In which cases is partial nephrectomy indicated?

This is an automatically translated article.

The article was professionally consulted by Doctor of Urology Department, Vinmec Central Park International General Hospital.

Partial nephrectomy has been widely applied to treat urinary tract diseases. Laparoscopic partial nephrectomy has been increasingly indicated in recent years. Laparoscopic surgery has many advantages over open surgery such as: less pain, short hospital stay, small incision.

1. What is laparoscopic partial nephrectomy?


Laparoscopic partial nephrectomy consists of partial resection of renal parenchyma at the superior or inferior poles of the kidney or partial wedge-shaped nephrectomy in the middle third of the kidney performed transperitoneally or retroperitoneally. Specimens were obtained through a small incision in the abdominal wall at the trocar hole.
This is a safe, minimally invasive technique that brings many benefits to the patient such as: fast recovery, less pain and most importantly, preserving the kidney, helping the patient maintain a quality life. better.
There are three techniques for partial nephrectomy: wedge resection, planar resection, and nephrectomy. Standard partial nephrectomy is not possible when the biliary artery in the renal hilum or adhesions are present.

2. Indications for partial nephrectomy


Bệnh nhân bị ứ nước bể thận có thể được chỉ định cắt thận bán phần
Bệnh nhân bị ứ nước bể thận có thể được chỉ định cắt thận bán phần

Benign renal tumors such as: vascular lipoma (AML) > 5cm, located in a part of the kidney. Some cases of complicated kidney stones. Additional nephrectomy with loss of function in double kidney disease. Localized polycystic kidney disease in only one part of the kidney is symptomatic. Localized renal cell cancer stage T1a, T1b located in the peripheral area. Focal damage of the kidney due to tuberculosis, after trauma.

3. Contraindications for partial nephrectomy


Bệnh viện Vinmec Central Park cũng cấp gói khám và điều trị các vấn đề về thận và tiết niệu
Bệnh viện Vinmec Central Park cũng cấp gói khám và điều trị các vấn đề về thận và tiết niệu

Laparoscopic partial resection is a difficult technique, requiring a team of experienced and highly specialized surgeons and modern equipment. Vinmec Central Park Hospital is equipped with a machine system with high-resolution endoscopes, 3D images, a new generation of robotic arms... to help support doctors during surgery. In recent years, the Department of Surgery has successfully performed many laparoscopic partial nephrectomy surgeries for benign and malignant kidney diseases. The doctors who directly perform surgery at Vinmec Central Park Hospital are the leading specialists in Urology:
Specialist Doctor II Nguyen Minh Quang Doctor Nguyen Tan Cuong To register for examination and treatment of problems with Kidney and urology at Vinmec Central Park, you can register here or contact hotline 0283 6221 166 for support.
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