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Related Experiment Video

Updated: Mar 9, 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

Laparoscopic Nephrectomy: Initial Case Report.

Ralph V Clayman¹, Louis R Kavoussi¹, Nathaniel J Soper¹

¹Departments of Surgery (Division of Urologic Surgery) and Radiology, and Division of General Surgery, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, and Cook Urological, Inc., Spencer, Indiana.

The Journal of Urology

|December 26, 2016

Summary

This summary is machine-generated.

Laparoscopic kidney excision was performed on an 85-year-old patient. Novel organ entrapment and tissue morcellation techniques enabled removal of a 190 gm. kidney via an 11 mm. incision.

Keywords:

carcinoma kidney neoplasms laparoscopy nephrectomy

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Area of Science:

Minimally Invasive Surgery
Urologic Oncology
Surgical Technology

Background:

Laparoscopic nephrectomy is a standard procedure for kidney tumors.
Challenges remain in specimen extraction, particularly for large or friable organs.
Advancements in surgical tools are crucial for expanding minimally invasive options.

Observation:

An 85-year-old female patient presented with a tumor-bearing right kidney.
A laparoscopic approach was utilized for complete kidney excision.
A novel intra-abdominal organ entrapment device was employed.
A newly developed laparoscopic tissue morcellator was used for specimen processing.

Findings:

The 190 gm. kidney was successfully removed using the described laparoscopic techniques.
Specimen extraction was achieved through a single 11 mm. incision.
The combined use of new technologies facilitated minimally invasive removal of a large kidney specimen.

Implications:

This technique demonstrates the feasibility of minimally invasive removal of large kidneys.
The novel organ entrapment and morcellation methods may improve safety and efficiency in laparoscopic surgery.
These advancements could lead to wider application of laparoscopic surgery for complex urologic cases.