Techniques to resect the distal ureter in robotic/laparoscopic nephroureterectomy
Treatment of clinically-organ confined high grade urothelial carcinoma of the upper tract has historically comprised open nephroureterectomy, with the distal ureter and bladder cuff mobilized through a separate open pelvic incision. To decrease morbidity, urologists have increasingly adopted laparos...
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Elsevier
2016-07-01
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| Series: | Asian Journal of Urology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214388216300170 |
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| author | Weil R. Lai Benjamin R. Lee |
| author_facet | Weil R. Lai Benjamin R. Lee |
| author_sort | Weil R. Lai |
| collection | DOAJ |
| description | Treatment of clinically-organ confined high grade urothelial carcinoma of the upper tract has historically comprised open nephroureterectomy, with the distal ureter and bladder cuff mobilized through a separate open pelvic incision. To decrease morbidity, urologists have increasingly adopted laparoscopy and robotics in performing nephroureterectomy. In many published series of laparoscopic nephroureterectomy, the distal ureter and bladder cuff are detached from the bladder endoscopically by a variation of the “pluck” technique, with the resulting bladder defect left to heal by prolonged indwelling urethral catheter drainage. While the distal ureter and bladder cuff can be excised laparoscopically, it does require advanced laparoscopic skills. With the wrist articulation and stereoscopic vision in robotic surgery, robotic nephroureterectomy (RNU) and bladder cuff excision can be performed in antegrade fashion to mimic the open technique together with the ability to intracorporeally close the bladder defect in a watertight, mucosa to mucosa fashion after excising the bladder cuff. In this review, we discuss the published minimally invasive techniques in resecting the distal ureter and bladder cuff during laparoscopic and RNU. Keywords: Transitional cell carcinoma, Robotic nephroureterectomy, Laparoscopy, Robotic surgical procedures, Ureteral neoplasms |
| format | Article |
| id | doaj-art-e5d41fb162b54ca3ad58d192b86c5dda |
| institution | DOAJ |
| issn | 2214-3882 |
| language | English |
| publishDate | 2016-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Urology |
| spelling | doaj-art-e5d41fb162b54ca3ad58d192b86c5dda2025-08-20T03:09:55ZengElsevierAsian Journal of Urology2214-38822016-07-013312012510.1016/j.ajur.2016.04.001Techniques to resect the distal ureter in robotic/laparoscopic nephroureterectomyWeil R. Lai0Benjamin R. Lee1Department of Urology, Tulane University School of Medicine, New Orleans, LA, USADivision of Urology, University of Arizona College of Medicine, Tucson, AZ, USA; Corresponding author.Treatment of clinically-organ confined high grade urothelial carcinoma of the upper tract has historically comprised open nephroureterectomy, with the distal ureter and bladder cuff mobilized through a separate open pelvic incision. To decrease morbidity, urologists have increasingly adopted laparoscopy and robotics in performing nephroureterectomy. In many published series of laparoscopic nephroureterectomy, the distal ureter and bladder cuff are detached from the bladder endoscopically by a variation of the “pluck” technique, with the resulting bladder defect left to heal by prolonged indwelling urethral catheter drainage. While the distal ureter and bladder cuff can be excised laparoscopically, it does require advanced laparoscopic skills. With the wrist articulation and stereoscopic vision in robotic surgery, robotic nephroureterectomy (RNU) and bladder cuff excision can be performed in antegrade fashion to mimic the open technique together with the ability to intracorporeally close the bladder defect in a watertight, mucosa to mucosa fashion after excising the bladder cuff. In this review, we discuss the published minimally invasive techniques in resecting the distal ureter and bladder cuff during laparoscopic and RNU. Keywords: Transitional cell carcinoma, Robotic nephroureterectomy, Laparoscopy, Robotic surgical procedures, Ureteral neoplasmshttp://www.sciencedirect.com/science/article/pii/S2214388216300170 |
| spellingShingle | Weil R. Lai Benjamin R. Lee Techniques to resect the distal ureter in robotic/laparoscopic nephroureterectomy Asian Journal of Urology |
| title | Techniques to resect the distal ureter in robotic/laparoscopic nephroureterectomy |
| title_full | Techniques to resect the distal ureter in robotic/laparoscopic nephroureterectomy |
| title_fullStr | Techniques to resect the distal ureter in robotic/laparoscopic nephroureterectomy |
| title_full_unstemmed | Techniques to resect the distal ureter in robotic/laparoscopic nephroureterectomy |
| title_short | Techniques to resect the distal ureter in robotic/laparoscopic nephroureterectomy |
| title_sort | techniques to resect the distal ureter in robotic laparoscopic nephroureterectomy |
| url | http://www.sciencedirect.com/science/article/pii/S2214388216300170 |
| work_keys_str_mv | AT weilrlai techniquestoresectthedistalureterinroboticlaparoscopicnephroureterectomy AT benjaminrlee techniquestoresectthedistalureterinroboticlaparoscopicnephroureterectomy |