Robotic/Laparoscopic Partial Nephrectomy for Kidney Cancer
Surgeons are using cutting-edge technology to perform a robotic partial nephrectomy, a delicate procedure used to treat kidney cancer. The robot allows the surgeon to have a three-dimensional (3-D) view of the surgical field, at a greatly increased magnification, up to 15 times greater than the human eye. Fine articulating instruments, under the command of the surgeon, are used to precisely remove the tumor alone and preserve the remaining kidney. The surgery can be performed using very small incisions, greatly decreasing recovery time, reducing pain and minimizing scarring. This allows for patients to return to their daily lives with a minimum of inconvenience, despite having undergone major surgery.
Kidney specialists are gaining a greater understanding of the benefits of partial nephrectomy. Not only does it reduce the risk of future kidney failure, but can also improve health in other ways, such as in preventing future cardiovascular disease. Although the surgery is technically more challenging, Stanford surgeons have extensive experience in performing a robotic partial nephrectomy, with a low overall complication rate.
How is the procedure performed?
First, intraoperative ultrasound is used to confirm the site of the tumor and help guide the resection by correct imaging of the tumor with an ultrasound probe. A special dye is used to help differentiate tumor from a normal kidney to ensure that as much normal kidney is saved as possible. When the tumor is removed, it is sent to the pathologist to ensure the complete tumor was removed with no residual tumor left behind on the kidney prior to completing the surgery.
Laparoscopic or open radical nephrectomy
Occasionally, not all kidney tumors are amenable to sparing the kidney, generally given the size of the tumor, but also due to location. In these conditions, the recommended treatment is laparoscopic radical nephrectomy or an open radical nephrectomy. Most tumors are amenable to removal with laparoscopic means, but the overall size of the tumor can impact the capability to successfully remove the kidney with minimally invasive approaches.Leave a reply