Laparoscopic Nephrectomy

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.

Laparoscopic Nephrectomy

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.

Post Procedure

  • 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.

Advantages:

  • 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.