Description
Laparoscopic radical nephroureterectomy for upper tract urothelial carcinoma requires complete removal of the kidney, entire ipsilateral ureter and bladder cuff while preventing tumour disruption and urinary spillage.
This 60-second video highlights six avoidable errors involving treatment planning, anatomical exposure, hilar control, urinary tract handling, bladder cuff excision, closure and follow-up.
Kidney-sparing treatment remains important for appropriately selected patients. High-risk disease requires planning for template-based lymph-node surgery and assessment of perioperative systemic treatment. Eligible patients should also be considered for postoperative intravesical chemotherapy after bladder integrity is established.
Follow-up includes renal function assessment and surveillance for bladder and other recurrence.
For surgical education—a focused safety reminder rather than a complete operative protocol.
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World Laparoscopy Hospital
Cyber City, Gurugram
NCR Delhi, India
World Laparoscopy Training Institute
Bld.No: 27, DHCC, Dubai, UAE
World Laparoscopy Training Institute
5401 S Kirkman Rd Suite 340
Orlando, FL 32819, USA