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Nephrectomy for renal cell carcinoma is rapidly being modified to allow partial removal of the kidney. Nephrectomy is also performed for the purpose of living donor kidney transplantation. [1] A nephroureterectomy is the removal of a kidney and the entire ureter and a small cuff of the bladder for urothelial cancer of the kidney or ureter. [9]
Laparoscopy (from Ancient Greek λαπάρα (lapára) 'flank, side' and σκοπέω (skopéō) 'to see') is an operation performed in the abdomen or pelvis using small incisions (usually 0.5–1.5 cm) with the aid of a camera.
Laparoscopic surgery is associated with shorter stays in the hospital and quicker recovery time but there are still risks associated with the surgical procedure. These have the advantage of being less of a burden for the patient and the disease-free survival is comparable to that of open surgery. [4]
Wickham's impact across specialties is reflected in the widespread use of minimally invasive surgery. He introduced extracorporeal shock wave lithotripsy, percutaneous nephrolithotomy, and laparoscopic nephrectomy to the UK. The founding president of the Endo-Urology Society, he was also a pioneer with the Minimally Invasive Society.
Pyeloplasty is a type of surgical procedure performed to treat an uretero-pelvic junction obstruction if residual renal function is adequate. [1]This revision of the renal pelvis treats the obstruction by excising the stenotic area of the renal pelvis or uretero-pelvic junction and creating a more capacious conduit using the tissue of the remaining ureter and renal pelvis.
Recovery time from the operation varies from person to person. Some take up to three weeks before being completely active; for others, it can be a matter of days. In the case of a laparoscopic operation, the patient has three stapled scars of about an inch (2.5 cm) in length, between the navel and pubic hair line.
Nephropexy is the surgical intervention aiming to reposition and fixate a floating or mobile kidney. [1] This is done in order to prevent its descent (nephroptosis) or to deliberately move the kidney downward in order to compensate for a shortened ureter. [1]
[25] [89] The existing open surgery technique has many flaws such as limited access to the surgical area, long recovery time, long hours of operation, blood loss, surgical scars, and marks. [ 90 ] The robot's costs range from $1 million to $2.5 million for each unit, [ 1 ] and while its disposable supply cost is normally $1,500 per procedure ...
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