Doctor insights on:
Partial Nephrectomy Complications
Kidney surgery: Partial nephrectomy refers to surgical removal of part of the kidney, usually because of a small tumor/abnormal growth of the kidney. A radical nephrectomy (total kidney removal) is done for larger tumors, or if the partial nephrectomy is not technically possible.See 2 more doctor answers
Yes: Depending on the size and location of the kidney mass, a partial removal of the kidney cancer is a very good option to help preserve the remaining good kidney tissue. This has in fact become the mainstay of treatment for many tumors and the long-term data shows good cancer control with partial removal versus removing the entire kidney, which was the traditional type of surgery in the past.See 1 more doctor answer
Only part removed: A partial nephrectomy is when only part of one kidney is removed. A while ago it was standard to simply remove the entire kidney. Medical knowledge and surgical techniques now allow us to remove only the area of concern. This leaves you with more total kidney tissue and thereby more kidney function (cleaning capability) after the procedure. Good luck.
Lap nephrectomy: Contrary to popular belief, laparoscopic organ removal has about the same complication risk as open surgery. Internal bleeding, infection, pneumonia, blood clots and incisional hernias can occur in both surgeries. Most young/healthy patients do well after either surgical approach.
Depends: A partial nephrectomy is becoming the new standard of care for tumors that can be manage this way. Patients on the long run do better and minimize their risk of developing kidney disease as they age. Partial nephrectomy is challenging & has the potential for more complications than a nephrectomy. Risks include bleeding, urine leaks, loss of function on that kidney, tumor recurrence to name few.
Alot: Minimum $15-20k. Look into a patient assistance fund at your hospital.
Cold and surgery: Not a good mix, you should be in your best health to have any kind of surgery.
Normal recovery time for partial open nephrectomy? Experiencing bulging and numness. Surgeon was able to save the nerve that is frequently severed.
6-9 mo: The nerve was manipulated even though it was saved. The muscle needs recovery also. Saving the nerve is encouraging for full recovery. These sxs are very common post-operatively.
Diagnosed with kidney cncr and had a partial nephrectomy 6 days ago sent home with jp drain and catheter if they find urine in my drain what's next?
I had a partial Nephrectomy due to Liposarcoma. Did this cause my Adrenal Gland to stop functioning? I am now on Steroids.
Lose an adrenal?: Hi. Even if you lost the adrenal on the side that had the partial nephrectomy, the remaining adrenal would be enough to provide all the cortisol and aldosterone you need. What "steroid" are you on? It's not listed in your meds (except for cortisone injections in ankle). Did your doc diagnose you with adrenal insufficiency? We need more info. Good luck!
I just had a partial nephrectomy. And now I have anal fissure, what is the best fiber to use? What is better soluble or insoluble fiber?
Right radical nephrectomy in June 2013 and a partial nephrectomy July 14 this year. I have urgency, but little urine flow. UTI or kidney adjusting?
Kidney adjusting: After nephrectomy it is essential the remaining kidney be able to filter the large amt. Of serum for remove of toxins and have the tubules reabsorb 90% of the filtered serum otherwise dehydration would occur. Following partial nephrectomy decreased renal tubules respondig to antidiuretic hormone are diminished and will have to adjust to the more tubular filtering and ADH (vasopressin) readsoption
I had a partial nephrectomy in 2008. My lab results were normal for bun and creatinine however bun/creatinine ratio was high (25). Should I be concern?
No: Many times the ratio is high but relative to the individual values a low normal creatinine and a high normal BUN will show an abnormal ration but would be normal individual numbers. The benefit ais thta it makes one look at the numbers more carefully but is not used for a diagnosis.
My baby's scar from partial nephrectomy 1.5yrs ago has now developed 1cm protrusion with mild red spot. It is part of scar, not beneath it. What is it?
May be: An incisional hernia, take an appointment to the surgeon. For a follow up visit.
I had a partial nephrectomy using the davinci method 12 days ago. I have been experiencing abdominal pain accompanied by diarrhea for the past 10 days?
See your surgeon!: Any operation that subsequently results in abdominal pain with diarrhea should be evaluated asap. A common cause would be a stool impaction from any post operative ileus, where the bowel is sluggish or nonfunctional, usually for a few days at most. Narcotic pain medications can aggravate or cause the problem as well. If antibiotics were given, dependent on the duration, c. Diff colitis can result.See 1 more doctor answer
What is the survival rate for sarcomatoid renal cell carcinoma after a partial nephrectomy. Encapsulated and clear margins?
Good: The survival rate for renal cell carcinoma is determined by several factors, including the stage and grade. Although sarcomatoid is a more aggressive variant of the disease, most predictive programs do not factor this into estimates of survival. For a small tumor (< 4 cm), well encapsulated and completely removed the 5 year survival should be > 90%.See 1 more doctor answer
Can you list the key lab results I should be monitoring in a f 70y/o, 2nd day post op pt after a partial nephrectomy w/ renal cell ca.?
I am 9 weeks post op for renal cell carcinoma (partial nephrectomy) and I have a jp pump and a nephrosty tube. For how long?
Await healing leak: Having a nephrostomy tube and jp drain for 9 weeks after a partial nephrectomy would be very unusual. I assume that this was because of a urine leak after surgery? Urine leaks, while rare, can occur, particularly if the tumor was large or very central in the kidney. However, your course is unusual and I would recommend you ask your surgeon specifically what the long term plan for management is.See 1 more doctor answer
When you have a partial nephrectomy for stage 1 grade 3 clear cell kidney cancer, how can you tell if the lymph nodes are clear?
Only Time Will Tell: Usually, lymph nodes are not removed at the time of partial nephrectomy, unless suspicious on pre-op imaging. Post-op imaging surveillance will be necessary to watch for recurrence. If no nodal enlargement is observed over the following years, then the nodes are not involved.See 2 more doctor answers
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