ČESKÁ UROLOGIE / CZECH UROLOGY – 3 / 2019

185 VIDEO Ces Urol 2019; 23(3): 183–185 iliac spine, pubic tubercule - associatedwith inguinal ligament, sartorius and adductor longusmuscle) and a suspected palpated sentinel node. From a short incision on the caudal top of the femoral triangle, a finger creates an operating space under Camper's fascia. Introduction of 2 ports - 5 and 11 mm (prefer‑ entially trocar with fixation balloons), incision video‑ port, optic optics. CO2 pressure at 12 mm Hg. Great saphenous vein is laterally or on the "roof" of the surgi‑ cal area, sometimes dorsally, is preserved. To release lipolymphatic tissue from the base – femoral vessels, great saphenous vein, oval fossa, Camper's fascia and inguinal ligament – we use Ligasure® Maryland (or Blunt tip 5 mm). Extraction of lipolymphatic tissue in Endocatch® bag Gold or directly by incision without bag. Suction drain, ports‘ closure. Single shot antibi‑ otic proxylaxis (co-amoxicillin), lower limb bandages, miniheparinization. Results: In 8 men this was performed bilateral ly (one with pelvic lymphadenectomy), 1 unilater‑ ally (there was not marked SLN on one side in the primary DSLNB). The mean age of men was 63.3 ± 10.4 (46–78) years. BMI 30.0 ± 4.7 (24.5–40.2). The operating time was in two-sided (7 cases) 134.4 ± 37.5 (91–192) min. In single-sided 66 min, both sides with pelvic LND 159 min. Average number of nodes obtained per groin 7.3 ± 3.1 (3–14) nodes. Metastaes were demonstrated in 7 groins (37%). The hospitalization period was 21.1 ± 12.1 (7–44) days. Complications occurred in 8 groins (42.1%). Once 3b by Dindo-Clavien (revision for bleeding followed by necrosis of the skin), 7× prolonged lymphorrea or lymphocoele with drainage neces‑ sity (3× infected). Conclusion: The mini‑invasive approach to inguinal LND (VEILND) is technically feasible and our preferred method of approach now. The risk of complications resulting from insufficient closure of the lymphatic vessels also remains with this methodology. 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