Laparoscopic Transvesical Resection of an En Bloc Bladder Cuff and Distal Ureter during Nephroureterectomy
Joint Authors
Patris, Emmanuel
Kalaitzis, Christos
Dimitriadis, Charalampos
Toufas, George
Touloupidis, Stavros
Bantis, Athanasios
Giannakopoulos, Stilianos
Giannopoulos, Stavros
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-09-25
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Natural & Life Sciences (Multidisciplinary)
Medicine
Information Technology and Computer Science
Abstract EN
Objective.
The most appropriate technique for excising the distal ureter and bladder cuff during laparoscopic nephroureterectomy is still debated.
We report our experience with a pure laparoscopic transvesical method that duplicates the long-standing open transvesical approach.
Materials and Methods.
Seven men and three women diagnosed with upper tract transitional cell carcinoma were treated with this procedure.
Three intravesical ports were inserted, and pneumovesicum was established at 12 mmHg.
Transvesical laparoscopic circumferential detachment of the bladder cuff and en bloc mobilization of the last centimeters of the distal ureter were performed, followed by the closure of the bladder defect.
Subsequently, a nephrectomy was performed either laparoscopically or using an open flank approach.
Results.
The median age was 68.5 years.
The procedure was completed uneventfully in all cases.
The median operating time for distal ureter excision was 82.5 minutes (range 55–120).
No complications directly related to the pneumovesicum method were recorded.
The median follow-up period was 31 months (range 12–55).
During the follow-up period, two patients (20%) died from the disease, and a bladder tumor developed in three cases (30%).
Conclusion.
The laparoscopic transvesical resection of the en bloc bladder cuff and distal ureter is a reliable, effective, and oncologically safe technique, at least in the midterm.
American Psychological Association (APA)
Giannakopoulos, Stilianos& Toufas, George& Dimitriadis, Charalampos& Giannopoulos, Stavros& Kalaitzis, Christos& Bantis, Athanasios…[et al.]. 2012. Laparoscopic Transvesical Resection of an En Bloc Bladder Cuff and Distal Ureter during Nephroureterectomy. The Scientific World Journal،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-488866
Modern Language Association (MLA)
Giannakopoulos, Stilianos…[et al.]. Laparoscopic Transvesical Resection of an En Bloc Bladder Cuff and Distal Ureter during Nephroureterectomy. The Scientific World Journal No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-488866
American Medical Association (AMA)
Giannakopoulos, Stilianos& Toufas, George& Dimitriadis, Charalampos& Giannopoulos, Stavros& Kalaitzis, Christos& Bantis, Athanasios…[et al.]. Laparoscopic Transvesical Resection of an En Bloc Bladder Cuff and Distal Ureter during Nephroureterectomy. The Scientific World Journal. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-488866
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-488866