Radical Nephrectomy
Cost: $8,591 USD
Length of hospitalization: 2 days
What is Radical Nephrectomy?
Radical nephrectomy is a surgical procedure in which an entire kidney is removed along with the adrenal gland and surrounding tissues, including regional lymph nodes in some cases. This procedure is performed to treat serious diseases such as kidney cancer, large tumors, or non-functional kidney diseases that threaten the patient’s health.
The surgery can be performed using an open or laparoscopic approach, depending on the case. It is a definitive treatment to remove the affected tissue and prevent the spread of malignant diseases.
Includes
- Medical Team
Specialized urology and oncology surgeons ensure a safe and effective intervention.
- Laboratory
Complete pre-surgical studies to evaluate the patient’s general health and determine that he or she is in optimal condition for the procedure.
- Office
Advanced imaging tests, such as chest X-ray and thoraco-abdominal CT scan, which allow the extent of the disease to be assessed and the surgery to be planned.
- Preoperative evaluation by Internal Medicine + EKG
Detailed medical evaluation by an internist and an electrocardiogram (ECG) to confirm that the patient is fit to undergo surgery.
- Postoperative visits
Medical follow-up after surgery to monitor recovery, assess healing, and detect possible complications.
- Pathology study
The removed tissue is sent to the laboratory for histopathological analysis, allowing the diagnosis to be confirmed and the extent of the disease to be assessed.
Preparing for surgery
For radical nephrectomy, your medical team may recommend:
- Fasting for at least 8 hours before surgery.
- Suspension of certain medications, such as blood thinners, under medical indications.
- Prior preparation, which may include adequate hydration and adjustments in the patient’s usual medications.
- Prior examinations, such as additional CT scans or renal function tests, for a complete evaluation of the patient’s condition.
Recovery
Recovery from radical nephrectomy varies depending on the surgical approach and the patient’s overall condition. Recommendations include:
- Avoid strenuous physical activity for 6 to 8 weeks to allow for proper internal healing.
- Maintain a balanced diet and adequate hydration to support the kidney function of the remaining kidney.
- Follow instructions for wound care, keeping the wound clean and dry to prevent infection.
- Continued monitoring of kidney function, especially if the patient has pre-existing medical conditions that may affect the health of the remaining kidney.
Most patients can resume light activities in 2 to 4 weeks, but should avoid heavy lifting and significant exertion until medically cleared.
Risks and Complications
Although radical nephrectomy is a safe procedure, some risks may occur, including:
- Infection at the surgical site, which may require antibiotic treatment.
- Hemorrhage, although this is uncommon with modern surgical techniques.
- Injury to nearby organs, such as the liver or pancreas, although this is rare in the hands of an experienced surgeon.
- Impaired function of the remaining kidney, which may require closer monitoring.
Frequently Asked Questions
The surgery is performed under general anesthesia, so the patient does not feel pain during the procedure. Afterward, there may be discomfort in the area of the incisions, which is controlled with painkillers.
Initial healing is usually complete in 2 to 4 weeks, but full recovery from internal repairs may take up to 8 weeks.
Yes, a person can live with only one kidney, as long as it is healthy and functioning properly. It is important to maintain a healthy lifestyle and have regular medical check-ups.
Histopathological analysis evaluates the removed tissue to confirm the diagnosis, determine the type of tumor (if present), and the extent of the disease.