{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:06:09Z","timestamp":1771977969778,"version":"3.50.1"},"reference-count":33,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p>&lt;i&gt;Introduction:&lt;\/i&gt; We describe another variant of nephroureterectomy \u2013 antegrade mini-invasive nephroureterectomy (AMNUE). &lt;i&gt;Methods:&lt;\/i&gt; AMNUE starts with a laparoscopic nephrectomy in the flank position. The specimen is enclosed in a bag without dividing the ureter, and the patient is positioned to the lithotomy position. Then the ureterovesical junction is excised transurethrally with a Collins knife. Finally, the specimen is removed and the ureter is plucked out through a short lower abdomen incision. &lt;i&gt;Patients:&lt;\/i&gt; From March 2005 to November 2008, 35 patients underwent nephroureterectomy: 7 as an open procedure, 8 as a laparoscopic nephrectomy with open ureterectomy, 8 as a complete laparoscopic nephroureterectomy, and 12 were admitted into the AMNUE group (7 men and 5 women, mean age 71 \u00b1 7 years, range 54\u201381 years). &lt;i&gt;Results:&lt;\/i&gt; Tumors were found 6 times on both sides. The mean operation time was 165 \u00b1 32 min (105\u2013210 min), and the mean blood loss was 150 \u00b1 91 ml (50\u2013400 ml). Histology revealed 11 urothelial cancers and 1 papillary renal cell carcinoma. There was only 1 hematoma of the abdominal wall. &lt;i&gt;Conclusion:&lt;\/i&gt; AMNUE is a fast, safe and easily reproducible technique. It eliminates the risk of spillage of tumorous cells into the urine, which is possible in techniques where the ureter is excised with a Collins knife as the first procedure. The disadvantages of this approach are the necessary repositioning of the patient and that the long-term oncological results are currently unknown. AMNUE can be used when a complete laparoscopic nephroureterectomy is not technically feasible due to problems in the pelvis.<\/jats:p>","DOI":"10.1159\/000241664","type":"journal-article","created":{"date-parts":[[2009,10,14]],"date-time":"2009-10-14T17:46:30Z","timestamp":1255542390000},"page":"264-270","source":"Crossref","is-referenced-by-count":4,"title":["Antegrade Mini-Invasive Nephroureterectomy: Laparoscopic Nephrectomy, Transurethral Excision of Ureterovesical Junction and Lower Abdominal 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