Nephrectomy is recommended for both benign and malignant conditions, including renal stones, hypertension, chronic pyelonephritis, neglected ureteropelvic junction obstruction, renal tuberculosis, polycystic kidney disease, and dysplastic kidney. The surgery can be performed laparoscopically or through open surgery. Laparoscopic nephrectomy, which involves only a few small incisions, is less invasive and is preferred by patients as it leads to a quicker recovery time, shorter hospital stay, and fewer post-operative complications.
During laparoscopic nephrectomy, small incisions are made in the abdomen area, and a laparoscope is inserted through the incision. The surgeon views the camera image on a large screen and uses small surgical tools to remove the diseased portion of the kidney or the entire kidney. Open nephrectomy, on the other hand, involves one incision in the abdomen area.
After nephrectomy surgery, the patient is usually monitored for one to five days in the hospital, and a medical team under a doctor's guidance will monitor blood pressure, electrolyte, and fluid levels. The person may experience pain and numbness near the incision area, but pain control assistance is available. Follow-up visits with the doctor are necessary for several years after surgery, and common tests during these visits include a chest x-ray, urine and blood analysis.
Laparoscopic nephrectomy, a less invasive surgical technique for kidney removal, may be recommended by a doctor in various situations. Some indications for laparoscopic nephrectomy include:
Kidney cancer: Laparoscopic nephrectomy may be recommended for the treatment of kidney cancer, depending on the stage and location of the cancer.
Non-functioning kidney: A non-functioning kidney that is causing pain, infection, or other complications may need to be removed. Laparoscopic nephrectomy can be a preferred option for this condition.
Kidney donation: Laparoscopic nephrectomy may also be recommended for kidney donation, which is when a healthy individual donates a kidney for transplantation.
Kidney stones: In some cases, large kidney stones may not be treatable with other methods and may require surgical removal. Laparoscopic nephrectomy can be considered in such situations.
Polycystic kidney disease: This is a genetic disorder that can cause the growth of cysts on the kidneys, leading to kidney failure. Laparoscopic nephrectomy may be recommended to remove the affected kidney.
Other kidney diseases: Laparoscopic nephrectomy may be recommended for other conditions affecting the kidney, such as chronic pyelonephritis or hydronephrosis.
It's important to note that the specific indications for laparoscopic nephrectomy will depend on the individual patient's medical condition and overall health. A doctor will assess each patient's case and determine the most appropriate treatment plan.
Like any surgery, laparoscopic nephrectomy (kidney removal surgery) has potential complications. While laparoscopic nephrectomy is considered a safe procedure, possible complications may include:
Bleeding: Bleeding can occur during surgery or in the post-operative period, leading to the need for a blood transfusion or additional surgery.
Infection: Infection can occur at the incision sites or in the urinary tract, leading to fever, pain, or drainage.
Pain: Pain near the incision site is common after surgery, but it can usually be managed with medication.
Urinary problems: In rare cases, urinary problems, such as leakage or difficulty urinating, may occur after surgery.
Damage to surrounding organs: The laparoscopic instruments used during the surgery can potentially damage surrounding organs, such as the liver, spleen, or intestines.
Hernia: The incision sites used during laparoscopic nephrectomy can weaken the abdominal muscles, leading to the development of a hernia.
Anesthesia complications: General anesthesia can lead to complications such as nausea, vomiting, and respiratory issues.
It's important to note that the risk of complications can vary depending on the individual patient's medical history and the complexity of the surgery. Patients should discuss any concerns about complications with their doctor before undergoing laparoscopic nephrectomy.