Management of Distal Ureter in Laparoscopic Nephroureterectomy-A Comprehensive Review of Techniques

Amanda M. Macejko, Joseph F. Pazona, Stacy Loeb, Simon Kimm, Robert B Nadler*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

30 Scopus citations

Abstract

Approximately 5% of all urothelial tumors in adults arise from the upper tracts. While the gold standard treatment is open nephroureterectomy, laparoscopic nephroureterectomy is becoming increasingly popular. Oncologic principles dictate that complete excision of the transmural ureter and bladder cuff and avoidance of urine spillage are paramount. This can be challenging laparoscopically and multiple techniques have been described. We review described surgical techniques, published oncologic data, as well as advantages and disadvantages for each technique including open excision, cystoscopic detachment and ligation, laparoscopic stapling, ureteral intussusception, transurethral resection of ureteral orifice (TURUO) and modifications of TURUO. To date, no controlled studies have been performed demonstrating one technique's superiority.

Original languageEnglish (US)
Pages (from-to)974-981
Number of pages8
JournalUrology
Volume72
Issue number5
DOIs
StatePublished - Nov 1 2008

ASJC Scopus subject areas

  • Urology

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