Nephrectomy

An overview of Nephrectomy

Nephrectomy is a surgical procedure to remove all or part of a kidney. There are two main types of nephrectomy: radical nephrectomy, which involves removing the entire kidney, and partial nephrectomy, which involves removing part of a kidney while leaving healthy tissue intact. The surgery is typically performed by a urologic surgeon and can be done through open surgery or laparoscopic surgery, which involves smaller incisions. In some cases, a robotic system may also be used. The primary reasons for undergoing a nephrectomy include the removal of a tumor, treating a diseased or damaged kidney, or donating a healthy kidney for transplant. After the surgery, patients will need to monitor their kidney function through regular checkups and tests, including monitoring blood pressure, protein urine levels, and other factors tied to kidney function.

What is Nephrectomy used for?

A nephrectomy is a surgical procedure used to remove all or part of a kidney. It is commonly performed to remove a tumor, often cancerous, from the kidney. Nephrectomy may also be necessary to treat a diseased or damaged kidney, or to remove a healthy kidney from an organ donor for transplant. The surgery can be performed through open surgery or minimally invasive techniques such as laparoscopic or robotic surgery.

How to prepare for Nephrectomy?

General preparation instructions for a nephrectomy surgery includes:

  1. Following the surgeon and health care team's instructions on fasting, taking prescription medications, and avoiding certain nonprescription medicines before the surgery.
  2. Arriving at the hospital on time, as instructed by the surgery team.

How is Nephrectomy conducted?

A nephrectomy refers to a surgical procedure to remove all or part of a kidney. The surgery itself is performed by a urologic surgeon and can be done through open surgery or minimally invasive methods such as laparoscopic or robotic surgery. The procedure may involve the removal of the entire kidney (radical nephrectomy) or just a part of it (partial nephrectomy), depending on the medical condition being treated. The surgery's purpose is typically to treat kidney cancer or to remove a non-cancerous tumor, or in some cases, to address kidney damage caused by injury or other diseases.

How are Nephrectomy results reported?

After a nephrectomy, the surgery's results and outcomes can be discussed with your healthcare team. You may want to ask your surgeon or healthcare team the following questions:

  1. How did the surgery go overall?
  2. What did the lab results show about the tissue that was removed?
  3. How much of the kidney is still intact?
  4. How often will I need tests to track my kidney health and the disease that led to the surgery? These questions will help you understand the surgery's success, the condition of the remaining kidney or kidneys, and any necessary follow-up care to monitor your kidney health. Remember to consult with your healthcare team for personalized guidance and advice regarding your nephrectomy results and recovery process.

Understanding the report

After a nephrectomy, it is important to ask your surgeon or healthcare team the following questions:

  1. How did the surgery go overall?
  2. What did the lab results show about the tissue that was removed?
  3. How much of the kidney is still intact?
  4. How often will I need tests to track my kidney health and the disease that led to the surgery?

These questions will help you understand the results of the nephrectomy and the health of your remaining kidney. Monitoring factors such as blood pressure, protein urine levels, and glomerular filtration rate can provide insights into the kidney's function after the surgery. Following your surgeon's advice on diet, activities, and recovery time will help ensure a successful recovery and a good quality of life after the procedure.

Limitations and Considerations

Nephrectomy (kidney removal) is a surgical procedure to remove all or part of a kidney, typically performed to treat kidney cancer or remove a non-cancerous tumor. There are two main types of nephrectomy: radical, which involves removing the entire kidney, and partial, which involves removing only part of the kidney. The limitations of a nephrectomy depend on the type of procedure performed and the individual's overall health and recovery. Some limitations may include:

  1. Loss of kidney function: Removing a kidney can result in a decrease in overall kidney function, which may require close monitoring and management of kidney health.
  2. Blood pressure management: Removing a kidney may impact blood pressure levels, as the remaining kidney may need to work harder to filter waste from the blood.
  3. Dietary restrictions: To protect the remaining kidney, individuals may need to adhere to specific dietary restrictions, such as limiting salt and sodium intake and staying adequately hydrated.
  4. Reduced athletic performance: Patients may need to avoid contact sports or activities that carry a risk of injury to the remaining kidney.
  5. Surgical risks: As with any surgery, nephrectomy carries potential risks, such as bleeding, infection, injury to nearby organs, and reactions to anesthesia. It is essential to discuss any concerns or questions with your surgeon or healthcare team before and after the procedure to ensure proper understanding and management of any limitations post-surgery.