Fig. 49.1
CT image showing the invasive tumour (post TURBT)
Fig. 49.2
Ports position
Fig. 49.3
Sigmoid adhesions being released
Fig. 49.4
Posterior dissection started by incising peritoneum behind bladder
Fig. 49.5
Incision continued towards opposite side
Fig. 49.6
Left vas being divided
Fig. 49.7
Right vas being divided
Fig. 49.8
Posterior dissection extending beyond the seminal vesicles
Fig. 49.9
Right seminal vesicle being dissected
Fig. 49.10
Peritoneotomy over right iliac vessels for right ureter dissection
Fig. 49.11
Posterior dissection completed
Fig. 49.12
Right iliac lymphadenectomy in progress
Fig. 49.13
Right ureter being dissected
Fig. 49.14
Right ureter dissection in progress
Fig. 49.15
Right obliterated umbilical artery clipped
Fig. 49.16
Right lateral vesical pedicle handled with hemolock clips
Fig. 49.17
Right lateral pedicle control
Fig. 49.18
Right extended lymphadenectomy completed
Fig. 49.19
Left ureteric dissection in progress
Fig. 49.20
Left iliac lymphadenectomy in progress
Fig. 49.21
Left iliac lymphadenectomy in progress
Fig. 49.22
Left ureter clipped
Fig. 49.23
Left ureter being divided
Fig. 49.24
Right ureter clipped
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