A one-port pneumovesicum method in en bloc laparoscopic nephroureterectomy with bladder cuff resection is feasible and safe for XXXX .

@entity1 @entity190 @entity515 @entity150 @entity1606
OBJECTIVE:     To introduce a modified method for managing the distal ureter in laparoscopic nephroureterectomy (LNU) for @entity1606 ( @entity1606 ) and to evaluate the feasibility and safety of this method. @entity1 AND METHODS:     Six consecutive @entity1 underwent LNU using a one-port pneumovesicum method for pathologically confirmed upper tract @entity1606 .     Each @entity1 was placed on the operating table in the lithotomy position and the pneumovesicum method was applied with @entity515 insufflation. Dissection was performed circumferentially through the entire detrusor muscle to disconnect the ureter from the bladder wall. A 10-mm trocar was placed into the bladder above the pubic bone. The distal ureter was occluded using a Hem-o-lok clip and pushed out of the bladder. Laparoscopic nephroureterectomy was then performed with the @entity1 in the lateral position.     After surgery, all six @entity1 received systemic chemotherapy and follow-up. RESULTS:     All procedures were performed successfully.     The median (range) operating time for the complete procedure was 105 (85-140) min, and the median (range) estimated @entity190 was 125 (60-230) mL.     Seven days after surgery, each @entity1 underwent cystography, which confirmed no extravasation of urine.     None of the @entity1 developed @entity150 recurrence or metastatic disease during follow-up. CONCLUSIONS:     The one-port pneumovesicum method in LNU, which is applied to manage the distal ureter and bladder cuff, is technically feasible and safe.     The method simplifies management of the distal ureter, reduces the invasiveness of the procedure and improves cosmesis.
