Robotic Surgery for Kidney Removal

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Robotic Nephrectomy (Partial/Radical Kidney Removal)

Have you been diagnosed with kidney disease or a kidney tumour? This can be quite scary. But now, due to advancements in medical technology, your treatment journey doesn’t have to be painful, long, or filled with big scars.

Robotic nephrectomy is a cutting-edge treatment for you. It is a minimally invasive kidney removal procedure. Whether it is for removing your tumor or an entire kidney, this procedure offers a high-precision, low-pain solution. It makes sure that you recover faster and live better. 

Instead of large incisions, this technique uses a robotic surgical system. The surgery is done through tiny cuts. Therefore, this means less blood loss, less pain, and quicker return to your normal life.

If you are looking for top hospitals in metro cities, NU Hospitals, Bengaluru, is your first choice. 

What is Robotic Nephrectomy

Robotic nephrectomy is a minimally invasive surgical procedure performed by Uro-oncologist. It removes all or part of your kidney using a robotic surgical system. A surgeon controls robotic instruments using a two-handed console. The robotic system will offer a 3D view and let the surgeon work with amazing precision to remove a whole kidney or the diseased part.

This method is used for kidney tumor surgery, chronic kidney infections, kidney disease/injury or non-working kidneys. It is a significant step up from traditional open surgery and laparoscopic nephrectomy.

Process of Robotic Neohrectomy

The process of robotic nephrectomy is a minimally invasive kidney removal. Hence, no big cuts, less pain, better precision. The procedure is performed under general anesthesia, so you will not feel anything. 

  • Small Incisions: 

Your surgeon will make a few small incisions, typically 1 cm each, in your abdomen.

  • The Robotic Surgical System

The robotic arms and a camera are inserted into your abdomen through these tiny incisions. The camera provides the surgeon with a highly magnified, 3D view of the surgical area on a screen.

  • Removal of the Kidney

The surgeon operates from a console. They use hand and foot controls to guide the robotic arms to dissect the kidney and remove the tumor. The robotic instruments have a greater range of motion than human hands. 

Your kidney or the affected area is removed with the help of one of the small incisions.

  • Closing the Incisions

The instruments are then taken out, and the incisions are closed with stitches or surgical glue.

  • Recovery

Most patients are up and moving the same or the next day!

kidney-removal

Benefits of Robotic Nephrectomy

There are several advantages that robotic nephrectomy offers over traditional surgery. 

  • Less Pain

In robotic nephrectomy, you get smaller incisions. Therefore, less trauma to your body and less postoperative pain.

  • Faster Recovery

Robotic nephrectomy will offer you a shorter hospital stay (usually 3-4 days). You can return to your daily activities sooner compared to traditional surgery.

  • Minimal Scarring

The small incisions in the robotic procedure result in tiny and less noticeable scars.

  • Reduced Blood Loss

The better precision of the robotic instruments minimizes bleeding during the operation. This reduces the need for blood transfusions.

  • Greater Precision

The 3D magnification and fine control offered by the robotic surgical system offer better precision. This is beneficial for partial nephrectomy and preserving as much of your healthy kidney tissue as possible.

Open Nephrectomy Vs Robotic Nephrectomy

If you are debating between your choices, whether to go for open nephrectomy or robotic nephrectomy, here is a table of comparison. 

Feature

Open Nephrectomy 

Robotic Nephrectomy

Recovery Time

8-12 weeks

4-6 weeks

Hospital Stay

4-7 days or longer

1-4 days

Incision Size

Large, often 8-12 inches

Small, a few 1-cm incisions

Pain Level

Significant

Significantly less

Blood Loss

Higher risk

Minimal

Scarring

Prominent scar

Tiny, barely noticeable scars

Risks

Higher risk of infection and complications

Lower risk of infection and complications

 

Kidney Cancer Surgery Options

If you have been diagnosed with a kidney tumor, the choice of your surgery will depend on the tumor size and location. Here are your major options when it comes to kidney cancer surgery. 

  • Radical Nephrectomy

Radical nephrectomy is the removal of the entire kidney, along with surrounding tissue. Sometimes your adrenal gland and lymph nodes may also be removed. 

It's typically done for larger or more complex tumors. Both open and robotic methods can be used for this procedure.

  • Partial Nephrectomy

Partial nephrectomy is also known as nephron-sparing surgery. This procedure involves removing only the cancerous part of your kidney while leaving your healthy tissue intact. 

This is a preferred choice for smaller tumors as it helps preserve your kidney function. A robotic partial nephrectomy is very effective for this due to its precision.

These procedures include different kinds of robotic kidney surgery. Their aim is to completely remove your tumor while minimizing the impact on the remaining kidney. 

Being told that you need to get kidney surgery can shake your ground. But thanks to robotic kidney surgery, you don't need to worry anymore. 

So if you are wondering now what the next step is for you, don't be scared. We at NU Hospitals are here to help you choose the best path for you. 

Frequently Asked Questions About Robotic Nephrectomy:

1. How long is the recovery?

The recovery rate for individuals varies. However, most patients get back to their normal activities within a span of 4-6 weeks. 

2. Is robotic nephrectomy safe?

Robotic nephrectomy is considered a very safe procedure. The precision of robotic tools often reduces the risk of complications compared to traditional open surgery. 

3. Who is a candidate for robotic nephrectomy?

Patients with kidney tumors (either benign or malignant), non-functioning kidneys, or other kidney disorders may be candidates for robotic nephrectomy. 

4. What’s the difference between robotic and laparoscopic nephrectomy?

Both robotic and laparoscopic nephrectomy are minimally invasive procedures. However, robotic nephrectomy offers better dexterity, 3D visualization, and precision. This allows the surgeon to perform more complex procedures with greater accuracy.

5. Will I lose kidney function after surgery?

If a full radical nephrectomy is performed, your other kidney will compensate. However, if a partial nephrectomy is done, most of your kidney function will be preserved.   

6. How long does robotic nephrectomy surgery take?

Robotic nephrectomy surgery generally takes 2 to 4 hours. It depends on the complexity of the procedure and whether it is a partial or total nephrectomy. 

7. Will I need dialysis after a nephrectomy?

After your nephrectomy procedure, you typically might not need dialysis. However, if your remaining kidney is not functioning optimally a few patients might need dialysis.

8. Is the robotic system performing the surgery by itself?

No, the robotic arm is not performing the surgery by itself. A trained surgeon controls the robotic arm at all times. 

9. How soon can I return to work after robotic nephrectomy?

Most patients who undergo robotic nephrectomy resume any non-strenuous work within 2-4 weeks. However, a full recovery is typically expected in 4-6 weeks.  

10. What type of follow-up care is needed after surgery?

After your robotic nephrectomy surgery, you will have follow-up visits to monitor your healing, check your kidney function. This will also make sure there is no recurrence if the surgery was for cancer. 

11. Can robotic nephrectomy be used for both cancerous and non-cancerous conditions?

Yes. Robotic nephrectomy is commonly used to treat kidney cancer. However, it is also used for non-cancerous conditions such as cysts or damaged kidneys. 

Reference Links:

https://my.clevelandclinic.org/health/treatments/16214-open-partial-nephrectomy

https://www.mayoclinic.org/tests-procedures/nephrectomy/about/pac-20385165

https://www.medanta.org/patient-education-blog/a-deep-dive-into-robotic-kidney-surgery-what-you-need-to-know

Dr. Krishna Prasad T

Medically Reviewed By:

Dr. Krishna Prasad T

Sr. Consultant Laparoscopic, Uro- Oncology and Robotic, Renal Transplant Surgeon and Vascular Access Specialist

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