V6-12 TRANSVESCICOSCOPIC BLADDER CUFF EXCISION IN LAPAROSCOPIC NEPHROURETERECTOMY

Abstract

You have accessJournal of UrologyMisc. GU Oncology and Transplant1 Apr 2017V6-12 TRANSVESCICOSCOPIC BLADDER CUFF EXCISION IN LAPAROSCOPIC NEPHROURETERECTOMY Young Eun Yoon, Sang Woon Kim, Hyung Ho Lee, Jang He Han, Seung Hwan Lee, Won Sik Ham, Koon Ho Rha, and Woong Kyu Han Young Eun YoonYoung Eun Yoon More articles by this author , Sang Woon KimSang Woon Kim More articles by this author , Hyung Ho LeeHyung Ho Lee More articles by this author , Jang He HanJang He Han More articles by this author , Seung Hwan LeeSeung Hwan Lee More articles by this author , Won Sik HamWon Sik Ham More articles by this author , Koon Ho RhaKoon Ho Rha More articles by this author , and Woong Kyu HanWoong Kyu Han More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1587AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To describe the management of the distal ureter during laparoscopic radical nephroureterectomy with the transvesical laparoscopic approach. METHODS The patient was placed in the modified lithotomy position with abducted thighs. The procedure started with cystoscopic examination of the bladder and ureteral orifices. After a small skin incision, a 5-mm-diameter trocar was introduced into the bladder dome. The anterior bladder wall was suspended to the abdominal wall to prevent the trocar from slipping out and 2 more 3-mm-diameter trocars were placed. The ureter was mobilized with hook electrocautery and dissected ureteral end was placed in extravesical space. Bladder was repaired with 4-0 vicryl. Then patient was placed in lateral position and conventional laparoscopic radical nephroureterectomy was performed. While dissection of distal ureter, the distal end of ureter was smoothly removed from perivesical space without any difficulty. RESULTS The patient was a 61-year-old female. The patient's CT scan showed right proximal ureteral mass and the result of previously performed ureteroscopic biopsy was transitional cell carcinoma, low grade. The operation time of transvesical bladder cuff excision was 50 minutes, and laparoscopic nephroureterectomy was performed for 120 minutes. Estimated blood loss of whole procedure was 300ml and there was no intraoperative or postoperative complication. Foley catheter was removed at 1 week. After 6 months postoperatively, there's no evidence of recurrence or metastasis. CONCLUSIONS Our initial experience with transvesicoscopic bladder cuff excision in laparoscopic radical nephroureterectomy demonstrated that the procedure is feasible and safe. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e682 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Young Eun Yoon More articles by this author Sang Woon Kim More articles by this author Hyung Ho Lee More articles by this author Jang He Han More articles by this author Seung Hwan Lee More articles by this author Won Sik Ham More articles by this author Koon Ho Rha More articles by this author Woong Kyu Han More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...