517
110201226014562110164
Ces8507936014570127174
Urol10497936014578115180208
2023;12827936014562121178238260
27(2):15677936014562119147205235257
109-11518507936014561116177217270318371
PŮVODNÍ852207016974172259362464566608
PRÁCE1507207016974156253339415
Soubor1000893013558123189256321363
a1396893013558
metody:1487893013596155197261328386414
Před193789801315689143206
započetím217989801314599161223275328364388480
studie269589801314279139202226281
jsme850104801312466158215
vyhodnotili11011048013151106168230293354416451475499523
soubor16601048013142104165228290325
8620211048013155112
pacientů,21691048013162115167191247308342403423
kteří2628104801314887141175200
na28641048013160112
našem8501198013161113156213307
pracovišti1198119801316398152204264316341384421446
podstoupili16851198013163126191233271331393457482507531
RACE22571198013158128191244
v25431198013151
období26351198013161125189251316341
1/2017–12/2019.850134801315386139191240284333380425466519571619665681
K15531348013154
derivaci16291348013160113145169218269318340
moči19911348013190149198221
byla22341348013160108132181
použita24371348013160120178223246280330
Bric‑2789134801315588111160187
kerova850149801314699132189238289
ileostomie,1162149801312346100160201236293384407460478
kontinentní16631498013146104164197220278332391424484506
Studerův2192149801315183142202256289348398
rezervo‑2612149801313385131184216270328364
ár850164801315184
nebo9701648013160116179241
ureterokutaneostomie12461648013160931481832372703293784394755275886437057477848439369601015
či2297164801315073
nefrostomie.24061648013160116146182241283320379472496551570
Vyhodnoceny8501798013156106167226288347406457509568615
byly14991798013161109134183
popisné17161798013161121183206247305359
charakteristiky21101798013149108158190241288326378411434474510533580633
(věk,2777179801312977130176199
pohlaví,8501948013161121180204253302326344
Charleson12171948013163121171203227281322381441
comorbidity16801948013149106197256289350374434457491543
index,2246194801312381142196244265
abúzus25341948013149110169214273314
ci‑2870194801314972106
garet,8502098013159109141193226246
podstoupení11182098013160120181221256312370430485543566
radioterapie1706209801313282142165223256307339390450473526
či2254209801314971
chemoterapie,23472098013149107161250309342393425476536559612629
předchozí850224801316092143202251308366408431
břišní1302224801315991114152210232
operace).15552248013157117171202252300351376391
Dále19672248013170119141194
byly21822248013160106130178
zaznamenány2381224801314394138196245333386443492549595
krevní850239801314781134183244266
ztráty,1149239801314482115166199252266
čas14472398013149100141
operace16202398013158120175207258308360
a20122398013150
pooperační20952398013160121181242297330381430489512
kompli‑26392398013147105195256280303337
kace850254801314798148200
a10732548013150
doba11462548013160119180231
hospitalizace.14002548013159119160220244278329352375420472521573591
Pooperační20142548013156112172234289321373422481504
komplika‑25412548013146104195255280302349400435
ce8502698013149101
byly9832698013160109133182
klasifikovány1197269801314672121162185212238284342392443502549
jako1777269801312473120178
časné19862698013149100141199254
a22712698013150
pozdní.23532698013161121164223282305324
Časné27092698013163114154213267
komplikace8502848013148109203266292317365420472526
jsme1416284801312467160217
hodnotili16722848013161123188249311347372396421
dle2132284801316287143
Clavien‑Dindo2315284801316589141192218274336373449474536599661
klasifikace.850299801314772122162185212238285336386438456
Výsledky:10003143013565120164192247311366423448
V14683148013155
našem15433148013158106145197284
souboru1847314801314098154213271302360
jsme2226314801312362149201
zaznamenali2446314801314494138195243331383440488509530
mortalitu8503298013189147178215264286307339396
1,21266329801315365119
%14043298013181
a15043298013150
morbiditu15743298013189147178238260318339372429
59,320233298013153101115168
%.22103298013181101
Z23313298013159
toho2409329801313489147205
časných2633329801314998137194239286343
komplikací8503448013146102191249272293337387435456
bylo13263448013160107129186
41,81532344801315398109163
%.17153448013180100
Většina18353448013155105137178199256304
časných2158344801314998137193238285342
komplikací25203448013146102190249272292337387435456
byla8503598013162111135185
I.1068359801312444
a11453598013151
II.123035980131234666
stupně1330359801314277137198258313
dle1676359801316184138
Clavien‑Dindo1848359801316487137186209264323358432455515576635
klasifikace.2517359801314772123164186213240286339389441459
Nejčastější8503748013170123145193243283317368390429450
časnou1322374801314998138196254312
komplikací16553748013147104193253276298343394442464
byl21413748013160107131
paralytický22933748013161111142192215262300322370415467
ileus278237480131234597155194
a8503898013150
pneumonie.9333898013162121175233323382442464517535
Z15013898013159
pozdních15933898013162122165223282304353412
komplikací20373898013147105196256280302348399449471
se2541389801314195
nejčas‑26693898013159113136185235275307
těji850404801313588111134
vyskytla10184048013151105147194248287310361
stenóza1413404801314278131191252296348
ureteroileální1795404801316093147181234267326350373428478501561584
anastomózy.24134048013151111162203239297390451495548563
U8504198013170
17,49534198013155100106160
%11474198013182
pacientů12624198013162113163186239299331390
byla16864198013161110134184
doba19034198013161120182233
hospitalizace21694198013160120161221245279330353375420472522574
delší27764198013161115139178200
jak850434801312472117
209914348013154106
dní.11214348013160117139157
Závěr:10004493013562119172227266292
Výsledky,13134498013156105146167220280325377389
kterých1723449801314683134165216264321
jsme2064449801312463151204
dosahovali22884498013160118158208265323372421443465
před2773449801316092143203
započetím850464801314495155214263314347369458
ERAS13374648013152105171223
studie,1589464801314176134193215267284
odpovídají19034648013158119178237286308368416439460
literárně239346480131234578129160210241300353
udá‑27764648013158118166200
vaným8504798013150100157203294
počtům11734798013160120169205262351
komplikací.15534798013147103193253276297342393442464482
Tyto2064479801315192129185
výsledky22784798013150102143165218278323375
budou26824798013161119178236294
srovnány850494801314275134185247298359408
se1296494801314398
souborem14334948013143104164227289323377470
pacientů19424948013162115166189245305339400
operovaných23804948013161124181214273324377437486536596
v8505098013150
průběhu932509801316193151211265323380
roku1344509801313389136194
2023,15705098013154106156208225
u18285098013158
nichž1918509801315981130188232
budeme21825098013161119179232321374
aplikovat25895098013150109133154199256305355387
ERAS8505248013150103167217
přístup1086524801316090112149183239297
se1402524801314092
snahou1513524801314096143200256313
dosáhnout18455248013158115154203259315372428460
80%23245248013153105185
adherence25285248013149107163215245295351399448
protokolu.850539801316193149182238284341364421439
KLÍČOVÁ8525684014770132164236320392464
SLOVA13435684014762123207279351
Radikální8505848013156105165186232282305362384
cystektomie,12655848013149100140175226271308364454476528545
ERAS,18415848013151105171222240
pooperační21125848013161120179240294325375423481503
kompli‑26465848013146103193252275297330
kace.850599801314797146197214
SUMMARY8526284014762143243345423493561
Kudláčková10006448013155111171193241290335392440490
Š,1519644801315168
Hartmann16176448013169118149186275324382440
I,2086644801312442
Lounová21576448013149106164222280328378
V,2565644801315667
Neier26626448013170123145197229
J.2920644801313856
Early850659801315199130152199
complications10686598013148103191249271292339387419440496554592
after1679659801314976113163193
radical1891659801313281139160207256277
cystectomy2187659801314998138172221270305360447492
before26996598013159112139195226277
implementation8506748013123112171194247336389447479529561583641699
of1580674801315987
the1699674801313492145
ERAS18756748013151105171223
concept21296748013149105163212263323355
(Enhanced2516674801312979136194242300349400460
Recovery8506898013156109158214262314346397
After1271689801316592130181212
Surgery).15086898013151107139196249281333359374
Objective:10007043013579146176235286328357415471497
Radical15327048013157108170193243294317
cystectomy18837048013150103145181234285323380473521
(RACE)2437704801313086154216267298
is2768704801312464
an28667048013151111
operation8507198013158116169199247278299356413
with12817198013178100132189
numerous14887198013158114201252283338394432
complications.19397198013148102190248270290337386417438494551589608
The25657198013151109161
effort2744719801315381110165196232
to850734801313488
reduce958734801313282141197245294
them1272734801313390142230
led1521734801312375134
to1674734801313488
the1782734801313390142
introduction1943734801312379110141197256312359394416472529
of2492734801315885
the2596734801313491143
ERAS27587348013151103168218
(Enhanced850749801312979136194243301349400460
Recovery13367498013156109159214263315346398
After1760749801316492130181212
Surgery)19987498013151108139197250281333359
concept23847498013149105163212263322355
used2765749801315898151211
in850764801312379
colorectal9497648013148103126183214265313349397419
surgery.1387764801314197127184236267318331
Our17377648013173131161
goal19187648013159116165187
is2124764801312361
to2204764801313489
demonstrate23137648013159111198256313352386417466497547
its288076480131225596
benefits3203898013160112168219244270302342
also356489801314970107164
in374689801312379
urological384389801315888142164221279300346395416
operations4277898013158116168199247278299355411449
with474589801317899131188
interven‑495189801312379109158189240290346378
tions3203104801313456114172212
on34391048013158117
the3580104801313492145
bowel.37491048013161120198250273291
Material33531193013593151189247287316373402
and37861193013557121187
methods:40041193013596154194258322388435461
Before44981198013157111141199232285
inclusion4817119801312382132155214254276336396
in5246119801312483
the3203134801313594149
study,3385134801314278137198247261
we36791348013181135
evaluated38471348013155105156179238288321373435
a43151348013151
group4400134801316193151210272
of4705134801316089
8648271348013155110
patients49711348013161113146169223282315358
who32031498013179138196
underwent34211498013158116175228260342394452484
RACE39261498013156121181230
at4178149801315082
our42811498013159117148
institution4451149801312280119154176209267301323380439
in4911149801312381
the5013149801313492145
pe‑51801498013161115149
riod3203164801313255113173
1/2017–12/2019.3408164801315486139190238282330377421461514566613658674
A41141648013164
Bricker4210164801315687110158203255286
ileostomy,452816480131234598157197232288377423437
a49971648013149
conti‑50781648013150105164196218251
nent32031798013159113171203
Studer3438179801315283141201254286
reservoir,3756179801313385125179211264321344375389
or4177179801315991
a43001798013151
ureterocutaneostomy4383179801315990142175227258315365423457507565618678718753809900946
or3203194801315992
nephrostomy33281948013159113174234266323364399456547594
were39551948013180133165218
used4206194801315999153214
for4453194801312987120
urine4606194801315991114173227
derivation.48661948013160114146169219270303325384444463
Descriptive32032098013171124164213244266325358379428480
characteristics37032098013149106155186235284319370401424462496518566608
(age,4331209801312974133186202
gender,45542098013159112169228281312325
Charleson48992098013163120168199222274314372430
comorbidity32032248013149105195253285345368427449482533
index,3767224801312380140192240260
cigarette4057224801314971130179210261294331382
abuse,44692248013150110168207260277
radiotherapy4776224801313382142164221254312365396446506553
or3203239801316093
chemotherapy,33292398013150110164256316349409463496547609657671
transient4033239801313568119179219242296355388
abdominal44552398013151112174234326348407458481
surgery)49692398013142100133192247279332360
were32032548013179130161211
evaluated.34342548013153101150171228275307357416435
In3888254801312380
addition,39882548013149108166188220242299356374
blood4381254801316083140198258
loss,4658254801312380120159177
time4854254801313456143195
of5069254801315886
sur‑5174254801314197127155
gery32032698013160112143194
and34172698013150107166
postoperative36032698013161120159193249309362393443475497545597
complications,42202698013149104193252275296344393425447504562601620
and48602698013149107166
length5046269801312375133192225283
of3203284801316089
hospitalization33262848013160120161222245280331354376421474507530589649
were40092848013181134167220
recorded.4262284801313487138195228288342404424
Postoperative47192848013156114155191248310366398450483506557610
complications32032998013149105195254277299347397429451509567607
were38302998013180132163215
classified4066299801314971120159199220246273326386
as4473299801315089
early45832998013154102133156204
and48082998013150107167
late.4996299801312372104155172
We51892998013190140
evaluated32033148013155105156180238289322375437
early36733148013155104137161210
complications39173148013150108200261285308358409442466525585626
according45773148013151101149207240299322382443
to5053314801313593
the5179314801313595150
Clavien-Dindo3203329801316385133181204256314347420442500559617
classification.3844329801314971120160200221247273322372404426484542561
Results:33533444013563119165227255293339364
In3745344801312381
our38553448013159117148
group,4033344801316091147205265281
we43443448013179131
recorded4505344801313284133189221279332392
a49273448013150
mortal‑50063448013190149181218267290323
ity3203359801312357108
of3344359801315887
1,23463359801315466121
%36163598013182
and37303598013150108168
a39313598013150
morbidity40133598013191149181242265324346380432
of4477359801315987
59.345973598013154102117172
%.48013598013181102
Of49353598013174105
these,5072359801313493146187240257
41.83203374801315499111166
%33923748013181
were34953748013180132163215
early37323748013154102133156204
complications.39583748013149105195255278299347397429451509568607626
Most46073748013186144184219
of4848374801315987
the4958374801313492145
early51253748013154102133156204
complications32033898013150108200262286309359410443467526587628
were38643898013182136168221
grade4119389801316194146207262
I44153898013123
and44723898013151111172
II4678389801312447
according47593898013151101149207240300323383444
to5237389801313492
the3203404801313493147
Clavien-Dindo3382404801316486135183207260319353426448507567626
classification.4040404801315072122162202224250277326377409432490550569
The46414048013152113166
most48404048013191150191226
com‑50984048013150106197231
mon32034198013190148207
early34374198013153102133156204
complications36684198013149105195254277299347397429451509567606
were43024198013179131163214
paralytic45434198013161111142192214262300322370
ileus494041980131234598155195
and51624198013150107167
pneumonia.32034348013161119172230319377435457505524
Of37514348013174104
the3879434801313492145
late4048434801312372104155
complications,42274348013149105194254277298347396428451508567606625
stenosis4875434801314176127185243283304343
of5242434801315987
the3203449801313492145
ureteroileal3369449801315889141174225256313335357410458480
anastomosis38704498013150107156196230286376434474496535
occurred44254498013159108155212243276327387
most48334498013190149189223
often.5077449801315887124175233252
In3203464801312380
17.43302464801315396103154
%34754648013181
of3575464801315886
patients,36804648013160109141162214271302343361
the4060464801313491143
hospitalization42234648013158115155213235267316338359402451483504561619
period48614648013160113144166223282
was51634648013178127166
longer3203479801312381140199252284
than3511479801313492140198
2037334798013154106
days.38634798013159108155195215
Conclusion:33534943013565126189239267330376404467530555
The39394948013151112166
results4137494801313385125182205238281
we44504948013180133
achieved46154948013151100158180233282335396
before50434948013161116144202234286
taking3203509801313484129153211270
into3505509801312381113169
account3706509801315098145201259317348
the4086509801313493146
ERAS42645098013151105171222
study4518509801314176134193242
corresponds47925098013149105137169221261320379438497537
to3203524801313491
the3326524801313492146
number35045248013159117206266321352
of3889524801315987
complications40095248013149105195255279300349399431454512571610
reported4652524801313284144204236273325385
in5070524801312381
the5183524801313493146
literature.320353980131234578129161210243300332383400
These36245398013151111164204257
results3902539801313384124181203236278
will42005398013180102124146
be43675398013160114
compared45025398013149105195254304336387447
with49705398013179102135193
the5184539801313492145
set3203554801314194127
of3356554801315987
patients34695548013161110143165217275307349
operated38435548013159119173205255287338398
on42675548013158117
during44105548013160117148171228287
202347235548013154106155208
in4957554801312380
which50635548013180138160208266
we32035698013179132
will33555698013179102124146
apply35215698013150109170193241
the3782569801313492145
ERAS39485698013151105170222
approach41915698013149109169201258308356414
with46255698013180102136194
80%48395698013154108189
adher‑50485698013150110168221252281
ence32035848013153111160211
to3438584801313490
the3552584801313492145
protocol.3721584801316193149182238287343366385
KEY32046134014770134206
WORDS343761340147105189260345408
Radical32036298013156105165187235285307
cystectomy,35426298013149100140175226275312368457504517
ERAS,40916298013151105170222240
postoperative43636298013161120160195251311365397447479501550602
compli‑49976298013149105195254277299332
cations.3203644801314999131153211269309328
………320367340147120240360
ÚVOD32057158018197183286388
Radikální32037498013156107167189235287309368390
cystektomie36267498013149101142177229276313370461483536
(RACE)4195749801313085152212262292
je4520749801312477
v46307498013150
urologii4713749801315991148172231292314337
jedna5082749801312478139198247
z32037648013146
nejsložitějších32837648013160116139180203263308332367420443483506556616
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