Distal ureter and bladder cuff excision using the “Keyhole Technique” during Robotic Radical Nephroureterectomy

ABSTRACT Introduction: Upper tract urothelial carcinoma (UTUC) accounts for 5-10% of all urothelial tumors (1). Radical nephroureterectomy (RNU) remains the standard treatment for high, and low-grade UTUC (2). Although the open approach has been considered the gold standard, robotic techniques have shown comparable oncological outcomes with potential advantages in terms of peri-operative morbidity (3). Materials and Methods: We present a novel “Keyhole” technique for management of distal ureter and bladder cuff during robotic RNU. This technique allows the surgeon to directly visualize t...

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