[Right transperitoneal laparoscopic nephroureterectomy].
OBJECTIVE
To describe the surgical technique of the right laparoscopic nephroureterectomy.


RESULTS
With the patient in the lithotomy position we performed an endoscopic section of the ureteral meatus. Once the patient is placed in the lumbotomy position and trocars are placed, the retroperitoneal space is accessed. The gonadal vein, and the ureter medial to it, are identified. We proceed to dissect and clip it. Posteriorly, the Kocher maneuver on the duodenum is performed, identifying the inferior vena cava. We dissect the renal artery and vein placing Hemolock clips on both. Once the vascular control is achieved, we free the upper pole with the help of the Ligasure Atlas instrument. When the kidney is free we continue with the ureter down.


CONCLUSIONS
Laparoscopic nephroureterectomy is a feasible technique for groups with experience in laparoscopic surgery.
Escalera Almendros
Carlos
C
Servicio de Urología, Hospital Universitario de Getafe, Getafe, Madrid, España.
Chiva Robles
Vicente
V
Rodríguez García
Nuria
N
Pascual Mateo
Carlos
C
Berenguer Sánchez
Antonio
A
D006801:Humans; D010535:Laparoscopy; D009392:Nephrectomy / Q000379:methods*; D010537:Peritoneum; D014513:Ureter / Q000601:surgery*