Laparoscopic ureterectomy: initial clinical experience.
With a combination of cystoscopic and laparoscopic techniques, 3 patients underwent total ureterectomy for urothelial cancer without complication. Of the patients 2 underwent concomitant laparoscopic nephrectomy. Mean operating time was 8.2 hours for the laparoscopic surgery and mean hospital stay was 6 days. In 2 patients the ureter was removed intact, while in 1 it was morcellated along with the kidney before removal. In each case the bladder was closed with a 12 mm. GIA laparoscopic stapling device. After 3 to 9 months of followup no patient had recurrent disease or bladder stones on the staple line.
Chandhoke
P S
PS
Division of Urologic Surgery, Washington University School of Medicine, St. Louis, Missouri.
Clayman
R V
RV
Kerbl
K
K
Figenshau
R S
RS
McDougall
E M
EM
Kavoussi
L R
LR
Stone
A M
AM
D000368:Aged; D000369:Aged, 80 and over; D002295:Carcinoma, Transitional Cell / Q000601:surgery; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D008722:Methods; D011183:Postoperative Complications; D014513:Ureter / Q000601:surgery*; D014516:Ureteral Neoplasms / Q000601:surgery