| Modified transurethral technique for the management of distal ureter during laparoscopic assisted nephroureterectomy. | |
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MedLine Citation:
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PMID: 18314168 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Laparoscopic assisted nephroureterectomy is a well established technique for managing the upper urinary tract urothelial cancer. However, management of the distal ureter remains a controversial issue. We describe a modified method of cystoscopic loop ligation and detachment of the distal ureter. TECHNICAL CONSIDERATION: We performed transperitoneal laparoscopic assisted nephroureterectomy in 13 patients. The lower end of the ureter was managed perurethrally using our modified technique. We circumscribed the ureteric orifice with a bladder cuff using a Collins knife. We ligated the ureteric stump via cystoscope to avoid urine spillage from the upper tract. We achieved the complete excision of the distal ureter with a bladder cuff in all cases with our modified technique. CONCLUSIONS: Our modified technique appears to be a simple, less invasive, and oncologically safe method to manage the distal ureter perurethrally. |
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Authors:
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Dinesh K Agarwal; Herkanwal S Khaira; David Clarke; Raymond Tong |
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Publication Detail:
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Type: Journal Article Date: 2008-03-07 |
Journal Detail:
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Title: Urology Volume: 71 ISSN: 1527-9995 ISO Abbreviation: Urology Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-04-04 Completed Date: 2008-05-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0366151 Medline TA: Urology Country: United States |
Other Details:
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Languages: eng Pagination: 740-3 Citation Subset: IM |
Affiliation:
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Royal Melbourne Hospital, Parkville, Victoria, Australia. dineshagarwal@bigpond.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Cystoscopy / methods* Female Follow-Up Studies Humans Kidney Neoplasms / pathology, surgery* Laparoscopy* Ligation / methods Male Middle Aged Nephrectomy / methods* Retrospective Studies Treatment Outcome Ureteral Neoplasms / pathology, surgery* Urethra / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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