Bladder Oncology Muscle invasive bladder cancer Urinary bladder diversion Intracorporeal ileal conduit Robotic

Transposition of left ureter

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Step 1. Transpositioning of left ureter C. Wijburg

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Step 1. Transpositioning of left ureter

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Information

Title: Step 1. Transpositioning of left ureter
Author: carl Wijburg
Date: 22-08-2016

Description

  • A window is made under the sigmoid mesocolon to allow the transposition of the left ureter to the right side.
  • For this maneuver, an endoscopic grasper is placed at the base of the right mesocolon.
  • The sigmoid is then flipped over to the right side and the window is dissected from the left.
  • The end of the grasper can be identified through the mesocolon by gentle agitation, from which it may be dissected to complete the window safely, avoiding vascular injury.
  • Then the grasper can be advanced through the window and pull the ureter through to the right side.

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