What is a laparoscopic radical nephroureterectomy?
Laparoscopic radical nephroureterectomy is a minimally invasive surgical procedure to remove the renal pelvis, kidney and entire ureter, along with the bladder cuff, in an attempt to provide the greatest likelihood of survival.
When is this procedure used?
Laparoscopic radical nephroureterectomy is used to treat patients who have transitional cell cancer of the upper urinary tract.
What does this procedure involve?
Unlike a conventional nephroureterectomy, laparoscopic surgery requires only several small incisions. Through these incisions, a surgeon uses a powerful endoscope – a tiny camera – and specialized surgical instruments to remove the diseased organs.
How long does this surgery take?
Surgery takes approximately 3-4 hours, and the hospital stay is usually one to two days. Full recovery usually takes two to three weeks.
What are the advantages of this procedure?
- Reduced hospital stay and faster healing
- Less postoperative pain and less need for pain medication
- Shorter recovery time
- Quicker return to normal activity or work
- Smaller incisions and less scarring
The patient who underwent the above procedure was 45 yr old female presented with one episode of mild hematuria.She was screened with basic battery of tests which showed 2 cm mass in renal pelvis.
On further evaluation with contrast CT abdomen she was found to have multifocal upper tract TCC(Transitional cell carcinoma).
After informed consent, we have done Left radical nephroureterectomy with a bladder cuff removal through laparoscopy.
Post operative period was uneventful.She had smooth post op recovery and got discharged on day 6 from the hospital.
The followup should be regular in the form of ultrasound,urine for malignant cells, some may require check cystoscopy in view of multi focal nature of the malignancy.
PLEASE DONOT IGNORE ANY BLEEDING IN URINE CALLED HEMATURIA.CONSULT A UROLOGIST TO FIND THE CAUSE AND REMAIN HEALTHY
On further evaluation with contrast CT abdomen she was found to have multifocal upper tract TCC(Transitional cell carcinoma).
After informed consent, we have done Left radical nephroureterectomy with a bladder cuff removal through laparoscopy.
Post operative period was uneventful.She had smooth post op recovery and got discharged on day 6 from the hospital.
The followup should be regular in the form of ultrasound,urine for malignant cells, some may require check cystoscopy in view of multi focal nature of the malignancy.
PLEASE DONOT IGNORE ANY BLEEDING IN URINE CALLED HEMATURIA.CONSULT A UROLOGIST TO FIND THE CAUSE AND REMAIN HEALTHY
Thanks for Sharing Quality information With us Laparoscopic Surgeons in Bangalore | Laparoscopic Treatment in Bangalore
ReplyDelete