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Updated: Jul 6, 2026

Robot-Assisted Kidney Transplantation
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Initial experience with robot-assisted minimally-invasive nephroureterectomy.

Jim C Hu1, Joseph P Silletti, Stephen B Williams

  • 1Division of Urology, Brigham and Women's Hospital, Lank Center for Genitourinary Oncology, Dana Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts 02115, USA. jhu2@partners.org

Journal of Endourology
|March 15, 2008
PubMed
Summary

Robot-assisted laparoscopic nephroureterectomy is a feasible option for upper tract transitional cell carcinoma (TCC). This technique combines minimally invasive surgery with robotic assistance for improved outcomes in TCC treatment.

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Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Transitional cell carcinoma (TCC) of the upper urinary tract requires surgical management.
  • Laparoscopic nephroureterectomy is a standard approach.
  • Integrating robotic assistance for distal ureter and bladder cuff excision is an evolving technique.

Purpose of the Study:

  • To review the initial experience with laparoscopic nephroureterectomy.
  • To evaluate the use of robot-assisted extravesical excision of the distal ureter and bladder cuff.
  • To assess the feasibility of this combined approach for upper tract TCC.

Main Methods:

  • Nine patients with TCC underwent laparoscopic nephroureterectomy.
  • The procedure involved robot-assisted extravesical excision of the distal ureter and bladder cuff.

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

Published on: November 22, 2019

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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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Published on: November 22, 2019

  • Two patient positioning techniques were compared: repositioning to lithotomy versus remaining in flank position.

    • Main Results:

    • Mean operative time was 303 minutes with mean blood loss of 211 mL.
    • Mean hospital stay was 2.3 days.
    • Pathologic staging showed high-grade disease in 77.8% of patients; 3 patients experienced bladder recurrence after a mean follow-up of 16.2 months.

    Conclusions:

    • Laparoscopic nephroureterectomy with robot-assisted extravesical excision is a feasible alternative for upper tract TCC.
    • This technique offers a minimally invasive option for managing TCC.
    • Further studies may be warranted to optimize patient positioning and outcomes.