Dr. Raj is a highly experienced Surgical Oncologist with 19 years of experience and over 50,000 cancer surgeries performed. He is involved in numerous clinical trials and has many international and national publications to his credit. He specializes in Breast and Thoracic Surgical Oncology and serves as a professor for DNB Superspecialty Surgical Oncology and Breast Surgery at the Maharashtra University of Health Sciences. His belief is in "adding life to years" and improving the quality of life, not just adding years to life.
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Depending on the method of carrying out, nephrectomy is divided into several types:
Abdominal removal of the kidney is performed through an oblique incision in the lumbar region, the patient lies on a healthy side. By dissecting the tissues in layers, the surgeon reaches the kidney and separates it from the fatty capsule. Next, the organ is brought to the surface, the doctor bandages the ureter with adjacent vessels and excised them together with the renal pedicle. Having freed the organ from fixation, the surgeon removes it, sutures the surgical field in layers and applies a sterile bandage.
The duration of an open nephrectomy is 2-3 hours.
The surgeon makes 3-4 punctures on the anterior and lateral surfaces of the abdominal wall (each 1 cm in diameter). Through them, a special instrument is inserted - a laparoscope with a camera for visualization and control of the operation. The doctor removes the kidney with the renal pedicle, ureter and blood vessels.
Specialists of foreign clinics are increasingly performing nephrectomy using the Da Vinci robotic unit . First of all, with its help, it is possible to carry out the most organ-preserving operation - to remove only a part of the affected kidney.
Today, the Da Vinci robot is the “gold standard” for nephrectomy. In the course of its implementation, the doctor controls the "hands" of the robot and makes punctures no larger than 1 cm. The duration of the robotic operation is about 2 hours, and the subsequent stay in the hospital is a maximum of 3 days.