KIDNEY CANCER SURGERY - LAPAROSCOPIC

RADICAL NEPHRECTOMY

Please log on to : - Radical Nephrectomy

Send your query : - Get a Quote

Radical Nephrectomy
A nephrectomy is a surgical procedure for the removal of a kidney or
section of a kidney.

Purpose

Nephrectomy, or kidney removal, is performed on patients with severe

kidney damage from disease, injury, or congenital conditions. These
include cancer of the kidney (renal cell carcinoma); polycystic kidney
disease (a disease in which cysts, or sac-like structures, displace healthy
kidney tissue); and serious kidney infections. It is also used to remove a
healthy kidney from a donor for the purposes of kidney transplantation.

Nephrectomy may involve removing a small portion of the kidney or the

entire organ and surrounding tissues. In partial nephrectomy, only the
diseased or infected portion of the kidney is removed. Radical nephrectomy
involves removing the entire kidney, a section of the tube leading to the
bladder (ureter), the gland that sits atop the kidney (adrenal gland), and the
fatty tissue surrounding the kidney. A simple nephrectomy performed for
living donor transplant purposes requires removal of the kidney and a
section of the attached ureter.
Open nephrectomy : - In a traditional, open nephrectomy, the kidney donor
is administered general anesthesia and a 6-10 in (15.2-25.4 cm) incision
through several layers of muscle is made on the side or front of the
abdomen. The blood vessels connecting the kidney to the donor are cut
and clamped, and the ureter is also cut between the bladder and kidney
and clamped. Depending on the type of nephrectomy procedure being
performed, the ureter, adrenal gland, and/or surrounding tissue may also
be cut. The kidney is removed and the vessels and ureter are then tied off
and the incision is sutured (sewn up). The surgical procedure can take up
to three hours, depending on the type of nephrectomy being performed.

Laparoscopic Nephrectomy : - Laparoscopic nephrectomy is a form of

minimally invasive surgery that utilizes instruments on long, narrow rods to
view, cut, and remove the kidney. The surgeon views the kidney and
surrounding tissue with a flexible videoscope. The videoscope and surgical
instruments are maneuvered through four small incisions in the abdomen,
and carbon dioxide is pumped into the abdominal cavity to inflate it and
improve visualization of the kidney. Once the kidney is isolated, it is
secured in a bag and pulled through a fifth incision, approximately 3 in (7.6
cm) wide, in the front of the abdominal wall below the navel.
Diagnosis/Preparation : - Prior to surgery, blood samples will be taken
from the patient to type and crossmatch in case transfusion is required
during surgery. A catheter will also be inserted into the patient's bladder.
The surgical procedure will be described to the patient, along with the
possible risks.

Aftercare : - Nephrectomy patients may experience considerable

discomfort in the area of the incision. Patients may also experience
numbness, caused by severed nerves, near or on the incision. Pain relievers
are administered following the surgical procedure and during the recovery
period on an as-needed basis. Although deep breathing and coughing may
be painful due to the proximity of the incision to the diaphragm, breathing
exercises are encouraged to prevent pneumonia. Patients should not drive
an automobile for a minimum of two weeks.

Risks : - Possible complications of a nephrectomy procedure include

infection, bleeding (hemorrhage), and post-operative pneumonia. There is
also the risk of kidney failure in a patient with impaired function or disease
in the remaining kidney.
 WE CARE CORE VALUES

“ We have a very simple business model that keeps you as the centre. ”
Having the industry’s most elaborate and exclusive Patient Care and Clinical
Coordination teams stationed at each partner hospital, we provide you the
smoothest and seamless care ever imagined. With a ratio of one Patient Care
Manager to five patients our patient care standards are unmatched across
the sub continent.