Cystic nephroma surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2]
Overview
Surgery is the mainstay of treatment for cystic nephroma.
Surgery
Surgery is the mainstay of treatment for cystic nephroma.
- Nephrectomy is performed with the patient under general anesthesia. A kidney can be removed through an open incision or laparoscopic surgery.
- For the open procedure, the surgeon makes an incision in the side of the abdomen to reach the kidney. Depending on circumstances, the incision can also be made midline. The ureter and blood vessels are disconnected, and the kidney is then removed.
- The laparoscopic approach utilizes three or four small (5–10 mm) cuts in the abdominal and flank area. The kidney is completely detached inside the body and then placed in a bag.[1][2]
- Partial nephrectomy is performed with a patient under general anesthesia as well. A partial nephrectomy can be performed through an open, laparoscopic, or robotic surgery approach. The patient is typically placed on the operating room bed lying on the side opposite the kidney tumor.
- The goal of the procedure is to remove the kidney tumor along with a thin rim of normal kidney tissue. In order to safely remove the kidney tumor, the blood flow to the kidney is often temporarily blocked off. The tumor is then cut out and the surgeon must sew the remaining kidney back together.[3]
References
- ↑ Hom, David; Eiley, David; Lumerman, Jeffrey H.; Siegel, David N.; Goldfischer, Evan R.; Smith, Arthur D. (1999). "Complete Renal Embolization As an Alternative to Nephrectomy". The Journal of Urology. 161 (1): 24–7. doi:10.1016/S0022-5347(01)62049-4. PMID 10037359.
- ↑ Crotty, KL; MacAluso Jr, JN (2000). "Partial colectomy required for resection of renal cell carcinoma: A case report and review of treatment options for locally advanced disease". The Journal of the Louisiana State Medical Society. 152 (3): 119–23. PMID 10851826.
- ↑ Gill, Inderbir S.; Kavoussi, Louis R.; Lane, Brian R.; Blute, Michael L.; Babineau, Denise; Colombo Jr, J. Roberto; Frank, Igor; Permpongkosol, Sompol; Weight, Christopher J.; Kaouk, Jihad H.; Kattan, Michael W.; Novick, Andrew C. (2007). "Comparison of 1,800 Laparoscopic and Open Partial Nephrectomies for Single Renal Tumors". The Journal of Urology. 178 (1): 41–6. doi:10.1016/j.juro.2007.03.038. PMID 17574056.