417
96222226014562123
VIDEO852207016978121223301405
Ces8507936014570127174
Urol10497936014578115180208
2019;12827936014562121176229253
23(2):15607936014562122153211241263
95–9618497936014561120182242303
tů85089801313489
intrakorporálně96189801312681111140188231286316374431461509529584635
vytvořili1620898013150100135185240269290309329
ortotopickou197389801315988123177207261319340386429483539
neoveziku,2537898013159109166212262304325368423439
z8501048013144
toho916104801313993149205
u11481048013158
pěti12331048013160112143162
pacientů14221048013161108155174225280310365
dle1814104801316080130
Hautmanna.19711048013169116171202289336391447493510
Prezentuje‑2508104801315583133175224280310365385436468
me8501198013191143
postup10221198013161119158191247306
konstrukce13501198013153109166204237267324368414464
neoveziky18421198013160112170216267310331375425
dle2296119801316081132
Hautmanna,24571198013170118174206294342398455502519
ke850134801314796
které965134801314681129159208
jsme1195134801312057143194
použili14081348013161118173215235255274
cca1701134801314993141
6018601348013154106
cmpreterminálního19801348013149136215245295325374403491511566613633688707765821
ilea.282313480131204090136153
Pasáž8501498013155101139187229
jsme1101149801312461147198
obnovili13221498013159117173229275296316335
end16801498013153109166
to1868149801313589
end19801498013153109166
pokračující21691498013161118162193240287342362381427446
suturou.2637149801314297128183212267323339
Exkludovanou850164801315096139160213269324369415469524578
střevní1443164801314071100148193248267
kličku,172516480131466785130171226241
po19801648013160116
částečné2111164801314894130162209255309359
detubulizaci24841648013159109139193249303322341381428473492
a8501798013149
remodelaci914179801313280165220277326346391436455
do13841798013159113
tvaru1512179801313382129157212
písmenaW,1738179801316079115200250304349453463
jsme2222179801311753137187
našili24241798013158103140158177195
na26341798013158103
pahýl27521798013160107161204224
močové8501948013189145191243289338
trubice.1203194801313462118174194239287301
Na15201948013169115
nedetubulizované16501948013159109166216246301357412432450491545590637692742
přívodné2407194801316089109155209266321371
části2793194801314995132164183
kličky85020980131466785130171219
jsme1090209801311752137186
našili12912098013158103139157176194
stentovanémočovody.1500209801314071119173201254298345399448551606651704748801858903913
Průměrný2428209801315481135220269297352395
věk2837209801314997139
pacientů8502248013161109156175226282311367
v12392248013156
souboru13172248013147103159217274304360
byl17052248013161106127
6218542248013160108
roků1984224801313993138193
(56–68),2200224801313583133189244296320334
průměrný2562224801316190147233284314370414
BMI8502398013155137157
byl10232398013161105126
241165239801315399
(17–32).1285239801312469110156202249272285
Průměrný1586239801315583138224275303360403
operační20052398013158116168196244290345364
čas2385239801314996133
byl25342398013161105126
150mi‑2676239801315396145250270300
nut8502548013159115147
(120–200)1019254801313581124174231276326380405
a14462548013157
průměrná1531254801316191148235287316374421
doba19802548013160117176224
hospitalizace22322548013160117155213233265313333353395444491541
byla28012548013161107128175
deset8502698013160111149199230
dní11052698013160116135
(8–14).1262269801313281135179223246259
Tři1546269801315183103
týdny1671269801313786142197241
po19372698013161118
operaci20802698013158116168197245291311
jsme2413269801312663149200
provedli2638269801316191145191241299319338
cystogram850284801314998136168222280309357444
s13132848013141
následným13742848013159105143163213271327371459
odstraněním18522848013159117154186216264319370425445531
katétru2403284801314695125174205234290
z27132848013144
neo‑27772848013159109166199
veziky.850299801315099142162205254266
V11362998013156
pooperačním12132998013161118174232284313361407463482569
období18032998013158116174230288309
jsme2133299801312359146197
nezaznamenali23502998013159110153201244300347433484540587607626
prolongovanou850314801316191146167224280338394441489545602658
poruchu15363148013161118149205252308363
střevní1921314801314880110160207264284
pasáže,22333148013161109147195238288302
netěsnost25633148013160111142191230285342380413
neoveziky8503298013159110167213262305325368417
či1287329801314969
jiné137732980131224197148
závažné1544329801314593138186228285336
komplikace.18993298013147101189246267286329378424473488
Závěr:10003446013362118170226263287
Robotická13133448013165125188249283306356403456
ortotopická17943448013168102140198232290352376426473526
neovezika23453448013169124185235289335359405458
dle2828344801317093148
Hautmanna8503598013169118175208298346404462510
je1384359801312073
bezpečná14773598013161115159219273323380429
a19263598013150
technicky2000359801313081131188246267316361412
proveditelná2433359801316092149197248309330364415437494543
intrakorporální850374801312379109140189233288319378436467516537593614
metoda14823748013189141173227286334
derivace18353748013159110140162210258306355
moči22093748013189146194214
po24423748013160118
robotické2583374801312883142199231252299343393
radikální850389801313282142164209260282339361
cystektomii.12353898013149100141175226272309365454476498516
KLÍČOVÁ8524184014770132164236320392464
SLOVA13434184014762123207279351
Ortotopická8504348013172104139194225279338359406450499
neovezika,13684348013158109166213263306328371421438
radikální1829434801312876134155198248269324345
cystektomie,2193434801314897136170219263299353440461512528
robo‑2744434801312882141198232
tická850449801313456104150200
chirurgie,10754498013149106128159218249307328381398
tumor1497449801313492180239271
močového17924498013190148198253302353412470
měchýře.22864498013190143192250296328380397
SUMMARY8524784014762143243345423493561
Kočárek10004948013156114164215247299346
J,1371494801314664
Hoření14684948013170130162215274296
E,1789494801316079
Chmelík18934948013172131221275299321370
F,2287494801316067
Matějková23874948013187137170222245291349398449
M,28694948013187107
Čermák8505098013164117149242292339
M,12225098013188108
Heráček13645098013170125158209259312359
J.1748509801314766
The18395098013160122177
robotic20415098013141100162223256279329
intracorporal2395509801313291124157209259317350412473506558581
Hautmann8505248013169118175209298347405463
orthotopic1337524801315890127185244276332392415463
neobladder.18245248013159112171231254303363422475506520
Introduction:1000539601332687122157216278338387425450510571592
The16135398013151111164
daVinci17975398013160108160184241290311
robotic2132539801312985145204237259307
systemwith2459539801314190131165216305404427460518
modern8505548013192151213267299359
EndoWrist12345548013160119180239328359382422458
tools17165548013143100161185224
enables19655548013163122172233257311352
a23425548013159
miniinvasive24345548013191114173195217276325376416438489542
approach8505698013150110171203260310359417
to1292569801314298
intracorporeal1415569801313189121153203252309341402461494546594616
reconstruction2056569801314092142199257297332364423472508530589647
of2728569801316795
or‑2848569801316799128
thotopic850584801313492150183239299321370
neobladder12445848013159112171231254303362422475506
after1774584801315078116167198
cystectomy.19965848013149100141175226276312368457504517
Description3353896013375135181234273301367406434498563
of3943896013376111
the4080896013352117176
clinical428289601336593121185213266323351
case:4659896013366122169228252
We4953898013193147
per‑5127898013177135170202
formed3203104801313091126220277341
4235711048013167120
robotic37181048013145105170233268293344
radical4089104801314699163187239292317
cystectomies44331048013162117161198253306345405499524580623
since5083104801315478140192246
January3203119801313888146205254287340
201035681198013157110159207
to3800119801313895
June39201198013142101159214
2018.41591198013157110159206227
We44151198013190141
had45851198013159109169
used4783119801315999153215
the5023119801313897151
ro‑5199119801313694130
botic32031348013162123158181232
system34611348013151102145182235327
daVinci38141348013170121175201261311335
standard4175134801315188139200261312346406
until46071348013169129162186210
December48521348013173129180234325387444477
2013,32031498013153106154199217
then3445149801313189143201
we36681498013179132
used3822149801315898152213
daVinci40571498013159109161186244293316
Si.439514980131507292
During45091498013170129161185243303
procedures4834149801316093150200252312370402454495
patients32031648013161112145168222281314357
were35911648013180133166218
positioned38341648013168128169192226249308368422483
in4342164801313089
3044561648013160114
degrees45951648013166120182214267322363
Trende‑4983164801315884136196256310346
lenburg3203179801312480142206268302364
position.35931798013176139182206242267329391413
After40321798013179110151205240
the42991798013147109166
ablation44921798013164127153205241265327389
phase49081798013175138190233290
of52251798013173104
cystectomy32031948013149101143178230281318375466513
orthotopic3742194801316497135194253287344405429478
neobladder42451948013165119179240265314375435489522
was47971948013180131171
created4994194801315487139188222274335
intracorporally,3203209801312380112144194242298330390449481531554576624637
in3864209801312077
539632098013153
cases4037209801314898138190231
according4289209801314998144200232290312369428
to4742209801313086
Hautmann.48492098013169117174208297345403460480
We32032248013192145
are3374224801316195149
presenting35502248013171106160203259320354378439501
the40782248013144105161
Hautmann42662248013180132192228321373434494
neobladder47872248013170126188251276328390453508542
reconstruction3203239801313285136193252293328361421470508531590649
in3877239801312685
which39892398013180139162211270
we42872398013179133
have44472398013159109158211
used4686239801315898153214
about49252398013153113174233267
6052182398013156111
centimeters32032548013149100159191214303357391443475516
of3741254801315988
preterminal3851254801316093145179231263353376434483506
ileum.438225480131204397155244264
Bowel46682548013155114193246269
continu‑49592548013149106165197220278336370
ity3203269801312356108
was33332698013178128168
restored3526269801312981121156212244296357
by39042698013160108
continuous40332698013149105164196218276333391449489
end45442698013152110170
to4739269801313086
end48472698013153111170
suture.5042269801313894128186218269287
Excluded32032848013151100148170227287340400
bowel36252848013160120198250273
loop3923284801312078137198
was41422848013179129169
remodeled4336284801312981169228288341365418478
after4836284801314977115167198
partial50562848013160110142179202251273
detubulization32032998013160114148207267327350373417469503526585644
to3872299801313390
W39862998013190
shape,4102299801313998148208264281
then4409299801313291146205
we46382998013179132
sutured4796299801313997131190223275337
it5158299801312256
to5239299801313390
the3203314801313495150
remainder3379314801314296188239263322384439473
of3878314801316899
urethra.40033148013168101155190251284336357
The43863148013161123179
non-tubularized45903148013170130191227262322384444468519552577623676739
afferent3203329801315182112166200253314347
parts35763298013171124157196240
of3842329801316999
bowel39673298013171133214268292
loop4285329801313494155218
were45383298013181135169223
attached4787329801316094132184235295351413
to52263298013144103
stented3203344801314177129188221273334
urinary3562344801316496120178228261314
ducts.39013448013165123172210252273
Mean42043448013186140189248
age44773448013155116170
of4672344801316393
the4790344801313998152
patients49723448013161112145169222281314357
was32033598013180132174
6234033598013163116
years35453598013158112162195238
(56-68),3809359801313991145182241297325343
mean41873598013191146196256
BMI44693598013166153177
was46813598013180132174
2448813598013163113
(17-32).5020359801313988134163213264292309
Mean32033748013185138186244
time3472374801313153142195
of3689374801315886
surgery3800374801313894126184237269321
procedure4143374801316092149198250310367399451
was46153748013179129169
1504805374801315499150
minutes49773748013189111169226260311352
(120-200)3203389801312978123176213260313369397
and36253898013152111172
mean38243898013190145194253
time4102389801313659149203
of4332389801315988
hospital44483898013159118159219243277328351
stay4825389801314378129177
was50293898013179130171
1052253898013156104
days32034048013160110157199
(8-14).3427404801312981116164211237254
Three37064048013151112144197252
weeks39834048013180133188235279
after,4288404801315079118170202216
the4530404801313493147
surgery4702404801314299132191245277330
cysto‑50574048013149101143179236272
gram3203419801316092143233
with34634198013179103137196
cathether36854198013150101134193247282341395427
removal4138419801313386176236285336359
was45244198013179130171
performed.47214198013161116149182240273364418480499
In5246419801312483
postsurgery32034348013160118158192233289320377429460511
period,37354348013160113144167224283301
we40574348013178129
did4207434801315981139
not43674348013157115147
register4538434801312979139161199233284315
prolonged4874434801315991147170227285343395455
bowel32034498013161122202256280
passage,35084498013170122163205256317372390
neobladder39234498013169124184246271321382443497530
leak4479449801313287136183
or46884498013168101
any48154498013159119166
serious50074498013150105138162221281322
complications.32034648013149106197257282304354404438461520579620640
Conclusion:33534796013363119178225249307348371429488508
The38794798013150108159
robotic4061479801312782140197228249296
orthotopic4375479801315788123179236267321379400447
neobladder48404798013158109166224246293351408459489
reconstruction3203494801313385135192252292327359418468504527586645
according38734948013158108155212244303325384444
to4342494801314299
Hautmann44744948013170120178212302352411469
is4968494801313171
a50644948013158
safe51474948013150101129182
and32035098013150108168
technically3396509801314293143201259281330380403425473
feasible3893509801313790138178200260283336
intracorporal4254509801313189121153203252309341402462494544567
method48535098013191144178236295356
of5233509801316796
urine3203524801315890112170223
derivation34505248013160113144167216266298320378436
after3910524801315078116167198
robotic4132524801313389150209241263312
radical4468524801313282141163212261284
cystectomy.47765248013149100140175226275311367457503517
KEY32045534014770134206
WORDS343755340147105189260345408
Bladder3203569801315577125183241293324
cancer,3546569801314998154202252282295
orthotopic3860569801315890126183240272326386407455
neobladder,43345698013158111168228250298356414466497510
radical4867569801312877135157204253274
cys‑5161569801314898138168
tectomy,3203584801313485134171227316362375
robotic3603584801313289149208240262311
surgery.3938584801314197129186239271323336