Robot-assisted laparoscopic nephroureterectomy with a bladder cuff excision

Sung Yul Park, Kang Su Cho, Won Sik Ham, Joo Hyoung Lee, Hyun Min Choi, KoonHo Rha

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We report here on our technique and outcomes of the first two cases of robot-assisted laparoscopic nephroureterectomy with a bladder cuff excision (RLNU). RLNU was performed on two female patients who both had a muscle invasive lower ureter tumor. For the first step, nephroureterectomy was performed in the lateral flank position. For the second step, bladder cuff excision and bladder repair were performed in a steep Trendelenburg position. The specimen was extracted through a 6 cm sized incision in the umbilical trocar site. Both procedures were successfully completed with using the robot without conversion to open surgery. The total operative time, including the lymphadenectomy and the robot docking times, was 320 and 241 minutes, respectively, for the 2 patients. The estimated blood loss was 40 and 200 ml, respectively. The pathological examinations showed stage T3 and T2 invasive transitional cell carcinoma of the ureter. The patients' postoperative recoveries were uneventful and the bladder cuff was free of tumor. RLNU may have potential advantages over open and laparosopic surgery due to its minimal invasiveness. This approach can be an alternative to open surgery or laparoscopic technique.

Original languageEnglish
Pages (from-to)373-375
Number of pages3
JournalKorean Journal of Urology
Volume49
Issue number4
DOIs
Publication statusPublished - 2008 Apr 1

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Urinary Bladder
Ureter
Head-Down Tilt
Conversion to Open Surgery
Umbilicus
Transitional Cell Carcinoma
Operative Time
Lymph Node Excision
Surgical Instruments
DNA Repair
Laparoscopy
Neoplasms
Muscles

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Park, Sung Yul ; Cho, Kang Su ; Ham, Won Sik ; Lee, Joo Hyoung ; Choi, Hyun Min ; Rha, KoonHo. / Robot-assisted laparoscopic nephroureterectomy with a bladder cuff excision. In: Korean Journal of Urology. 2008 ; Vol. 49, No. 4. pp. 373-375.
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Robot-assisted laparoscopic nephroureterectomy with a bladder cuff excision. / Park, Sung Yul; Cho, Kang Su; Ham, Won Sik; Lee, Joo Hyoung; Choi, Hyun Min; Rha, KoonHo.

In: Korean Journal of Urology, Vol. 49, No. 4, 01.04.2008, p. 373-375.

Research output: Contribution to journalArticle

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