Laparoscopic Radical Cystectomy with Intracorporeal Ileal Conduit



Fig. 46.1
Ports position



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Fig. 46.2
Peritoneal incision over the iliac vessels to isolate right ureter


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Fig. 46.3
Right ureter isolated


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Fig. 46.4
Sigmoid colon reflected for left ureter isolation


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Fig. 46.5
Left ureter isolated


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Fig. 46.6
Right and left peritoneal incisions connected in midline behind bladder


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Fig. 46.7
Bladder dissected off the rectum


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Fig. 46.8
Posterior dissection continued till prostate apex


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Fig. 46.9
Lateral dissection along the pelvic wall on the left side


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Fig. 46.10
Lateral dissection of the bladder along the lateral pelvic wall on the right side


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Fig. 46.11
Development of Retzius space by dividing umbilical ligaments


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Fig. 46.12
Endopelvic fascia incised on the left side


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Fig. 46.13
Right side endopelvic fascia incised


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Fig. 46.14
DVC suturing in progress


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Fig. 46.15
Right lateral pedicle being controlled


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Fig. 46.16
Left lateral pedicle being controlled


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Fig. 46.17
Prostatic lateral pedicles being controlled

Oct 14, 2017 | Posted by in UROLOGY | Comments Off on Laparoscopic Radical Cystectomy with Intracorporeal Ileal Conduit

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