567
135612226014562114
Ces38447936014570127174
Urol40437936014578115180208
2018;42767936014562121176230253
22(1):45557936014561121152206230252
11–1348337936014561109164217269
VIDEO4696207016978121223301405
Partin624898013156105136174196255
and903898013159118178
Briganti110589801316597120180229288320343
nomogram1472898013168127218277338370420510
and2007898013159117177
EAU2209898013160126192
recom‑242589801314193144200291325
mendations,6241048013193149210272324358382442504546566
pelvic12161048013177134158210235286
lymphadenectomy1528104801313889183246307359421477538594646684743837885
wasn´t24541048013182134176237264296
indicated.624119801312381141163212262294346406425
Preoperative1074119801316394146205266321352403435457507559
findings1658119801313461119179201259319358
showed20411198013149107166244297358
the24231198013142101154
risk2602119801314063103148
of624134801315989
lymph738134801313281173234294
nodes10571348013168128189243285
involvement1367134801313190139197221271324415469529561
was19621348013180131172
less2159134801313286127168
than23521348013143102152211
5%,25881348013163142162
so624149801314199
there747149801313997150182233
was10091498013180129169
no12071498013159117
indication1348149801312886145167215265297319377435
to1836149801313995
perform19601498013161115146178235267357
CT23461498013163117
pelvic24921498013161115138187210258
staging624164801314174123181203259318
for965164801312481112
intermediate1100164801311976107157187276328387409456487537
tumors.1661164801312986174231262302321
Histopathological2002164801316889128161216276325356413470493550609630678726748
analysis6241798013150107156178225266287325
of969179801315987
the1080179801313088140
surgical1241179801314097128185207255304326
specimen15871798013141100154203224313365423
showed2030179801314198156234286346
prostate2396179801316092148188222271303354
adenocarcinoma6241948013150109161218276325374405451473530588677725
pT3b13691948013160104157216
GS16041948013169118
417421948013154
+18161948013165
419011948013153
R119741948013155103
(12101194801312572
x21931948013147
122601948013153
mm23331948013190178
–25351948013155
left2613194801312072100137
seminal624209801314092178199255302323
vesicle).965209801314999138158205226277301315
After1298209801316390126176206
the1527209801312985136
operation16822098013157115168198246277298354410
the2115209801312985137
patient22702098013160108139160211267297
was25862098013178126164
fully624224801312986108129176
continent,8202248013148103160192213270322379410428
erection1267224801315384134183218240297354
EHC16412248013150117178
grade1838224801316090139198250
321072248013153
was21802248013178127166
achieved2365224801315097154175227275326385
with6242398013179102135193
the841239801313392145
intracavernosal1010239801312279111143193241291339390422481539579629651
injection1685239801312280102154204240262320378
of2086239801315987
152196239801315499
μg23182398013159118
alpros‑2459239801315072131163220260291
tadil.624254801313482140162183200
Post-operatively8442548013154109148182209269328381411460492513561612634681
PSA15442548013155103164
was17282548013178127166
determined19132548013159111143193224312333389441501
accord‑2433254801314997142197228285317
ing624269801312381140
to788269801313389
the901269801313492145
recommended1070269801313183132188278367420478537590651
EAU17442698013151117181
procedures1948269801316193150199250310367399450490
and24622698013150107167
its265326980131225597
values6242848013150100122179232272
​did92028480131326890149
not10932848013167126158
exceed12752848013162109156207261322
0.051621284801316179133184
ng/ml.18292848013167127166253275293
In2146284801313289
September22592848013160113173205256345405459491
20166242998013154105153200
there8482998013142100154185237
was11172998013179129169
a13102998013158
sudden13922998013149106165225278336
elevation1752299801316184137186236268290348407
of2183299801316695
PSA23022998013163113176
to2502299801314298
2.12624299801316280126
ng/ml,6243148013159118158244266284
a9313148013150
month10043148013190149207239297
later1325314801312371104155186
the1535314801313391145
PSA17033148013155105167
increased1894314801312380129160212260300353413
to2331314801313389
2.52444314801315371125
ng/25923148013159119158
ml.6243298013193116136
Subsequently7863298013161120182224279342402457517551575625
a14363298013160
18-F15223298013164112148202
fluoro-choline1750329801313663123183217276313366426487512534594650
PET/CT24253298013166117173206268325
scan624344801314190140197
was8523448013179129168
performed10453448013167121152184241273363416477
with15523448013179102135193
the1769344801314199152
finding1945344801313359117176198256315
of2284344801316593
a24013448013157
1624823448013160106
x26123448013154
726903448013160
mm6243598013190179
solitary8233598013141100123144177227258310
lymph1157359801312068158218276
node14543598013159117177230
with17043598013180102136194
markedly19183598013190139170217268328351398
increased2341359801311976125156208256296349409
radiopharmaceutical624374801313384144167226287347397429520570620671730764787836887910
accumulation15583748013159109156215305363386436469491550610
in2193374801313190
the23083748013142101156
pelvis24883748013170125148198222262
near6243898013159113162193
the8423898013142101154
right1021389801314164123182214
external12593898013162110147199231290340362
iliac164638980131315375124173
bundle.18433898013170128187247269323340
Therefore22083898013159120173205257286344376428
in2661389801313189
January624404801313886143199247278329
2017,9734048013154104152195201
after1193404801315077115165196
a14094048013149
decision14784048013160112161182221242299357
by18544048013161107
a19814048013150
multidisciplinary20514048013189146167200222280302340388409468491512569617648699
team,624419801313485133222240
a8844198013150
bilateral955419801316183105154186237268318340
pelvic13164198013161115137186209257
lymphadenectomy1597419801312068158218276325385438496549598634690780826
using2444419801315897119176235
a27004198013150
robot-assisted624434801313289149208241270318358398419458493544604
approach12524348013150109170202258308357415
was16914348013179129169
performed.18844348013160114146178235267357410470489
During7744498013171131163187245306
the1105449801313897151
operation12864498013158119175207258291314373433
we17484498013180133
have19104498013159109157210
extracted21464498013157106143176227277314366428
the2599449801313897151
lipolymphatic624464801312346106167191240331392452502535558607
tissue125746480131365999140198252
around1534464801315285142201260321
the1880464801313695150
external20554648013156104142194227286336360
iliac244046480131254871120170
ar‑2635464801315285115
tery,624479801313485116168182
obturator8274798013158118151209241291323379411
nerve,12604798013158111143196248265
the1549479801313189142
internal1716479801311977109160192251299322
iliac206247980131204364113162
arteries2245479801314981118169201224277317
and25844798013149107166
from624494801312963120211
the860494801313292146
presacral1029494801316194146188239289321372396
area.1448494801315082135184204
The16994948013150111165
operation18874948013159120175208259292315374433
lasted2346494801312171112147199261
for2632494801312785118
180624509801315398151
minutes7965098013188110167223256307346
and11635098013149106165
blood1348509801316083140198258
loss1630509801311977116155
was18065098013178127166
1501993509801315397148
ml.21625098013188110129
The23115098013150109162
drains2493509801315990139161218257
were6245248013179133165218
removed867524801314093183242292345406
on12985248013166126
the14495248013142101155
2nd16295248013162168952540763471
and17845248013158117177
4th19865248013162204752540762056
postoperative21275248013168129170205263324379412463496519569622
day.6245398013160110157172
The8185398013151112166
patient10075398013161112145168221280313
was13435398013179130171
discharged1536539801316083123173231281313372426488
home20465398013159118209263
on23325398013158118
the2475539801313190145
7th26425398013154269454040762056
postoperative2976898013160120160195251312366398448481504553605
day3603898013160109155
and3780898013150108168
the397289801313189143
sutures413989801313895129187219271311
were4472898013179131163215
removed471289801312981170229277329390
1029761048013155106
days31081048013172124174217
after3352104801316192133187221
the36001048013145107163
surgery.37901048013152112146208264298353369
Histopathologically,41861048013181105147185244308362397458520546607671696747800825849901916
1829761198013154101
lymph3102119801313281172233293
nodes34201198013167126188242283
in3728119801313190
the38431198013142101155
extracted40231198013162111148181232282319371433
samples44811198013149100190251275329370
were48841198013180133166218
found.2976134801312885142199257276
Two32721348013150120177
lymph3473134801311966155214271
nodes37641348013158116175227267
contained40511348013148103161192241263319372431
prostate4502134801316091147187221270301352
carci‑4874134801314897128174196228
noma29761498013158117207256
metastasis.32541498013189143176226266302352392414453473
One37491498013173133186
of3957149801315887
those4069149801313089147188241
lymph4335149801312069159219278
nodes46341498013159117178231272
that4931149801313189138171
were29761648013179133165218
extracted32191648013161110147180231281318370432
from3676164801313670128219
the39201648013141101155
right4100164801314064124183216
side4341164801314871131185
had45511648013167117177
the47531648013142101155
size4933164801314971116169
of2976179801315988
2430901798013154103
mm,32191798013191181200
and34441798013151110170
the3640179801313594148
other3815179801315892151205237
one40791798013158118172
that4276179801313695145178
was44801798013180130171
extracted46781798013153102139172223273310362424
from2976194801312964123216
the32181948013144105161
left3405194801313388118158
side3589194801315175136192
had38071948013169121183
microscopic40251948013192116166200259301352411474498549
metastasis.46091948013192148183235277313365407431472493
Two29762098013151122180
months31782098013189147206238297336
after3536209801315078116167199
the3760209801313189142
surgery3927209801313895126184238269322
PSA42702098013155105168
level4462209801312174123175198
was46822098013178128169
0.2484872209801315472127175230
ng/ml.29762248013159119160247271290
If3291224801312251
PSA33652248013156106170
increases3560224801312180130162215264305359400
in3986224801312179
future,4091224801312787121180213265283
we43982248013179132
plan4554224801316085134193
salvage4772224801314091114165215276330
radiotherapy.2976239801313284144167226259318373405456517565580
Conclusion:31262543013565125187236264326372399461523548
Robotic36932548013155114174233265287335
extended40482548013153101137188246305358418
bilateral4486254801316183105153185236267317339
pelvic48452548013161115137186209257
lymphadenectomy2976269801312371162221280328388441499552601638693783829
is3829269801312362
a39152698013150
mini39892698013191112170192
invasive,4205269801312380127177217238288339356
safe,4585269801314191119171188
techni‑4797269801313485135192250272305
cally2976284801314999121143191
feasible3191284801313385133173194253276329
and35442848013154112172
effective3740284801315786116168217253276325377
treatment4141284801313869121169201291344402433
method46032848013190143176234292353
for4980284801313390122
patients29762998013161112145168221280313355
with33642998013181104138197
a35862998013158
biochemical3669299801317093152202261315405428477527550
recurrence4244299801314193144202234267320379428480
of4749299801316796
pros‑48702998013169102160200232
tate2976314801313586119172
cancer31733148013159110170220272305
and35033148013160119180
detected37093148013169124158211262299352414
lymphadenopathy4148314801313382175236297347408463523583645697730790837
in5011314801313291
the2976329801313492145
regional3145329801313485146167225284332355
lymph3524329801312472162222281
nodes38303298013159117177230270
on41263298013158117
diagnostic4268329801316081130189247305345380402450
imaging47423298013124113162221243301360
methods.29763448013190143176234293353392412
Nevertheless,34153448013170123172224255292350403426478519559577
due40193448013160117170
to4213344801313692
the4329344801313795148
elimination4501344801315679100189211268317349371429488
of5015344801315987
surgeon‘s2976359801314197129187240299357374412
hands34123598013166115172232271
tremors,3707359801314173125214272304345363
the4095359801314199152
instrument´s4271359801313088127161193251340394451483513547
seven48423598013149102150202260
degrees29763748013162117179212266322364
of3366374801316898
movement,34983748013193154204258350406466500520
the40433748013144104159
high4228374801316992154214
image44673748013132124175237292
resolu‑4785374801314295138198223282317
tion,2976389801313456114172190
the3190389801313695148
magnification33643898013190139198256278304330379428461483540599
of3989389801315987
the4100389801313694147
operating42733898013159119173205255287309366426
field,4725389801312753106129188206
the4955389801313694147
possibility29764048013161120160200221280303325346380431
of3431404801316492
handling35484048013164113170230252273331390
three3962404801314098129181234
surgical42204048013147103135192214263312334
instruments4579404801312885125159191249338391449481523
and29764198013150107166
camera3163419801314898186239271320
simultaneously,3503419801314162151208229262312369422481538577599647660
allows418341980131507293151229269
the4476419801313088141
surgeon4637419801314197128186238297355
to5016419801313086
perform29764348013160113144175231262351
a33464348013149
faster3419434801312474113147197227
and36664348013149106164
more38494348013189147178229
accurate4097434801314997142199229278310360
operation44764348013158117170201250281302359416
with49124348013178100133190
a29764498013150
subsequent3050449801314198157197250310367420478510
faster3584449801312980119154205236
patient38444498013161111143165218276307
recovery.4176449801313283133189237289320372386
KEY29784784014770134206
WORDS321147840147105189260345408
Lymphadenectomy,2976494801314992182241300349408461519572622658714804850863
prostate3864494801316193149190224274306357
cancer,42454948013150100158206257289302
radical4571494801313484143165213263285
pros‑4882494801316193149189220
tatectomy,2976509801313484116167216252308398444457
robotic3457509801313389150209241263312
surgery.3793509801314197128186239271322336
………297653840147120240360
LITERATURA625583401475992157220291371428510580661
1.624599601335673
Kočárek7195996013359118168221256310362
J,1104599601333960
Heráček11855996013372127163216265318369
J,1578599601333859
Čermák16595996013363117152244297348
M,20285996013388112
Chmelík21615996013364124215270296321374
F,2556599601335466
Matějková26435996013388141177230256307366417470
M.31345996013388113
Roboticky32685998013156114174233266288336381433
asistovaná3723599801315089111150184240288338396445
radikální4192599801313080140161207257280337359
prostatekto‑4573599801316092149189223273305356402439495530
mie6246148013190112164
–8136148013155
výsledky8926148013149101142164217277322374
u12906148013158
113726148013154
50014406148013154105160
operací.16246148013159119173204254303325343
Rozhledy19916148013156114156215237290350398
v24136148013150
Chirurgii24876148013163120142173232263321343364
2017;28756148013154106153197210
92(2):31096148013154104129180206223
75–81.33566148013154103158213261274
2.624629601335781
Hora7376296013373135172226
M,9956296013390115
Babjuk11346296013369123186213274326
M,14926296013390115
Broďák16316296013369105166231284336
M,19996296013390115
et21386296013364101
al.2263629601336289112
Stěžejní2399629801316193145190243265324347
urologické27716298013167100157181241302325374421474
operační32706298013168129184217268318377399
výkony36946298013159112160218278325
v40446298013159
urologii41286298013168100158182241303325348
v45006298013159
ČR45846298013172128
v47366298013159
letech4820629801313286120173223282
2009–2014.6246448013154105160214271318370417464482
Ces11306448013162114154
Urol1308644801316999156179
2016;15116448013154105153200217
20:17526448013154105124
135–140.1900644801315499148203250296351369
3.624659601335678
Feicke7266596013354107133181232285
A,1036659601336792
Baumgartner11526596013360113173264325377413452512567603
M,17796596013389113
Talimi19166596013355100125150241266
S,2206659601335477
et2307659601335592
al.2423659601335378101
Robotic‑assisted25486598013156114174233266288336363412451491512551586637697
laparoscopic3269659801312573133183214271311359415475498546
extended38406598013154101138189247306359419
pelvic42846598013161115138187210258
lymph4566659801312472163222281
node48726598013159117177230
dissection624674801316082121160214263299321379437
for1086674801313491123
prostate1238674801316193149189224273306356
cancer:16196748013154103161210261292312
surgical19556748013146103134192214262312334
technique2313674801313990140197255277336393446
and27836748013155113172
experience29796748013159106166221252275327385434484
with34936748013179102135193
the3710674801313997150
first388467480131325990131165
9940736748013159113
cases.42106748013154104144197237256
Eur44906748013157112143
Urol46626748013169100157180
2009;48666748013159110165219237
55:6246898013154103118
876−884.7666898013153103151219273327382400
4.624704601335677
Doležel7207046013372132158212258311336
J,1075704601334061
Tvarůžek1155704601335498150185244290343394
J,1567704601334161
Staník1647704601335487139198223275
M,19407046013388111
et2070704601335490
al.217970460133527799
Časné22977048013162111150206258
zkušenosti2574704801314490147185237294351390424445
s30387048013141
roboticky3102704801312884143201233254302346397
asistovanou3518704801314988109147181236283332389446503
laparoskopickou4044704801311967125174205260299343399458480528572628685
radikální4752704801312877136157201251272329350
prostatektomií624719801316193149189224273306357402439495585606628
–12767198013155
prvních1355719801316193146205226274332
1531711719801315499148
pacientů.18837198013161111160182234292324381398
Ces23057198013163114154
Urol2484719801316899156179
2009;26877198013154105160214232
13:2943719801315498114
168–77.30817198013154100154210258310317
5.624734601335676
Broďák718734601335994152214265314
M,10517346013387110
Košina11807346013359116157181240291
J,1490734601334060
Balík15697346013359111135159211
M,17987346013388111
et1927734601335590
al.203673460133527698
Robotem21537348013155112171228260310397
asistovaná2569734801314988109146180235282330387434
radikální3027734801312876135156200249271327348
prostatektomie,3394734801316091146185218267298348392428483571592643659
zkušenosti4072734801314489145184235292349388421442
po45347348013159117
provedení4670734801316091147194244303355411432
prvních624749801316193146205226274332
509807498013154105
operací.11097498013159119173205255303325343
Urol.14767498013169100157180198
praxi1698749801316193143191213
2017;19357498013154105153197210
18(3):21697498013154100128179204220
129–132.2413749801315499150207254298347365