Nephrectomy

Overview

Nephrectomy is the surgical removal of a kidney and is performed for several reasons such as treating kidney cancer, removing a damaged or non-functioning kidney, or harvesting a healthy kidney for transplantation. The procedure can involve removing part of the kidney (partial nephrectomy) or the entire kidney (total nephrectomy). It may also involve open surgery or a minimally invasive laparoscopic approach.

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How is Nephrectomy done?

  • Medical Evaluation: A thorough medical examination, including blood tests, imaging (like CT scans or MRIs), and kidney function tests, is performed.
  • Medications: The patient might be advised to stop certain medications (blood thinners like aspirin) before the surgery.
  • Fasting: The patient is instructed not to eat or drink for at least 8 hours before surgery.
  • Anesthesia Consultation: The patient consults with an anesthesiologist to determine the type of anesthesia needed.
  • Bowel Preparation: For some types of surgery, bowel preparation may be required.
  • Consent: The patient signs consent forms, understanding the procedure's risks and benefits.

Types of Nephrectomy:
  • Partial Nephrectomy: Only the diseased or damaged part of the kidney is removed, preserving the remaining functional tissue.
  • Radical/Total Nephrectomy: The entire kidney is removed, along with nearby structures, such as part of the ureter or adrenal gland, if necessary.
Surgical Techniques:
  • Open Nephrectomy: A larger incision is made in the abdomen or side to access and remove the kidney.
  • Laparoscopic Nephrectomy: Multiple small incisions are made, and specialized instruments, along with a camera, are used to perform the surgery. This method is minimally invasive and typically involves faster recovery.
  • Robotic-Assisted Nephrectomy: Surgeons use robotic systems for precision and control during minimally invasive surgery.
Procedure:
  • The patient is placed under general anesthesia.
  • Incisions are made either in the abdomen, side, or back.
  • The surgeon carefully detaches the kidney from surrounding tissues, ligates the blood vessels and ureter, and removes the kidney.
  • The incisions are closed, and the patient is taken to recovery.

General Surgical Complications:
  • Infection
  • Bleeding
  • Blood clots (deep vein thrombosis)
  • Reaction to anesthesia
Specific to Nephrectomy:
  • Urinary Issues: Leakage or injury to the urinary tract
  • Renal Insufficiency: Impaired kidney function in the remaining kidney
  • Hernia: Incisional hernia at the site of surgery
  • Adrenal Gland Damage: If removed or injured, could affect hormone production
What are the benefits Nephrectomy?
  • Cancer Treatment: Nephrectomy is a definitive treatment for localized kidney cancer.
  • Symptom Relief: Removes sources of pain, bleeding, or infection in damaged kidneys.
  • Transplantation: A healthy kidney can be donated to a recipient with kidney failure, improving their quality of life.
  • Reduced Risk: In patients with chronic kidney disease, nephrectomy reduces the risk of further complications in a non-functioning kidney.

Infrastructure & Facilities

  • Operating Room: Equipped with advanced surgical instruments, imaging technology, and possibly robotic systems for laparoscopic and robotic-assisted nephrectomy.
  • Intensive Care Unit (ICU): Post-surgical care for monitoring vital functions, particularly if complications arise.
  • Dialysis Unit: For patients needing kidney support or evaluation before/after surgery.
  • Imaging Facilities: Access to MRI, CT scans, and ultrasounds for preoperative assessment.
  • Pathology Lab: For histopathological examination of the removed kidney tissue.

FAQs

Typically, nephrectomy can last 2 to 4 hours, depending on the complexity and surgical approach.

Recovery times vary, but most patients stay in the hospital for 2–7 days. Full recovery takes 4 to 6 weeks for open surgery and 2 to 4 weeks for laparoscopic surgery.

Most people live a normal life with one kidney. It is important to monitor kidney function and maintain a healthy lifestyle to reduce strain on the remaining kidney.

Dialysis is not typically required unless the remaining kidney does not function well. Preoperative kidney function is a key factor in determining this.

In some cases, other treatments like ablation therapy, radiation, or targeted drug therapy may be used. The decision depends on the stage and type of cancer.

Avoid heavy lifting, strenuous activities, and monitor for any signs of infection at the incision site. Follow up regularly with your healthcare provider to ensure proper kidney function.

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Website Design and Development by Sterco Digitex

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