Patel Hospital, Civil Lines, Jalandhar City, (Pb) India.
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Renal cell carcinoma (RCC) is a Kidney cancer that originates in the very small tubes in the kidney that transport waste molecules from the blood to the urine. RCC is the most common type of kidney cancer in adults, responsible for approximately 90–95% of cases.

Initial treatment is most commonly either partial or complete removal of the affected kidney(s). Where the cancer has not metastasised (spread to other organs) or burrowed deeper into the tissues of the kidney, (i.e. stage I & stage II cancer) the 5-year survival rate is above 90%, but this is lowered considerably when the cancer has spread.Presentation may be incidental, abdominal mass, flank pain or hematuria.

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Laparoscopic Radical Nephrectomy is the standard of care.

  • Smaller skin incision – four 1 cm incisions rather than a 30 cm incision.
  • Less blood loss and reduced need for a blood transfusion.
  • Better view because of the magnification of the system.
  • Less pain because the incisions are smaller and the muscles are parted rather than cut.
  • Early recovery, the ability to return to work in 2 to 4 weeks .

KIDNEY CANCER IS CURABLE

WHAT IS LAPAROSCOPIC PARTIAL NEPHRECTOMY

Laparoscopic Partial Nephrectomy provides patients with a safe and effective way to remove a small renal tumor, while preserving the remainder of the kidney. his is a minimally invasive technique, which provides patients with less discomfort and equivalent results when compared to the traditional open surgery.

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It has resulted in significantly less post-operative pain, a shorter hospital stay, earlier return to work and daily activities, a more favorable cosmetic result and outcomes that are identical to that of radical nephrectomy. Partial nephrectomy has become a standard procedure for selected patients with renal cell carcinoma.

IN EARLY KIDNEY CANCER KIDNEY REMOVAL CAN BE AVOIDED

ADVANTAGE:

  • Same result as complete removal
  • No change in survival
  • Important for long term kidney function
  • Avoid kidney failure in diabetes and blood pressure
  • Preserving kidney function

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