Nephroureterectomy with removal of the bladder cuff is the standard of care for patients with upper tract transitional cell carcinoma. Historically, it has been performed using two separate incisions or one large incision extending from the lateral flank to the symphysis pubis. We describe an alternative technique using endoscopic and hand-assisted laparoscopic techniques and present our experience.
Department of Urology, James Buchanan Brady Foundation, New York Presbyterian Hospital, Weill Medical College, Cornell University, New York, New York, USA.