Top
20
Doctor insights on: Pathophysiology For Radical Nephrectomy

Share
Dr. Richard Link
1,056 Doctors shared insights

Nephrectomy (Definition)

Surgical removal of kidney for ...Read more


2

2
What are the risk for having a radical nephrectomy?

What are the risk for having a radical nephrectomy?

MANY: The risk of any major surgery: bleeding, infection, scar, anesthesia risks, death. ...Read more

3

3
What does it mean tohave an open radical nephrectomy?

Nephrectomy: " open" means a procedure performed through a relative large incision. Radical means they will remove not only the target organ ie kidney but also some surrounding tissue such as the fatty tissue surrounding the kidney along w lymph nodes. Radical surgery is recommended when there is a cancer concern. ...Read more

4

4
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. ...Read more

6

6
Anything to know post-radical nephrectomy? Is there anything life threatening? When should one wait on the kidney transplant list?

Anything to know post-radical nephrectomy? Is there anything life threatening? When should one wait on the kidney transplant list?

Depends: If your remaining kidney is normal your likelihood of needing dialysis or a transplant is very low. In fact if you are born with 1 kidney your risk is the same as people born with 2 kidneys. Follow up of kidney transplant donors demonstrates a very small increase in risk. I would recommend a low sodium diet, avoid tobacco, avoid obesity and maintain a normal bp. Have labs checked yearly. ...Read more

See 1 more doctor answer
7

7
My father had a radical nephrectomy 3 years back. He lost one kidney. Recently tests shown his creatinine level 2.0. Not diabetic. How to lower down?

My father had a radical nephrectomy 3 years back. He lost one kidney. Recently tests shown his creatinine level 2.0. Not diabetic. How to lower down?

Follow-up: If dad is a well-muscled man (which raises creatinine well above "normal range" for today's couch potatoes) and we already know why he lost half his nephrons, this may not be an issue. I trust he is being followed up and that folks are watching for focal-segmental glomerulosclerosis / hyperfiltration lesion that's fairly common in kidneys that lose their partner. Don't try to treat a lab value. ...Read more

See 1 more doctor answer
8

8
Foot drop after radical nephrectomy surgery?

Foot drop after radical nephrectomy surgery?

Peroneal nerve: Isolated foot drop after surgery is likely due to pressure on the lateral aspect of the leg just below the knee during surgery. As seen in the picture, the peroneal nerve is at risk of pressure injury where it crosses the fibula. This kind of "palsy" due to pressure may recover spontaneously over weeks to months. If not, orthotics or surgery to graft a nerve along the injured area may help. ...Read more

See 1 more doctor answer
9

9
What are the risk for a chronic obstructive pulmonary disease (copd) patient having a radical nephrectomy?

What are the risk for a chronic obstructive pulmonary disease (copd) patient having a radical nephrectomy?

Depends: COPD exists with varying severity, and most patients can have surgery with no significant increased risk. If COPD is very severe, or there is significant chronic sputum production, surgical risk is higher, but experienced teams of surgeons, anesthesiologists, nurses, and respiratory therapists can help mitigate the risk. One important thing you have control over is pre-op smoking cessation. ...Read more

10

10
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 ...Read more

11

11
Day before laparo radical nephrectomy, mom told to take magnesium citrate. What for, and is it supposed to be liquid or pill?

Day before laparo radical nephrectomy, mom told to take magnesium citrate. What for, and is it supposed to be liquid or pill?

Bowel prep.: Magnesium citrate, which is a liquid that comes usually in a green bottle at the drug store, is often used before laparoscopic surgery to prep the bowel. It is a laxative, and cleans out the intestines of stool. This is usually done the day before surgery, and we recommend starting it early so that the patient is not up all night on the toilet. ...Read more

12

12
What"s the prognosis of stage 1 and fuhrman grade-2 clear cell renal cancer in 60 yr asymptomatic diabetic male after 2 yrs of radical nephrectomy?

What"s the prognosis of stage 1 and fuhrman grade-2 clear cell renal cancer in 60 yr asymptomatic diabetic male after 2 yrs of radical nephrectomy?

About 90% survival: Depending on the series, you will find estimates from 67% to 94%. With stage I disease, the grade is less important in determining prognosis. A two year disease free interval improves the outlook over the stage alone. ...Read more

13

13
My father had Open radical nephrectomy 3 weeks ago and now he complains of abdominal pain and distention. It's normal??

My father had Open radical nephrectomy 3 weeks ago and now he complains of abdominal pain and distention. It's normal??

No: By using the word "now" you imply that he was not having (much) recovery pain but now has developed some along with distention. This is urgent. Call his doctor immediately and see whether they want him to come in NOW or meet at the ER! Go now! ...Read more

14

14
Mom has pulmonary htn and mild mitral and tricuspid regurgitation. Do these play any role or complication in a radical laparo. Nephrectomy?

Severity?: Mild mr and tr would not increase her risk. Any significant elevation of pulmonary artery pressure would. It depends on severity. She obviously has had an echo. Check with her cardiologist to be sure she is medically as fit as she can be prior to major surgery. ...Read more

15

15
Renal Cell Carcinoma - had radical nephrectomy left kidney, cancer has spread to the lungs - surgery not an option. Life expectancy w/o treatment?

Renal Cell Carcinoma - had radical nephrectomy left kidney, cancer has spread to the lungs - surgery not an option. Life expectancy w/o treatment?

RCC: The American Cancer Society reports the following five-year survival rates:
•stage 1: 81 percent
•stage 2: 74 percent
•stage 3: 53 percent
•stage 4: 8 percent ...Read more

16

16
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. ...Read more

See 2 more doctor answers
17

17
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. ...Read more

See 1 more doctor answer
18

18
What is the definition or description of: nephrectomy?

Removal of kidney: Surgical removal of kidney for any number of causes. ...Read more

19

19
What can one expect from a laparoscopic nephrectomy?

Small scar: Laparoscopic nephrectomy will result in small scar, minimum pain, early discharge from the hospital, just as safe as open nephrectomy. ...Read more

20

20
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. ...Read more