title: Laparoscopic radical nephroureterectomy with en-bloc distal ureteral and bladder cuff excision using a single position pneumovesicum method.
abstract: We describe a completely laparoscopic approach for en-bloc dissection of the distal ureter and bladder cuff during nephroureterectomy using a pneumovesicum approach and with the need for intraoperative patient repositioning. This technique is efficient, technically feasible and adheres to the oncologic principles of radical nephroureterectomy.
authors.affiliation: The James Buchanan Brady Urologic Institute, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA. tguzzo1@jhmi.edu
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Guzzo
authors.forename: Edward M
authors.initials: EM
authors.lastname: Schaeffer
authors.forename: Mohamad E
authors.initials: ME
authors.lastname: Allaf
mesh_terms: D006801:Humans; D007327:Insufflation / Q000379:methods*; D010535:Laparoscopy; D009392:Nephrectomy / Q000379:methods*; D011187:Posture; D014513:Ureter / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*