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Published on: February 7, 2025
[Minimally invasive surgery in the Czech Republic]
J Dostalík1, L Martínek, P Gunková
1Chirurgická klinika Fakultní nemocnice s poliklinikou, Ostrava.
Summary
Minimally invasive surgery is well-established in the Czech Republic, with over 34,000 procedures in 2004. Laparoscopic cholecystectomies and appendectomies are the most common, showing a significant increase in minimally invasive surgery adoption.
Area of Science:
- Surgical Innovation
- Health Services Research
Context:
- The Czech Republic's healthcare system faces evolving surgical practices.
- Assessing the adoption and scope of minimally invasive surgery (MIS) is crucial for understanding national surgical trends.
Purpose:
- To evaluate the current status and prevalence of minimally invasive surgery (MIS) within the Czech Republic.
- To quantify the volume and types of MIS procedures performed in 2004.
Summary:
- A 2004 survey of 109 Czech public hospitals revealed 34,273 minimally invasive surgeries, predominantly laparoscopic (33,721).
- Laparoscopic cholecystectomies (51%) and appendectomies (19%) were most frequent. Adoption rates varied, with 76% of cholecystectomies and 38% of appendectomies performed laparoscopically.
- Transanal endoscopic microsurgery (TEM) and thoracoscopic procedures represented smaller proportions.
Impact:
- Minimally invasive surgery is a widely adopted and respected surgical modality in the Czech Republic.
- The findings highlight the increasing integration of MIS into routine surgical practice, indicating a positive trend in surgical care quality and efficiency.

