Laparoscopic Radical Nephroureterectomy With En-Bloc Distal Ureteral and Bladder Cuff Excision Using a Single Position Pneumovesicum Method
Received 29 December 2007; accepted 13 May 2008. published online 30 July 2008.
We describe a completely laparoscopic approach for en-bloc dissection of the distal ureter and bladder cuff during nephroureterectomy using a pneumovesicum approach and with the need for intraoperative patient repositioning. This technique is efficient, technically feasible and adheres to the oncologic principles of radical nephroureterectomy.
The James Buchanan Brady Urologic Institute, The Johns Hopkins Medical Institutions, Baltimore, Maryland
Reprint requests: Thomas J. Guzzo, M.D., The James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, 600 N Wolfe St, 1st Floor Marburg Pavilion, Baltimore, MD 21287
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