Modified laparoscopic radical nephroureterectomy with transurethralexcision of intramural ureter.
We report a modified technique for laparoscopic nephroureterectomy that results in complete removal of the specimen, including a cuff of bladder mucosa, while avoiding tumor cell spillage. A modified lithotomy position allows simultaneous laparoscopic and transurethral access without repositioning. Contraindications are juxtavesical or intramural ureteral tumor.
Ubrig
Burkhard
B
Department of Adult and Pediatric Urology, Witten/Herdecke University, HELIOS Klinikum Wuppertal, Wuppertal, Germany. bubrig@wuppertal.helios-kliniken.de
Roth
Stephan
S
D000328:Adult; D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000601:surgery*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D014513:Ureter / Q000601:surgery*; D014516:Ureteral Neoplasms / Q000601:surgery*; D014521:Urethra