يتخصص مستشفى سانت زدسلافا في استئصال المثانة الروبوتي باستخدام نظام دا فينشي، مع إجراء أكثر من 4000 جراحة روبوتية. الدكتور جان دوليزيل، وهو أخصائي رائد في طب الأورام والمسالك البولية يتمتع بخبرة _doctor_1940_years_، أجرى أكثر من 3000 جراحة روبوتية وهو عضو في الجمعية الأوروبية لجراحة المسالك البولية. تبلغ تكلفة الإجراء عادةً حوالي 23650 دولارًا.
مستشفى سانت زدسلافا هو أكبر مركز للجراحة الروبوتية في جمهورية التشيك. العيادة متخصصة في جراحة المسالك البولية باستخدام روبوت دافنشي وجراحة السمنة واستبدال المفاصل. حتى الآن أجرى الفريق المتمرس أكثر من 4000 عملية روبوتية.
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\n\nيقترح مستشفى St. Zdislava خدمات عالية الجودة ، 24/7 المساعدة للمريض.
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"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":10,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":46119}},"direction":{"id":10,"name":"طب الأورام","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":42,"max":90,"unit":"days","qualifier":"Desk work often after 6-12 weeks; later for physical work or if adjuvant therapy is needed."},"complication_rate_pct":{"min":50,"max":65,"unit":"percent","qualifier":"Any complication within 90 days; major (Clavien 3-5) about 15-25%, mostly infections, ileus and wound problems."},"contraindications":["Unfit for major surgery or anesthesia due to severe comorbidity","Uncorrected severe bleeding disorder","Active uncontrolled systemic infection","Widely metastatic disease, except selected palliative cases"],"days_in_clinic":{"min":5,"max":10,"unit":"nights","qualifier":"Typical uncomplicated radical cystectomy with urinary diversion; enhanced-recovery pathways at the shorter end, longer if complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking early; strenuous exercise and heavy lifting avoided about 6-12 weeks."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Time to stabilise functional adaptation to urinary diversion, bowel function and energy levels; oncological outcome assessed through long-term surveillance."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"Counted from surgery, once discharged and cleared by surgeon; depends on bowel recovery, stent or catheter plan, and thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"Early post-discharge review, often with stent or catheter plan"}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of final pathology and need for further oncological treatment"}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":120,"unit":"days","qualifier":"Surveillance with labs and imaging, then at scheduled intervals"}}],"indications":["Muscle-invasive bladder cancer","High-risk non-muscle-invasive cancer, e.g. BCG-unresponsive or recurrent high-grade","Selected intractable bleeding, severe radiation cystitis, or painful non-functioning bladder","Neurogenic bladder with refractory complications in selected cases"],"main_risks":["Bleeding and need for transfusion","Infection, including wound and urinary tract infection and sepsis","Bowel obstruction or ileus, anastomotic or urinary leak","Venous thromboembolism","Ureteral stricture or kidney function deterioration","Stoma-related problems such as hernia or stenosis","Sexual dysfunction, incontinence or voiding difficulty depending on diversion","Vitamin B12 deficiency and metabolic disturbances with bowel segments","Perioperative cardiopulmonary complications"],"pain":"Moderate to severe pain in the first days, managed with multimodal analgesia (often epidural or regional adjuncts); gradually settles over several weeks.","preparation":["Preoperative staging and fitness assessment (imaging, labs, cardiopulmonary evaluation)","Anaesthetic review","Stoma site marking and counselling by a stoma nurse","Counselling on urinary diversion options","Nutritional optimisation and smoking cessation","Bowel preparation and fasting per hospital protocol","Medication adjustments as directed by the surgical team"],"recovery_timeline":[{"phase":"Hospital stay (days 0-10)","description":"Early mobilisation, pain control, gradual resumption of diet, drains, catheters and stents managed, stoma teaching.","restrictions":["No driving","Limited mobility initially"]},{"phase":"Early home recovery (weeks 2-6)","description":"Gradual increase in walking, fatigue common, catheter or stent removal as planned.","restrictions":["No heavy lifting","Avoid straining"]},{"phase":"Late recovery (weeks 6-12)","description":"Return to desk work and increasing activity as tolerated; review of pathology and surveillance plan.","restrictions":["Avoid heavy lifting and strenuous exercise until cleared"]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after radical cystectomy with diversion; energy and diversion adaptation may take longer."},"result_longevity":"Bladder removal is permanent, and the urinary diversion is intended to last a lifetime. 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A stoma is present with ileal conduit or other cutaneous diversions.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation episode (radical cystectomy with urinary diversion)."},"stages":[{"code":"cystectomy_diversion","label":"Cystectomy with lymph node dissection and urinary diversion in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation"}}],"qualifier":"Single-stage standard protocol; perioperative systemic therapy, if any, is separate."},"success":{"metric":"5-year overall survival after radical cystectomy for muscle-invasive bladder cancer","value":55,"unit":"percent","horizon":"5 years","population":"Adults with muscle-invasive, non-metastatic bladder cancer undergoing radical cystectomy with lymphadenectomy","evidence_status":"limited"},"techniques":[{"name":"Open radical cystectomy with urinary diversion","suits_whom":"Standard approach for most patients, including those with extensive disease or prior surgery.","recovery":"Hospital stay about 7-10 nights; return to desk work in about 8-12 weeks."},{"name":"Robot-assisted radical cystectomy","suits_whom":"Selected patients at experienced centres with suitable disease extent and fitness.","recovery":"Hospital stay about 5-8 nights; recovery similar or slightly faster early on."},{"name":"Ileal conduit diversion","suits_whom":"Most common diversion; suits older or less fit patients or those preferring simplicity.","recovery":"External stoma with collection bag; simpler recovery."},{"name":"Orthotopic neobladder","suits_whom":"Selected fit patients with preserved kidney function and no urethral involvement.","recovery":"Longer adaptation to voiding and continence training over months."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Radical cystectomy with lymphadenectomy and urinary diversion in an uncomplicated adult case; neobladder tends toward the longer end."},"initial_assessment_documents":["Cystoscopy and TURBT report","Bladder biopsy pathology report","Pelvic and abdominal CT urogram","Pelvic MRI (if available)","Recent creatinine and eGFR results","Chest CT or chest X-ray report"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; stay about 2-3 weeks including hospital stay and stent or catheter plan. Second trip only for follow-up abroad."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=czech-republic/city=velke-mezirzhichi/procedure=udalenie-mocevogo-puzyra/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":2},"manualSeo":[],"updatedAt":"2026-10-31T16:14:23.000Z","activeCountries":["CZ","TR","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}