69 Ces Urol 2023; 27(2): 67-69 VIDEO Vycril 4.0 stitches, and for the anterior wall V-lock 4.0. To perform these continuous sutures we uti‑ lized the flexibility of the robotic DEX needleholder with seven degrees of freedom of movement. The ureteropelvic anastomosis was sutured over a DJ stent inserted retrogradely. The operation time was 140 minutes. The urinary catheter was removed on the 3rd postoperative day, the surgical drain a day after and the DJ-stent 6 weeks after the operation on an outpatient basis. Compared to the current robotic systems, both purchase and operating prices of the used robotised devices are many times lower. The purchase cost of the robotic laparoscopic system is 1.8 million Czech crowns (Kč) with the operating cost averaging 7,000 CZK per use of the instrument. While the purchase price for the Soloassist II robotic arm, depending on the equipment, is around 2 million Czech crowns (Kč). Conclusion: Robotic laparoscopy enables pre‑ cision with the possibility of using seven degrees of freedom of movement, maintaining tactile feed‑ back and ergonomics (comfort) of the surgeon during operation. After a short practice, even in the hands of a less experienced laparoscopist, these instruments can improve surgical results, can re‑ duce perioperative complications and operative time. Low acquisition and operating costs ensure an interesting future for robotic laparoscopy. KEY WORDS Robotic laparoscopy, pyeloplasty, congenital hydro‑ nephrosis, duplex renal collecting system. LITERATURA 1. Schmidt M, Hanek P, Veselý Š, Jarolím L. Laparoskopická pyeloplastika. Endoskopie. 2010; 19(1): 34–36. 2. Sánchez‑Margallo JA, Sánchez‑Margallo FM. Initial experience using a robotic‑driven laparoscopic needle holder with ergonomic handle: assessment of surgeons‘ task performance and ergonomics. Int J Comput Assist Radiol Surg. 2017; 12(12): 2069–2077. doi: 10.1007/s11548-017-1636-z. Epub 2017 Jul 10. PMID: 28695479. Soutěž ČUS o nejlepší video publikované v časopise Česká urologie Soutěž ČUS Všechna videa publikovaná v časopise Česká urologie v roce 2023 budou do soutěže zařazena automaticky. Podmínkou zařazení je, že první autor bude urolog. Vítězné práce budou vyhlášeny na Výroční konferenci ČUS 2023. Následně budou výsledky zveřejněny v časopisu Česká urologie a na webových stránkách ČUS. 2023
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