Synonyms: Kidney Resection, Kidney Removal, Radical Kidney Surgery, Surgical Removal of Kidney
Nephrectomy is surgical removal of kidney, along with it's collecting system i.e. renal pelvis and ureter.
Where can I get Radical Nephrostomy?
Cost of procedure performed in the US: $30,000.
All prices are in US dollars and include the cost of the procedure and minimum hospital stay. Estimates and minimum hospital stay will vary depending upon individual needs and requirements.
Radical Nephrectomy is a surgical procedure in which the entire kidney with it's collecting system is removed along with the adrenal gland and lymph glands of the same side.
If you have renal cell carcinoma (stage I, II or III) of kidney or polycystic kidney disease that has completely damaged your kidney tissue then you are an ideal candidate for Radical Nephrectomy.
It is extremely crucial for your surgeon to assess your kidney function before Radical Nephrectomy. A thorough physical examination, ECG, chest x-ray, complete blood profile, complete kidney profile, pulmonary function tests, blood gas analysis, blood typing and cross matching is done in case transfusion is required during Radical Nephrectomy surgery. Specialized tests like intravenous pyelography, Cystoscopy / Ureteroscopy, retrograde pyelography, cystourethrography, CT scan, ultrasonography, MRI, renal angiography and renal venography will be performed for complete anatomic assessment. You will be hospitalized at least one day before the surgery. Inform your surgeon about your other health conditions and medications (including all the prescription, non-prescription medications, nutritional supplements i.e. vitamins, minerals and herbal products). Refrain from taking aspirin or Ibuprofen at least 2 weeks before Radical Nephrectomy. Stop smoking a few weeks before Radical Nephrectomy to prevent healing problems during recovery period. Do not eat or drink any thing for at least 10 - 12 hours before the Radical Nephrectomy surgery.
Radical Nephrectomy is performed under general anesthesia. Radical Nephrectomy can be performed either by Open Abdominal approach or Laparoscopic approach. Abdominal approach can be anterior subcostal (incision runs on the front of the abdomen across the rib cage), thoracoabdominal, or flank (on the side) approach. The kidney is dissected free of it's attachments. The renal artery and vein are dissected and cut, ureter is cut and the adrenal gland is freed and removed along with the kidney. A drain will be left in and the wound will be closed. Laparoscopic Radical Nephrectomy is a minimally invasive procedure in which the kidney is removed by making four small incisions (each about 3 inches wide). Surgical instruments are used to free the kidney from it's surrounding structures and the kidney is removed through an incision in the front of the abdominal wall below the navel. The renal artery, renal vein and the ureter are then tied off and the incision is sutured. Radical Nephrectomy when using abdominal approach can take up to three hours. Laparoscopic Radical Nephrectomy can take a little longer.
Following Radical Nephrectomy, you will spend the next few hours in the recovery room to monitor your heart and lung function and also to check for any immediate post operative complications like excessive bleeding. You will be hospitalized for about 5 - 7 days and those days can be quite painful and uncomfortable. You will be prescribed pain medication to cope with the pain. As with all other major surgeries, you will be encouraged to do deep breathing and coughing exercises following Radical Nephrectomy. Avoid strenuous activities, heavy lifting and playing sports for 2 - 3 weeks after Radical Nephrectomy. You will be able to return to your daily activities in 4 - 6 weeks. Your renal function would be monitored closely to make sure that one kidney can take over and compensate for the loss of the removed kidney.
The outcome of Radical Nephrectomy depends on the size and type of the cancer. The survival rate for stage I Renal Cell Carcinoma (RCC) following Radical Nephrectomy is 93%. This is for the tumour that is confined to the kidney and has not spread to the outside tissues.
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Keywords: Renal Cell Carcinoma (RCC), Nephrosclerosis, Pyelonephritis, Renal Artery Disease, Parenchymal Damage, Kidney Dysplasia, Kidney Function Test, Renal Tumour, Renal Leision, Polycystic Kidney Disease, Kidney Transplantation