Robotic-Assisted Partial Nephrectomy
Indications: Robotic-assisted partial nephrectomy is a minimally invasive procedure used to remove kidney tumours while preserving healthy kidney tissue. It is typically recommended for small to medium-sized kidney tumours, localised renal cancer, or complex kidney masses where preserving kidney function is essential.
How It Is Performed: The procedure is performed under general anesthesia using a robotic surgical system. The surgeon makes a few small incisions in the abdomen (4-5) and inserts robotic arms equipped with surgical instruments and a high-definition camera. The robotic system enhances precision, allowing the surgeon to carefully remove the tumour while preserving as much healthy kidney tissue as possible. This is usually performed with clamping of the renal artery to help minimise bleeding during tumour excision. The kidney is then reconstructed carefully, a drain is placed and the incisions are closed with dissolving sutures.
Why Choose a Robotic Approach?
Robotic-assisted surgery offers several advantages over traditional open or laparoscopic surgery, including:
- Greater Precision: The robotic system allows for highly accurate tumor removal and kidney reconstruction.
- Minimally Invasive: Smaller incisions result in less pain, reduced blood loss, and a lower risk of complications.
- Faster Recovery: Patients typically experience shorter hospital stays (1–3 days) and a quicker return to daily activities.
- Better Kidney Function Preservation: The precise control helps maximize the preservation of healthy kidney tissue.
Usual Postoperative Course
After surgery, most patients experience mild discomfort, swelling, or bruising around the incision sites. You will have an indwelling catheter and drain when you wake up which will generally be removed day 1 post op. Light activities can usually be resumed within 2 weeks, with full recovery taking about 4–6 weeks. Regular follow-ups, including imaging and kidney function tests, are necessary.
Results
Robotic-assisted partial nephrectomy provides excellent cancer control with a low risk of recurrence. The minimally invasive approach improves recovery while effectively preserving kidney function, reducing the risk of long-term kidney disease.
For more information, consult Dr Briony Norris.
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