- UAA Congress 2025

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Video Abstract

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Presentation Date / Time

Submission Status

Submitted

Abstract

Abstract Title

Totally Minimally Invasive Laparoscopic Nephroureterectomy; Modified Loop Ligation Techinque for the Management of the Distal Ureter / Ureteric Orifice

Presentation Type

Video Abstract

Manuscript Type

Case Study

Abstract Category *

Oncology: Bladder and UTUC

Author's Information

Number of Authors (including submitting/presenting author) *

3

No more than 10 authors can be listed (as per the Good Publication Practice (GPP) Guidelines).
Please ensure the authors are listed in the right order.

Country

Singapore

Co-author 1

Weiren Chen weiren.chen@mohh.com.sg Sengkang General Hospital Urology Singapore Singapore *

Co-author 2

Lui Shiong Lee lee.lui.shiong@singhealth.com.sg Sengkang General Hospital Urology Singapore Singapore -

Co-author 3

Josceline Gan josceline.gql@gmail.com Singhealth Urology Singapore Singapore -

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Abstract Content

Introduction

We present a reproducible and cost-effective endoscopic technique for the management of the distal ureter and ureteric orifice during a Laparoscopic Nephroureterectomy. To achieve the best outcomes, this requires a balance of; early control of the ureteric orifice, maintaining a totally minimally invasive approach and avoiding tumor spillage.

Materials and Methods

We use a T6 ureteric catheter and prolene 2/0 suture to create the looping device. Once the ureteric orifice has been circumscribed using a Collin’s knife, we ligate the ureteric stump using the looping device through a cystoscope.

Results

The technique is reproducible in 4 cases. There were no peri operative complications. We found it to be significantly cheaper when compared to a commercially available looping device.

Conclusions

The modified loop ligation technique is a reproducible and cost-effective technique that is safe and achieves early control of the distal ureter to avoid tumor spillage.

Keywords

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Character Count

928

Vimeo Link

https://vimeo.com/1101238653?share=copy#t=0

Presentation Details

Session

Free Paper Video(02): Novel Advances (B)_Bladder

Date

Aug. 15 (Fri.)

Time

16:40 - 16:47

Presentation Order

11