Laparoscopic Assisted Transperitoneal Nephroureterectomy.

In recent years, laparoscopic nephroureterectomy has been developed and applied to patients with transitional cell carcinoma (TCC) of the renal pelvis and ureter. The laparoscopic approach results in less blood loss, fewer postoperative pain and analgesic requirements, and faster recovery to normal activity compared with open nephroureterectomy. The main issue of this procedure is the oncologic control, particularly the management of the distal ureter. The en bloc ureteral resection to avoid tumor spillage is the preferred method, and many innovative techniques have been used to address the subject. With the technique here described, the kidney and proximal ureter are dissected laparoscopically by way of a transperitoneal approach, and an ilioinguinal incision (Gibson-type) is performed for continued dissection of the distal ureter with a cuff of bladder. The abdominal incision permits safe specimen removal, reducing the technical complexity of the procedure and operative times. [ABSTRACT FROM AUTHOR]

Copyright of Manual of Laparoscopic Urology is the property of Springer eBooks and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)