title: Robotic-assisted laparoscopic nephroureterectomy and bladder cuff excision.
abstract: OBJECTIVE
  Our aim was to show that bladder cuff excision and distal ureterectomy can be safely performed by using the LigaSure device during robotic-assisted laparoscopic nephroureterectomy.
  
  
  METHODS
  A 60-year-old man presented with gross hematuria. He was diagnosed with upper urinary tract transitional cell carcinoma (TCC) on the left side and was scheduled for robot-assisted laparoscopic surgery. Without changing the patient's position, sealing with the LigaSure atlas for bladder cuff excision and distal ureterectomy was performed.
  
  
  RESULTS
  The operating time was 140 minutes from the initial incision to skin closure of all incisions. The estimated blood loss during the surgery was 120 mL. There were no intraoperative or postoperative complications. The Foley drain was removed on day 3 after normal cystographic findings, and the patient was discharged from the hospital on the fourth postoperative day.
  
  
  CONCLUSIONS
  Robot-assisted nephroureterectomy with distal ureterectomy in the same position using a LigaSure device is a safe alternative for upper tract transitional cell carcinoma.
authors.affiliation: Ataturk Teaching and Research Hospital, 1st Urology Clinic, Ankara, Turkey.
authors.forename: A T
authors.initials: AT
authors.lastname: Ozdemir
authors.forename: S
authors.initials: S
authors.lastname: Altinova
authors.forename: E
authors.initials: E
authors.lastname: Asil
authors.forename: M D
authors.initials: MD
authors.lastname: Balbay
mesh_terms: D002295:Carcinoma, Transitional Cell / Q000601:surgery*; D004564:Electrocoagulation; D006488:Hemostasis, Surgical; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D007682:Kidney Pelvis; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012371:Robotics; D014513:Ureter / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*