Ozdemir A T, Altinova S, Asil E, Balbay M D
Ataturk Teaching and Research Hospital, 1st Urology Clinic, Ankara, Turkey.
JSLS. 2012 Apr-Jun;16(2):320-4. doi: 10.4293/108680812x13427982376662.
Our aim was to show that bladder cuff excision and distal ureterectomy can be safely performed by using the LigaSure device during robotic-assisted laparoscopic nephroureterectomy.
A 60-year-old man presented with gross hematuria. He was diagnosed with upper urinary tract transitional cell carcinoma (TCC) on the left side and was scheduled for robot-assisted laparoscopic surgery. Without changing the patient's position, sealing with the LigaSure atlas for bladder cuff excision and distal ureterectomy was performed.
The operating time was 140 minutes from the initial incision to skin closure of all incisions. The estimated blood loss during the surgery was 120 mL. There were no intraoperative or postoperative complications. The Foley drain was removed on day 3 after normal cystographic findings, and the patient was discharged from the hospital on the fourth postoperative day.
Robot-assisted nephroureterectomy with distal ureterectomy in the same position using a LigaSure device is a safe alternative for upper tract transitional cell carcinoma.
我们的目的是表明在机器人辅助腹腔镜肾输尿管切除术中，使用LigaSure设备可安全地进行膀胱袖口切除术和远端输尿管切除术。
一名60岁男性出现肉眼血尿。他被诊断为左侧上尿路移行细胞癌（TCC），并计划进行机器人辅助腹腔镜手术。在不改变患者体位的情况下，使用LigaSure atlas进行膀胱袖口切除术和远端输尿管切除术的封闭操作。
从最初切口到所有切口皮肤缝合，手术时间为140分钟。手术期间估计失血量为120毫升。无术中或术后并发症。膀胱造影检查结果正常后，第3天拔除Foley引流管，患者术后第4天出院。
使用LigaSure设备在同一位置进行机器人辅助肾输尿管切除术及远端输尿管切除术是治疗上尿路移行细胞癌的一种安全替代方法。
