A nephrectomy is a surgical procedure in which a kidney is partially or
completely removed.Nephrectomy, or kidney removal, is performed on patients with
severe kidney damage from disease, injury, or congenital conditions.hese include
cancer of the kidney (renal cell carcinoma); polycystic kidney disease (a
disease in which cysts, or sac-like structures, displace healthy kidney tissue);
and serious kidney infections.A kidney may be removed without being replaced, or
may be replaced by a donor kidney in the case of a transplant operation.
The HCUP Nationwide Inpatient Sample from the Agency for Healthcare Research
and Quality (AHRQ) reports that 46,130 patients underwent partial or radical
nephrectomy surgery for non-transplant-related indications in the United States
in 2000.A nephrectomy may be a full or partial procedure.A partial kidney
removal means that only a portion of a diseased kidney is removed.Radical
nephrectomy involves removing the entire kidney, a section of the tube leading
to the bladder (ureter), the gland that sits atop the kidney (adrenal gland),
and the fatty tissue surrounding the kidney.A simple nephrectomy performed for
living donor transplant purposes requires removal of the kidney and a section of
the attached ureter.
Prior to surgery, blood samples will be taken from the patient to type and
crossmatch in case transfusion is required during surgery.A catheter will also
be inserted into the patient's bladder.The surgical procedure will be described
to the patient, along with the possible risks.an open nephrectomy, a surgeon
makes an incision of around 6 to 10 inches (15 to 25 cm) in length below the
ribcage to expose the kidney.The incision may be made on the front of the
abdomen or on the side.The vessels feeding the kidney are clamped and then
cut.The ureter, which connects the kidney to the bladder, is also cut.Finally,
the kidney is removed, and the incision is closed.Finally, the kidney is
removed, and the incision is closed.This procedure usually takes approximately
three hours.
Normal results of a nephrectomy are dependent on the purpose of the procedure
and the type of nephrectomy performed.Coughing and deep breathing may be
painful, due to the surgical incision, but it is important for patients to
breathe deeply to prevent the development of pneumonia.Complications of a kidney
removal may include infection of the incision site, internal bleeding, and
pneumonia.If the remaining kidney is healthy, it will increase its functioning
over time to compensate for the loss of the removed kidney.
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