A novel open surgical approach to transvesical distal ureterectomy in nephroureterectomy.
A single-incision transvesical approach to open distal ureterectomy is described herein. The surgical technique has been applied successfully to 6 consecutive patients undergoing laparoscopic nephrectomy with open distal ureterectomy for upper tract transitional cell carcinoma. The technique presented allows easy and effective excision of the ipsilateral distal ureter, ureteral orifice, and bladder cuff as well as closure of the single cystotomy. Further studies with long-term follow-up data are necessary to confirm the satisfactory preliminary clinical experience presented in this report.
Hsu
Thomas H S
TH
Section of Laparoscopic and Minimally Invasive Surgery, Department of Urology, Stanford University School of Medicine, Stanford, California 94305-5118, USA. hsut@stanford.edu
Hsu
Senzan
S
D002295:Carcinoma, Transitional Cell / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery; D010535:Laparoscopy; D009392:Nephrectomy; D014513:Ureter / Q000601:surgery*; D014516:Ureteral Neoplasms / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000379:methods