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Related Experiment Video

Updated: May 13, 2026

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

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

Published on: November 22, 2019

Robotic-assisted laparoscopic nephroureterectomy and bladder cuff excision.

A T Ozdemir¹, S Altinova, E Asil

¹Ataturk Teaching and Research Hospital, 1st Urology Clinic, Ankara, Turkey.

JSLS : Journal of the Society of Laparoendoscopic Surgeons

|March 13, 2013

Summary

Robot-assisted nephroureterectomy using the LigaSure device for bladder cuff excision and distal ureterectomy is a safe procedure for upper tract transitional cell carcinoma (TCC). This minimally invasive approach offers a viable alternative for TCC treatment.

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Published on: May 19, 2022

Area of Science:

Urology
Surgical Oncology
Minimally Invasive Surgery

Background:

Upper tract transitional cell carcinoma (TCC) necessitates radical nephroureterectomy.
Bladder cuff excision and distal ureterectomy are critical components of the procedure.
Robotic-assisted laparoscopic surgery offers potential benefits in precision and recovery.

Observation:

A 60-year-old male patient with gross hematuria was diagnosed with left-sided upper tract TCC.
Robot-assisted laparoscopic nephroureterectomy was performed.
LigaSure device was utilized for bladder cuff excision and distal ureterectomy without repositioning the patient.

Findings:

The surgical procedure was completed in 140 minutes with an estimated blood loss of 120 mL.
No intraoperative or postoperative complications were reported.
The patient was discharged on postoperative day 4 after successful Foley drain removal on day 3.

Implications:

LigaSure device facilitates safe and effective bladder cuff excision and distal ureterectomy during robotic-assisted surgery.
This technique represents a safe alternative for managing upper tract TCC.
Minimally invasive robotic surgery with LigaSure may improve patient outcomes and reduce hospital stay.