Optimized Patient Positioning and Port Placement for Robot-Assisted Laparoscopic Radical Nephroureterectomy in Distal Ureteral Carcinoma: A Technical Case Report.

ABSTRACT:

Introduction

Robot-assisted laparoscopic radical nephroureterectomy (RANU) is increasingly utilized in the management of upper tract urothelial carcinoma. However, detailed techniques for addressing distal ureteral carcinoma, particularly those involving partial cystectomy and pelvic lymph node dissection (PLND), remain limited, primarily due to challenges related to surgical positioning and port placement.

Case presentation

We report the case of a 69-year-old woman diagnosed with cT2N1M0 left distal ureteral carcinoma, extending into the bladder. She received neoadjuvant chemotherapy followed by RANU. To optimize surgical positioning and port placement, we employed a modified lateral decubitus position during the nephrectomy phase and subsequently rotated the operating tabl

SUBMITTER: Hashizume A 

PROVIDER: S-EPMC12659441 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature