Open Partial Nephrectomy

Open Partial Nephrectomy

What is an open partial nephrectomy?

An open partial nephrectomy is a surgery in which kidney cancer is removed along with a rim of usual kidney tissue next to it. After the cancer and the rim of normal kidney tissue are detached, the kidney is reconstructed. The goal is to save as much kidney function as probable. This is significant because the kidneys are the main filters of the body and they are essential for life. After the tumor and normal tissue are removed from the kidney, they are sent to a laboratory to be tested.

What is the cause why someone would need an open partial nephrectomy?

The procedure may be required for several causes, including:

  • Damage from kidney stones
  • Injury from trauma
  • Congenital abnormalities
  • High blood pressure reason by blood supply problems to the kidneys
  • Cancer
  • Infection

What is the advantage of an open partial nephrectomy in general, and versus a nephrectomy?

After an open partial nephrectomy, the patient is capable to live with almost two full kidneys. This is preferred over a radical nephrectomy, in which a kidney is removed. Open partial nephrectomy has the lowest rate of serious complications, such as postoperative bleeding or inadvertent loss of the kidney, and it allows the surgeon to do the most hard of cases in as safe of a manner as possible.

Most patients with one kidney or those that have suboptimal kidney function are typically best handle with open partial nephrectomy to save as much kidney purpose as possible. Tumors in the central portion of the kidney, where the vessels are going into and out of the kidney, are typically manage with the open approach.

What are some of the complications and risks of having an open partial nephrectomy?

As with any surgery, there can be complications and risks connected to open partial nephrectomy. These may include:

  • Kidney failure, depending on the functioning of the remaining partial and whole kidney
  • Pneumonia following surgery
  • Bleeding that may necessitate a blood transfusion
  • Urinary leakage which almost always resolved with delayed healing
  • Allergic reaction to anesthesia (rare)


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