Traditionally, Czech surgeons have been well trained in coloproctology. Surgeons at the turn of the 19th century became pioneers of this specialty in the country, especially Vinzenz Czerny, who became the first to publish in 1884 on the topic of abdomino-perineal resection of the rectum and Carl Maydl, who’s modified colostomy approach from 1888 still carries his name today.
The development of coloproctology as the surgical subspecialty resulted in 1980s to the establishment of Section of Coloproctology within Czech Surgical Society. One national meeting is organised by this section once in two years now.
Population: 10,5 million
ESCP Members: 14
Registered Colorectal Surgeons: 160
National society: Section of Coloproctology of the Czech Surgical Society (CZ)
ESCP Representative Name: Petr Vlcek, M.D., Ph.D
National Examination: Yes, National Board of Coloproctology Qualification, since 2012
Journal(s): Perspectives In Surgery (Rozhledy v chirurgii, ISSN 0035-9351)
Achievements
Because of high incidence of colorectal cancer in Czech Republic significant attention with a high concern about this disease exists. An effective screening programme has been developed and established in collaboration with Czech Gastroenterology Society. This programme resulted in decreased incidence of advanced stages of colorectal cancer. Moreover, a national audit focused on quality of TME in patients with rectal cancer was carried out, and relevant measures implemented thereafter to improve the evaluation and surgical technique.
Thanks to a well-organised system, high quality care of congenital colo- and anorectal defects, degenerative colonic diseases and functional disorders is available. National guidelines for surgical treatment of IBD have been prepared in collaboration with Czech IBD working. Pre-rehabilitation, especially before extensive procedures, exists and ERAS protocol, thanks to the cooperation with Czech Society of Anaesthesiology and Intensive Care Medicine, has become standard.
Current research
- Genetics in colorectal malignancies
- Quality evaluation of mesorectum after TME
- Early predictors of anastomotic leak and minimal invasive techniques of transanal repair
- Robotic colorectal surgery
- Functional results after TME
- Stem cells in the treatment of anal fistulae and incontinence
- Pelvic floor disorders, neuromodulation, MR defecography corelation
Future plans
One of our main goals is to promote minimally invasive approach in colorectal surgery which should be implemented at national level, a great support is the expansion of the robotic program to other hospitals. We would like to encourage young surgeons to enter the training in colorectal surgery focused on the quality of the anastomosis and support their research activities and participation in national and international meetings. Great attention is being put into the development of simulation programs, animal workshops and the using fresh cadaver. Emphasis should be also placed on better auditing and development of national register specifically for surgical treatment of colorectal diseases.
Section of Coloproctology of Czech Surgical Society
The Working Days of the Coloproctology Section of the Czech Surgical Society were held in October 2024. Invited lectures from local as well as international speakers were presented during the meeting focused on robotic colorectal surgery and proctology. News from the ESCP conference in Thessaloniki were also presented.
More information will be available on: www.chirurgie.cz
