Partial Nephrectomy was the surgical treatment for the removal of a kidney tumor along with the thin rim of the normal kidney. A partial nephrectomy could be attempted when there was a kidney tumor in a solitary kidney, when there is kidney tumors in both the kidneys, or when removing the entire kidney will be result in the kidney failure & the need for dialysis. Partial nephrectomy was done in 2 ways –
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Open partial nephrectomy
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Laparoscopic partial nephrectomy
OPEN PARTIAL NEPHRECTOMY:
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Open partial nephrectomy was done under general anesthetic.
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A urinary catheter was inserted & stays in the place till you were mobile after the surgery. One of the possible incisions were made.
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The kidney was fully dissected & the blood vessels which are going to the kidney were temporarily blocked. The tumour was then cut from the kidney, along with the margin of the normal kidney.
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The kidney was repaired with the sutures, & the blood supply to the kidney was also restarted.
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Operative time based on the complexity of the surgery but typically it will takes about 2 to 4 hours.
LAPROSCOPIC PARTIAL NEPHRECTOMY:
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Laparoscopic partial nephrectomy was done under general anesthetic, by using a transperitoneal or retroperitoneal method.
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In the transperitoneal method, the abdomen was insufflated with the carbon dioxide and 3 or 4 small abdominal cuts or incisions were made. In the retroperitoneal method, a small cut or incision was made in the back & a dissecting balloon was inserted to create a retroperitoneal space.
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After insufflation with the carbon dioxide, 2 or 3 additional small incisions or cuts were done in the back. The renal vessels were identified & either controlled by using clamped or vessel loops & the kidney was mobilized to allow the exposure of the lesion.
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A laparoscopic ultrasound probe can be used to conclude the line of incision & depth of the tumor involvement. The specimen was enclosed in the bag & retrieved by an expanded port.
