What is the procedure for a nephrectomy?
In a radical nephrectomy, the surgeon removes the whole kidney, the fatty tissues surrounding the kidney and a portion of the tube connecting the kidney to the bladder (ureter). The surgeon may remove the adrenal gland that sits atop the kidney if a tumor is close to or involves the adrenal gland.
What position is used for nephrectomy surgery?
For laparoscopic nephrectomy, the patient is initially positioned supine for IV access, induction of general anesthesia and endotracheal intubation. A bladder catheter and nasogastric tube is placed for decompression of the bladder and stomach prior to insufflation.
How is a radical nephrectomy performed?
Radical nephrectomy is performed through an open incision, laparoscopically or with robot-assisted laparoscopic technologies. While removal of a kidney can affect overall kidney function, most patients with two healthy kidneys will not develop end-stage renal disease or require dialysis after nephrectomy.
What is an open radical nephrectomy?
A radical nephrectomy is a type of inpatient surgery where your entire kidney is removed, as well as the fat surrounding it, and sometimes the adrenal gland and lymph nodes. You might have this procedure because you have a kidney disease or injury, kidney cancer, or because you’re donating your kidney.
What happens to the ureter after nephrectomy?
Ureteral stump, which is a segment of ureter remaining after nephrectomy, can occasionally, cause a significant pathology with a various symptoms called ureteral stump syndrome,1 which is clinically interpreted as febrile urinary tract infections, lower quadrant pain, and haematuria.
How long are you in the hospital after a nephrectomy?
What happens after a nephrectomy? You will need to stay in the hospital for one to five days after surgery.
Can you sleep on your side after nephrectomy?
Sleeping On Your Side Nevertheless, if your doctor determines it is safe for you to sleep on your side, you may do so as long as you have a support mechanism tucked between your knees or ankles. A support “mechanism” can be as simple as one or two plush pillows or a specially designed foam block.
What is an open nephrectomy?
During an open nephrectomy, a wide incision (about 10 to 20 inches long) is made on the front or side of the patient’s abdomen, often between the lower ribs. This method requires a large enough incision for the doctor to reach in and expose the kidney, by moving muscle, fat and other tissues out of the way.
What is the incision for a nephrectomy?
In a traditional, open nephrectomy, the kidney donor is administered general anesthesia and a 6–10 in (15.2–25.4 cm) incision through several layers of muscle is made on the side or front of the abdomen.
What is a simple nephrectomy for living donor transplant?
A simple nephrectomy performed for living donor transplant purposes requires removal of the kidney and a section of the attached ureter. In a traditional, open nephrectomy, the kidney donor is administered general anesthesia and a 6–10 in (15.2–25.4 cm) incision through several layers of muscle is made on the side or front of the abdomen.
What are my options for laparoscopic nephrectomy?
Speak to your doctor about your options for laparoscopic nephrectomy. Open nephrectomy is rarely required but is also done under general anesthesia. The surgeon makes a cut (incision) in the abdomen or in the side of the abdomen (flank area). A rib may need to be removed to perform the procedure.