Laparoscopic Radical Nephroureterectomy With En-Bloc Distal Ureteral and Bladder Cuff Excision Using a Single Position Pneumovesicum Method

We describe a completely laparoscopic approach for en-bloc dissection of the distal ureter and bladder cuff during nephroureterectomy using a pneumovesicum approach and with the need for intraoperative patient repositioning. This technique is efficient, technically feasible and adheres to the oncologic principles of radical nephroureterectomy.