Which position is used for nephrectomy surgery?

For laparoscopic nephrectomy, the patient is initially positioned supine for IV access, induction of general anesthesia and endotracheal intubation. A bladder catheter and nasogastric tube is placed for decompression of the bladder and stomach prior to insufflation.

What is the difference between simple and radical nephrectomy?

Simple nephrectomy – All of one kidney is removed. Radical nephrectomy – All of one kidney is removed together with the neighboring adrenal gland (the adrenaline-producing gland that sits on top of the kidney) and neighboring lymph nodes.

When to have a laparoscopic and robotic nephrectomy?

For patients diagnosed with a small (i.e., < 4 cm) kidney tumor ( Figure 1 ), laparoscopic and robotic partial nephrectomy provides patients with a safe and minimally invasive technique for removal of the tumor, while preserving the remainder of the healthy kidney. Figure 1.

Which is the correct position for a nephrectomy?

Positioning: lateral decubitus and flexion position or kidney rest position 1) Both laparoscopic and open nephrectomies are usually performed at a lateral decubitus position with flexion.

How big are the incisions for a laparoscopic radical nephrectomy?

During laparoscopic radical nephrectomy, approximately 3 to 4 small keyhole (< 1cm) incisions are made in the abdomen ( Figure 2 ), which allow the surgeon to insert a telescope (called laparoscope) and hand-held surgical instruments into the abdomen through portals called trocars. Figure 2.

What are the advantages of minimally invasive nephrectomy?

These minimally invasive approaches have the advantage of improved cosmesis, reduced pain, blood loss, and hospital stay, as compared to conventional open surgery with similar cure rates. In select patients with larger tumors, partial nephrectomy may not be feasible and therefore radical (i.e. complete) nephrectomy may be required.