at the international level, and also by the demonstration of robotic surgery performed in 2008 in Seoul and a year later in Moscow. At the present time we are in very active cooperation with the Methodist Hospital, Texas Medical Center in Houston and plan active participation in launching the robot program in these hospitals.
The outpatient component performs initial physical and laboratory examinations, basic examinations, scheduling of more complex investigative techniques and continuous postoperative monitoring. The GP or other specialist refers patients to our clinic. Angiographic examination and simpler endovascular procedures are provided in cooperation with the Department of Radiology during single-day admission to our inpatient department. Most other tests such as CT, MRI, PET or ultrasound can be performed on an outpatient basis. Together with diagnostic hospitalization or in conjunction with other outpatient examinations we perform preoperative internal examinations. After interpreting results of various tests, a decision on further treatment is made. The patient may then be placed to a surgical program and invited to schedule a time for surgery depending on the urgency of the situation. If surgery is not indicated, we recommend appropriate conservative medical treatment in our hospital (single/double rooms or luxury suite available) or refer to appropriate surgical or internal departments.
Tel. secretary: +420 257 272 541-2