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Related Concept Videos

Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...

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Related Experiment Video

Updated: May 9, 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

Single-session laparoscopic cystectomy and nephroureterectomy.

Marcin Słojewski1, Piotr Chłosta, Marek Myślak

  • 1Department of Urology and Urological Oncology, Pomeranian Medical University, Szczecin, Poland.

Wideochirurgia I Inne Techniki Maloinwazyjne = Videosurgery and Other Miniinvasive Techniques
|July 10, 2013
PubMed
Summary

Laparoscopic simultaneous bladder and kidney removal is a safe and feasible option for select patients with upper urinary tract urothelial tumors. This technique offers a minimally invasive approach for complex cancer cases.

Keywords:
cystectomylaparoscopynephroureterectomypelvic exenteration

Related Experiment Videos

Last Updated: May 9, 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

Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Patients with high-grade or muscle-invasive bladder cancer and upper urinary tract disease require complex surgical management.
  • Simultaneous cystectomy and nephroureterectomy address multifocal urothelial tumors (transitional cell carcinoma - TCC) or non-functioning kidneys.
  • Laparoscopic techniques have advanced, making these combined procedures feasible but technically demanding.

Observation:

  • This study reports on three cases of laparoscopic en bloc resection of the bladder and nephroureterectomy for TCC between 2002 and 2011.
  • Procedures involved unilateral or bilateral nephroureterectomy followed by radical cystectomy and pelvic lymph node dissection.
  • Specimens were retrieved en bloc using minimally invasive techniques (hypogastric or vaginal incision).

Findings:

  • All three procedures were completed laparoscopically without conversion to open surgery.
  • No major intraoperative or postoperative complications were recorded.
  • One patient experienced prolonged lymphatic leakage, indicating a manageable complication.

Implications:

  • Single-session laparoscopic cystectomy and nephroureterectomy are technically feasible and safe for selected TCC patients.
  • This approach may be a viable treatment option for complex urothelial cancer cases involving the bladder and upper urinary tract.
  • Further research and surgeon experience are crucial for wider adoption of this combined laparoscopic procedure.