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Doctor insights on: Partial Nephrectomy Complications

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What exactly is a partial nephrectomy?

What exactly is a partial nephrectomy?

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.

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Dr. Richard Link
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Nephrectomy (Definition)

Surgical removal of kidney for ...Read more


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Is it possible to have a partial nephrectomy?

Is it possible to have a partial nephrectomy?

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.

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What does it mean to have a partial nephrectomy?

What does it mean to have a partial nephrectomy?

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.

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What are some complications to look out for after a laparo radical nephrectomy? Risk factors?

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.

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What are the effects of a partial kidney nephrectomy?

What are the effects of a partial kidney nephrectomy?

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.

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Anesthesia options during a partial or full nephrectomy?

Anesthesia options during a partial or full nephrectomy?

You'll have: General anesthesia. These are typically done laparoscopically, but if it will be open, you might also ask for an epidural for post op pain relief.

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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.

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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?

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?

Stent: Placing a double J stent which drains urine from the renal pelvis to the bladder. This is temporary until the leak heals. Please notify the urologist who operated on you that there is urine coming from the Jackson Pratt. Best wishes.

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I had a partial Nephrectomy due to Liposarcoma. Did this cause my Adrenal Gland to stop functioning? I am now on Steroids.

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!

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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?

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

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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?

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.

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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?

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.

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What is the survival rate for sarcomatoid renal cell carcinoma after a partial nephrectomy. Encapsulated and clear margins?

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%.

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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.?

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.?

Bun, creat, cbc: Monitor renal function (bun, creatinine, potassium or bmp 7) and CBC to make sure he is not bleeding post op assuming that there are no other abnormalities due to other conditions.

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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?

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.

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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?

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.

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