Robotic Surgery for Upper Tract Transitional Cell Carcinoma
Robotic nephroureterectomy is performed for transitional cell carcinoma of the upper urinary tract (UT-TCC). The procedure is identical to robotic radical nephrectomy for the dissection of the kidney. Instead of dividing the ureter near the lower pole of the kidney like in radical nephrectomy, the entire ureter is dissected down to and through its insertion into the bladder. It is important during nephroureterectomy to remove a “cuff” of bladder tissue at the location which the ureter drains into the bladder. Robotic-assistance is invaluable in performing this step of the procedure through a minimally invasive approach. For more information on robotic nephroureterectomy see Robotic Radical Nephrectomy.