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. Two national meetings are organized by this section annually.
Population: 10,5 million
ESCP Members: 12
Registered Colorectal Surgeons: 160
National society: Section of Coloproctology of Czech Surgical Society (CZ)
ESCP Representative Name: Ondrej Ryska
National Examination: Yes, National Board of Coloproctology Qualification, since 2012
Journal(s): Perspectives In Surgery
Achievements:
Because of high incidence of colorectal cancer in Czech Republic a significant attention with a high concerned about this disease exists. An effective screening program has been developed and established in collaboration with Czech Gastroenterology Society. This program resulted into decreased incidence of advanced stages of colorectal cancer. Moreover, national audit focused on quality of TME in patient with rectal cancer was performed and relevant measures implemented thereafter to improve the evaluation and surgical technique. Thanks to well organized 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 group and currently published. The enhanced recovery national project is in progress and collaboration with Czech Society of Anaesthesiology and Intensive Care Medicine was established, with guidelines expected to be issued in 2017.
Current Research:
In more centers in Czech Republic:
- Liquid biopsy in monitoring of multimodal treatment of colorectal cancer
- The benefit of circulating microRNA to response prediction and better restaging after neoadjuvant therapy in rectal cancer
- Genetics in colorectal malignancies
- Quality evaluation of mesorectum after TME - multicentre trial
- Early predictors of anastomotic leak and minimal invasive techniques of transanal repair
- Robotic colorectal surgery
Future Plans:
One of our main goals is to promote minimally invasive approach in colorectal surgery which should be implemented at national level. We would like to encourage young surgeons to enter the training in colorectal surgery and support their research activities and participation in national and international meetings. 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 - Workshop 2018
The annual symposium was held in Prague in February 2018. Invited lectures from local as well as international speakers were presented during the meeting preceded with workshop focused on diverticular disease, treatment of perianal fistula and minimal invasive techniques.
A new book of Coloproctology was launched. Hopefully, the tradition of this workshop will carry on in February 2018. More information will be available on chirurgie.cz.
