ČESKÁ UROLOGIE / CZECH UROLOGY – 1 / 2019

18 VIDEO Ces Urol 2019; 23(1): 16–18 were passed and the ureteral plate was anasto‑ mosed Bowel continuity was restored using two endostaplers A permanent catheter was inserted via the urethra into the pelvis as a drain The dis‑ tal end of the conduit was pulled out through the assistant port incision, and urostomy was performed Results: The surgery was carried out using the Da Vinci Xi system, with robotic 8‑mm ports placed in the transverse line approximately 3 cm above the umbilicus (see the resulting image at the end of the video) and a 12‑mm assistant port in the anticipated stoma site The duration of the procedure was 5 5 hours, with a blood loss of no more than 100 mL and an ICU stay of 4 days; bowel motility was restored on postoperative day 2; the drain was left in place for 48 hours and ureteral catheters for 14 days The postoperative course was complicated by prolonged serous secretion from the vagina that resolved spontaneously on postoperative day 18 Histologically, no viable tumour was detected in the entire bladder Conclusion: Robotic‑assisted radical cys‑ tectomy is a safe procedure with a number of benefits for the patient An excellent view of the confined pelvic space allows for a precise tissue dissection and blood loss reduction Specimen removal through the vagina makes it possible for the procedure to be performed without the use of minilaparotomy This effectively inhib‑ its secondary wound healing due to increased lymphatic flow from the interrupted lymphatics after pelvic lymphadenectomy Intracorporeal construction of the diversion allows for the pro‑ cedure to be done without traumatizing the bowel by opening the peritoneal cavity, thus effectively preventing the development of post‑ operative paralytic ileus On the contrary, a drain passed through the urethra proved to be a fac‑ tor predisposing to prolonged serous secretion from the urethra KEY WORDS Robotic assisted radical cystectomy, female, intra‑ corporeal construction of ureteroileostomy Soutěž ČUS o nejlepší video publikované v časopise Česká urologie Soutěž ČUS Všechna videa publikovaná v časopise Česká urologie v roce 2019 budou do soutěže zařazena automaticky Podmínkou zařazení je, že první autor bude urolog Vítězné práce budou vyhlášeny na Výroční konferenci ČUS 2020 Následně budou výsledky zveřejněny v časopisu Česká urologie a na webových stránkách ČUS 2019