Retroperitoneal laparoscopic nephroureterectomy and management options for the distal ureter.
J Endourol
; 15(4): 385-90; discussion 397, 2001 May.
Article
em En
| MEDLINE
| ID: mdl-11394450
ABSTRACT
Radical nephroureterectomy, including en bloc excision of the ureter with a bladder cuff, is the standard treatment for upper tract transitional-cell carcinoma (TCC). This procedure requires either a flank and lower abdominal incision or an extended flank incision. Laparoscopic surgery for TCC has been used at several medical centers; the most challenging and controversial aspect is the oncologically correct management of the distal ureter. We believe that the Cleveland Clinic technique of securing the distal bladder cuff intravesically while simultaneously occluding the distal ureter prevents tumor spillage and allows accurate and complete resection of the targeted ureter in a manner mirroring the open procedure.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Urológicos
/
Ureter
/
Laparoscopia
/
Nefrectomia
Limite:
Humans
Idioma:
En
Ano de publicação:
2001
Tipo de documento:
Article