Laparoscopic nephroureterectomy and cystectomy

Roberto Sanseverino1, Olivier Intilla1, Umberto Di Mauro1, Tommaso Realfonso1, Giovanni Molisso1, Antonio Pistone1, Giorgio Napodano1
  • 1 Ospedale Umberto I, U.O.C. Urologia (Nocera Inferiore)

Abstract

The video shows a case of a 70 years old male affected by muscle invasive bladder cancer with monolateral hydronephrosis. Patient underwent a laparoscopic transperitoneal nephroureterectomy and cystectomy with monolateral ureterocutaneous anastomosis. Isolation of renal vessels that are clamped with HemOlok. Isolation of kidney using Ligasure device. Isolation of ureter until bladder insertion. Isolation of controlterl ureter that are clamped and cut. Pelvic lymphadenectomy using laparoclips. Posterior dissection of bladder and resection of bladder pedicles with Ligasure. Isolation of seminal vessels and deferens that are cut. Haemostatic suture of Santorini. Dissection of prostatic apex and section of distal urethra. Positioning of surgical specimen in endobag. Monolateral ureterocutaneous anastomosis.

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