Abstract
Introduction and Objective:
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.
Method:
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 four cases. There were no perioperative complications. We found it to be significantly cheaper when compared to a commercially available looping device.
Conclusion:
The hand-crafted 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.
Author Disclosure Statement:
No competing financial interests exist. The author has received and archived patient consent for video recording/publication in advance of the video recording of the procedure.
Funding Information:
No funding was received for this article.
Video duration: 6 mins 1 secs. 2025
Keywords