Kidney (Renal) Resection Surgery

Background 

Kidney Resection surgery as the name suggests involves surgery of the liver either by conventional open surgery or minimal access surgery also called as laparoscopic surgery . The laparoscopic surgery is performed by placing the specialised instruments in the abdomain and performing surgery on the monitor under complete vision. The endoscopic surgeries like Percutaneous Nephrolithotomy (PCNL) are performed by urologist to remove stones from kidney. 

Kidney surgeries are considered to be major surgeries and involves appropriate team work. With the advancements of techniques and improvisation of surgical skills  the surgical results of major kidney  resections have become excellent with time. 

The types of kidney resection surgery performed either via open conventional surgery or laparoscopic surgery are Partial Nephrectomy, laparoscopic nephrectomy, open nephrectomy, pyelotithotomy( removal of kidney stones), percutaneous nephrostomy. 

Indication of Renal surgery 

  1. Primary renal cancers ( Renal cell  cancers) 
  2. Non- functioning kidney 
  3. Renal stones 
  4. Renal abscess or pyonephrosis 
  5. Renal cysts 
  6. Polycystic disease of kidneys 
  7. Renal ( kidney) transplantation 

Technical Insights 

Once you are planned for surgery the surgeon will explain all the details , it’s risk involved , informed consent and recovery protocols after  the surgery they are  planning to perform. Usually the length of the procedure will depend upon the extent of the surgery.  

  1. Surgery is performed under General anaesthesia
  2. Particular position of the patients according to the area of the surgery is given to the patient (commonly done in supine position) 
  3. Technically incision is given upon extent of surgery and preference of surgery 
  4. In laparoscopic surgery, Small hole are made to enter the abdomain using video scope to assess the complete abdominal cavity and area of the disease.
  5. Mobilisation of the kidney and major vessels are identified 
  6. Surgery is performed using specialised instruments, energy sources , clips ,staplers
  7. The diseased part is removed and the abdominal is placed in abdominal cavity.
  8. In case of kidney transplant surgery, please click this link for more details 

Recovery after surgery 

  1. The patient is kept in surgical intensive care unit for initial observation and management. Bleeding, infection and injury to surrounding to major vessels are major risks involve after these surgeries. 
  1. Intensive chest physiotherapy is advised for enhanced recovery of the patients as breathing might be hampered because of long incisions and pain associated with them. 
  1. Diet is usually started once your bowel function starts returning after surgery.
  1. Early mobilisation of the patient is recommended.
  1. Routine check up up of your blood will be performed to study your recovery, liver functioning and chances of infection. 
  1. Diet is managed with the help of the dietician to enhance your recovery and protein supplements are added.
  2. The length of stay after the hospital is usually 2-5 days depending upon the extent of surgery and recovery of the patients. 

Advantages of Laparoscopic kidney surgery 

  1. Big incision  is avoided which is used in conventional surgery which causes significant discomfort and pain.
  2. Early recovery
  3. Early healing of the wound
  4. Shorter stay of hospital 
  5. Early mobilisation and early return to work 
  6. Scar is minimal 

To consult with best team of General, urologists , Kidney transplant and minimal access surgeons available at  The Surgeons House (SHL) in different global locations, please click this link for more details. 

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