What is Nephrectomy?
Nephrectomy means removal of a kidney.
Nephrectomy can be performed for various reasons.
- Chronic Infection which leads to loss of function
- Kidney stones that may have destroyed most of the tissues and can cause infection
- Kidney cancer
- Stopping uncontrolled bleeding caused by trauma to the kidney
- Shrunken kidney
Diagnosis / Pre-operative Evaluation:
- CT Scan with contrast and USG are helpful in evaluating the patient to know the right site and size of the renal cell carcinoma (if any).
- Also, routine Blood Check-up including the LFT (Liver Function Tests) and Renal Function Tests are mandatorily performed to check the functions and fitness.
Laparoscopically the kidney removal involves having 3-4 small cuts of about 1cm each. Such method is also known as “Keyhole” method wherein a thin tube with a light and a camera at the other end and a few surgical instruments are allowed to pass through these cuts. One of these incisions shall then be enlarged to help remove the kidney. This procedure is performed under General Anesthesia.
- The patient is allowed to stay in the hospital for approximately 2-4 days.
- The patient is monitored haemodynamically for vitals and for urine and drain output.
- The patient will be given liquids after 12 hours of the procedure.
- Regular diet will be advised after 24 hours and the patient may be discharged in 2-4 days.
- The patient can resume normal activities immediately as soon as they feel comfortable
- Strenuous activity and heavy lifting should be avoided for 6 weeks following the procedure.
- Less Post operative pain
- Shorter Hospital stay
- Earlier Return to work and Daily activities
- Cosmetically better results and outcome as compared to the open surgery.