Keyhole Surgery Early Treatment The Best Option

Keyhole Surgery Early Treatment The Best Option

 

Anatomy

  • There are two kidneys located on either side of the mid back. Each kidney is surrounded by fat within a thin sheath called gerota's fascia
  • On the top of each kidney lies adrenal glands which produce hormones
     

Functions

  • There are two kidneys located on either side of the mid back. Each kidney is surrounded by fat within a thin sheath called gerota's fascia
  • On the top of each kidney lies adrenal glands which produce hormones
     

Any Abnormal Growth / Mass is Called a Tumour

Such tumours of kidney are found incidentally during ultrasound scanning of abdomen or CT Scan for evaluation of other conditions.
 

Tumours are of Two Types

  • Benign - Non cancerous growth, they may cause trouble when its size causes discomfort or interfers with bodily functions
  • Malignant - are cancerous growth, has ability to spread to other parts of the body and without treatment may be deadly
     

1. Benign Tumours

Most common are kidney cyst - thin walled collection of water fluid

Two types - simple cyst

  • Usually causes no symptoms
  • Diagnosed on ultrasound
  • Require no follow-up
  • Large cyst causing pain, may require drainage / surgical removal
  • Complicated cyst needs further evaluation to rule out cancer
     

2.  Malignant Tumour

Most common kidney cancer is called RCC (Renal Cell Carcinoma)

Symptoms

  • May grow slowly without producing any symptoms
  • A large tumour may result in blood in urine, flank pain, or a lump in the kidney region
     

Diagnosis

  •  Usually found unexpectedly with imaging (ultrasound/ CT Scan) obtained for other reasons
  • A contrast CT Scan helps in determining whether it
  • benign / malignant
  • Additional test like x-rays is lung, bone scan, blood
  • tests may be required to determine if the tumour has spread
  • Biopsy are not usually done - both risky and inaccurate
     

Surgery

  • Is the most effective treatment if the cancer remains confined to the kidney
  • It involves removal of the entire kidney within its fibrous sheeth
     

Radical Nephrectomy

  • Open surgery - requires an incision through the upper abdomen
  • Laproscopic surgery - is a new technique, involves a series of “Key hole” abdominal incisions through which a video camera and surgical instruments can be inserted to operate on the kidney
  • Once freed, the cancerous kidney is removed through a small incision
     

Laproscopic Nephrectomy

  • Is as effective as open surgery
  • Has advantage of shorter stay and short recovery time
     

Partial Nephrectomy

  • In some cases, tumour can be removed safely while preserving the rest of the kidney
  • Appropriate for those with small kidney cancer, single kidney or poor kidney function
     

After Surgery - Post Operation

  • Hospitalisation - 3 to 7 days
  • Return to work - in 4 to 6 weeks
  • Hospital stay / recovery period after laproscopic surgery is generally shorter
  • Remaining single kidney provides adequate function for normal life
  • Dialysis (Artificial kidney machine) is rarely necessary
  • Important to present and treat any other problems (High Blood Pressure, Diabetes) which may damage the remaining kidney
  • Certain medications affecting the kidney should be avoided
     

Follow – Up After Surgery for Kidney Cancer

  • Require periodic evaluation by your doctor to ensure there is no recurrence of cancer
  • Involves blood tests & imaging of lungs and abdomen
  • No further treatment is required if the tumour is confined to kidneys
  • New drug treatment are available if cancer has spread outside of kidney / or of it recurs after surgery

     

OUR SPECIALISTS

DR. GRIFFIN .M

MBBS, MS (Gen Surgery), M.Ch(Urology)
Consultant Urologist, Andrologist & Kidney Transplant Surgeon
 

DR. KABILAN

MBBS, MS, Mch (Urology)
Consultant Urologist

Team

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