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Laparoscopy Procedure

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Laparoscopy Procedure Treatment & Diagnostics in Karol Bagh, Delhi

Laparoscopy Procedure

Overview of Laparoscopic Radical Nephrectomy

Laparoscopic radical nephrectomy is a minimally invasive urological treatment for surgically removing large kidney tumors. A Urology specialist performs a laparoscopic radical nephrectomy because it is a safe technique to completely remove the affected kidney along with the tumor. If you are facing any kidney-related issues, you are advised to get yourself checked up at a urology hospital in Karol Bagh.

About Laparoscopic Radical Nephrectomy

In a laparoscopic radical nephrectomy, the Urologist will give you general anesthesia before the procedure. The average duration of the surgery is three to four hours.

During the surgery, the urologist will make three to four small incisions in your abdomen. Then your urologist will insert a laparoscope and handheld surgical instruments inside the abdomen through the incisions called trocars. The laparoscope allows the doctor to get a better view of the abdomen without placing their hands inside the abdomen. Next, the Urology doctor will fill your abdomen with carbon dioxide to inflate it for a better view of the inside.

Next, the affected kidney is dissected and secluded from the other organs such as the liver, spleen, and intestines. Your urologist then clips the kidney to stop the blood supply. This ensures minimal blood loss while removing the tumors or the kidney. The tumor, fat, and surrounding lymph nodes are properly removed. The nearby adrenal gland might also be removed if the tumor is too large or close to the gland.

Once the procedure is complete, the tumor and the kidney are placed in a plastic sack and removed from the abdomen through one of the incisions. Next, the incisions are closed to prevent and minimize scarring.

After the surgery, you may experience mild pain at the incision sites for a few days. The doctor will prescribe intravenous pain relievers. You might also experience mild shoulder pain because of the carbon dioxide that is used to inflate your abdomen during the surgery. A urinary catheter is placed to drain your urine properly during the surgery to check your urine output post-surgery. The catheter is removed once you start to walk post-surgery.

Who Qualifies for Laparoscopic Radical Nephrectomy?

  • Patients suffering from very large tumors in the kidney.
  • Patients having tumors that invade the surrounding structures such as the vena cava, the liver, or the bowel.

Why is Laparoscopic Radical Nephrectomy Conducted?

Laparoscopic radical nephrectomy is preferred by a Urologist because it is a minimally invasive urological procedure. The surgery is conducted if one has large tumors in the kidney, which may be cancerous. The surgery is also conducted if the tumor has spread to surrounding organs such as the liver, bowel, or the vena cava. Your urologist might remove the entire kidney along with the tumors or he may only remove the affected portion of the kidney.

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Benefits of Laparoscopic Radical Nephrectomy

Laparoscopic radical nephrectomy is a minimally invasive surgery, and therefore, you have less pain, less blood loss, fewer days of stay at the hospital, and improved cosmesis. Moreover, the risks are much less as compared to traditional open surgery.

Risks of Laparoscopic Radical Nephrectomy

Although laparoscopic radical nephrology is a safe procedure, it might consist of certain risk factors:

  • Although very rare, you might bleed during the procedure. You might not need a blood transfusion as bleeding is mild.
  • There is a risk of infection despite intravenous antibiotics being administered before and after the surgery. If you notice a high fever, pain, urinary discomfort, or frequency, you should contact your Urologist.
  • Surrounding organs such as the colon, bowel, spleen, liver, pancreas, or gallbladder might get injured during laparoscopic radical nephrectomy. If your lung cavity gets injured a small chest tube will be inserted to evacuate air, fluid, and blood from your lungs to make them function normally.
  • If any difficulty arises while performing laparoscopic radical nephrectomy, your doctor might shift to conventional open surgery.  

Conclusion

A laparoscopic radical nephrectomy is a minimally invasive urological surgery to treat large tumors in the kidney without risk to life. You can return to work within 3-4 weeks after the procedure. The success rate is also as high as conventional open surgeries.

How long does laparoscopic nephrectomy take?

The laparoscopic nephrectomy takes 3-4 hours.

What is the recovery time of a nephrectomy?

Full recovery after laparoscopic nephrectomy takes up to six weeks.

What are the complications of laparoscopic nephrectomy?

The complications after a laparoscopic nephrectomy may include infection, bleeding, postoperative pneumonia, and a rare allergic reaction to anesthesia.

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