ČESKÁ UROLOGIE / CZECH UROLOGY – 1 / 2019

15 VIDEO Ces Urol 2019; 23(1): 13–15 short laparotomy. For the remaining 12, the LRC was associatedwith a one‑sided nephrourerectomy (which was always preceded in flank position before own RC), followed by a laparoscopic ureterocuta‑ nostomy. Conversion was not necessary. Severe complications occurred in 3, i.e. 7.9 % (2× Clavien IIIb - wound re‑suture, reintroduction of stents and 1× V - pulmonary embolismdeath). In the entire 246 RC set, IIIb‑V was 58 (23.6%). Long‑termoncological results have not yet been evaluated. Video: Laparoscopic radical cystectomy with extracorporal ureteroileostomy: Trendelenburg position, 5 ports (10, 12 and 3× 5 mm), 3D imag‑ ing, surgeon and 2 assistants. The Ligasure Blunt tip 5 mm® sealing tool is used for both pelvic lymphadenectomy and its own RC. Only in male is sometimes used on the Santorini plexus V‑Loc® 90 stitch. The peritoneum is opened, the ureters released and transacted above the urinary blad‑ der, followed by lymphadenectomy along the external iliac vessels and the obturator bundle. Division of the pedicles of the urinary bladder. In females as part of anterior exenteration re‑ sected the front wall of the vagina is resected below under the bladder. From the subsequent paraumbilical minilaparotomy (about 7 cm) the specimen is extracted and an appendectomy and ureteroileostomy are performed. Conclusion: Laparoscopic RC with extracor‑ poral ureteroileostomy is feasible and has be‑ come a standard for reducing the incidence of postoperative complications in selected (about one third) patients (BMI to 33, less advanced tumours). It does not require any special equip‑ ment (ports, sealing tool, staplers and extensive use of clips are not necessary). An condition is an experienced laparoscopic team is necessary. KEY WORDS Tumor of urinary bladder, cystectomy, laparoscopy. LITERATURA 1. Cerantola Y, Valerio M, Persson B, et al. Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERAS(R)) society recommendations. Clinical nutrition (Edinburgh, Scotland) 2013; 32(6): 879–887. 2. Balík M, Hušek P, Holub L, Košina J, Broďák M. Laparoskopická cystektomie – první zkušenosti. Ces Urol 2015; 19(3): 194–200. 3. Balík M, Košina J, Špaček J, et al. Laparoskopická radikální cystektomie u muže – video 2015. Ces Urol 2016; 20(2): 100–103. 4. Hora M, Stránský P, Ürge T, et al. Laparoskopická extraperitoneální radikální prostatektomie nervy šetřící – video. Ces Urol 2017; 21(4): 268–271.