Type of Surgery
Information
Last updated: 11/24/2009
Survival rates for living kidney donors undergoing nephrectomy are excellent; mortality rates are only 0.03%—or three deaths for every 10,000 donors. Many of the risks involved are the same as for any surgical procedure: risk of infection, hemorrhage, blood clot, or allergic reaction to anesthesia.
For patients undergoing nephrectomy as a treatment for renal cell carcinoma, survival rates depend on several factors, including the stage of the cancer and the patient's overall health history. According to the American Cancer Society, the five-year survival rate for patients with stage I renal cell carcinoma is 90–100%, while the five-year survival rate for stage II kidney cancer is 65–75%. Stage III and IV cancers have metastasized, or spread, beyond the kidney and have a lower survival rate, 40–70% for stage III and less than 10% for stage IV. Chemotherapy, radiation, and/or immunotherapy may also be required for these patients.
Advertisement
Sugar that we eat needs insulin in the blood in order for the sugar to be absorbed by cells and tissues. When this system goes awry it is referred to as diabetes. This animated video discusses Type 2 diabetes mellitus.
To remove a kidney in an open procedure, an incision is made below the ribcage (A). The kidney is exposed (B) and connections to blood vessels and the ureter are severed (C). The kidney is removed in one piece (D). (Illustration by GGS Inc.)
Other Information
Nephrectomy is the surgical removal of a kidney.
The surgery is performed with the patient under general anesthesia. The surgeon makes an incision in the side of the abdomen to reach the kidney. Depending on circumstances, the incision can also be made midline. The ureter and blood vessels are disconnected, and the kidney is then removed.
The surgery can be done as open surgery, with one incision, or as a laparoscopic procedure, with three or four small cuts in the abdominal and flank area.
Recently, this procedure is performed through a single incision in the patient's belly-button. This advanced technique is called as Single Port Access Surgery.
There are alternatives today that do not require the extraction of a kidney. Such alternatives include renal embolization and partial nephrectomy, both of which are more practical because it does not look for a donor kidney, but simply works on the patient's kidney.
Other Information
The estimated number of hospital admissions among adults aged 20 or older with “calculus of kidney and ureters” as a primary diagnosis was of 171,000 hospital stays in 2000.
From: NKUDIC
Find a Qualified Specialist
Looking for a specialist?
Please enter your zip code.
