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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Related Experiment Video

Updated: Jul 19, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
06:39

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

A sealed laparoscopic nephroureterectomy: a new technique.

Alexander Tsivian1, Shalva Benjamin, A Ami Sidi

  • 1Department of Urologic Surgery, Wolfson Medical Center, Holon, and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. atsivian@hotmail.com

European Urology
|November 7, 2006
PubMed
Summary

This study presents a laparoscopic nephroureterectomy technique for upper tract cancer, avoiding transurethral procedures and achieving no local recurrence in 13 patients.

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Single Port Donor Nephrectomy
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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Single Port Donor Nephrectomy

Published on: March 12, 2011

Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Upper tract transitional cell carcinoma requires complete removal of the renal unit and ureter.
  • Traditional methods for bladder cuff excision have drawbacks, including the need for transurethral instrumentation or open surgery.

Purpose of the Study:

  • To describe a purely laparoscopic approach for nephroureterectomy.
  • To avoid the disadvantages associated with transurethral bladder cuff excision and open distal ureterectomy.

Main Methods:

  • A transperitoneal laparoscopic nephrectomy was performed.
  • The ureter was dissected distally to the ureterovesical junction using additional lower abdominal trocars.
  • The bladder cuff was excised laparoscopically, and the specimen removed via a small incision.

Main Results:

  • Thirteen patients with suspected upper tract transitional cell carcinoma underwent the procedure.
  • Operative times ranged from 170-270 minutes.
  • No local recurrence was observed during follow-up (1-23 months); two remote recurrences occurred.

Conclusions:

  • The described laparoscopic technique adheres to oncologic principles for upper tract cancer.
  • This approach eliminates the need for transurethral instrumentation and patient repositioning.
  • It offers a minimally invasive alternative for nephroureterectomy with favorable oncologic outcomes.