What is Kidney Cancer?
Kidney cancer constitutes 2-3% of tumors in adult patients. Its incidence has been increasing in recent years. It is thought that the spread of radiological examinations, as well as the serious prevalence in the oncology patient group, cause an increase in the rate of diagnosed kidney cancer. Kidney masses are divided into benign and malignant.
Kidney Cancer Treatment
Cases in which malignant kidney tumor cannot be distinguished as a result of imaging should be operated with the suspicion of kidney cancer. Because the first treatment (if possible) of kidney cancer should be absolutely surgical. They cannot be treated with treatment methods such as radiation therapy and chemotherapy. Even if it spreads to other organs in the body, the mass and kidney should be removed because it contributes to the overall survival of the patient.
In the first approach to kidney tumors, the decision is made based on the general condition of the patient, the size of the mass, the extent of the mass in the kidney and its spread throughout the body. The operation in which only the mass and 1-2 cm of healthy tissue around it are removed is called partial nephrectomy, while the operation in which the mass and the fatty layer around the kidney are removed is called radical nephrectomy.
Laparoscopic Radical Nephrectomy
Laparoscopic radical nephrectomy is known as the gold standard surgical technique for kidney masses larger than 7 cm and kidney masses smaller than 7 cm, which are not suitable for partial nephrectomy. Laparoscopy has become almost the gold standard in the surgical treatment of kidney tumors today. By inflating the abdomen with the help of gas, the internal organs are viewed with the camera. Working channels called trocars are placed on the patient's abdomen on the side where the operation will be performed, usually with 3-4 8-12 mm incisions.
Removal of tumor kidney by closed method
The surgeon and his assistant make an endoscopic camera view into the body through these working channels. With the auxiliary instruments used for intervention through these channels, the kidney and/or mass are separated from the surrounding organs and great vessels. The kidney is made removable by closing the vessels of the kidney with laparoscopic sealing methods (pedicle stapler or hemo-clip). Taking the organ out of the body can be done by expanding the trocars or with a 5-6 cm incision made towards the inguinal region.
In order to control the current situation in the abdomen after the operation, a soft drainage system is usually placed. The incisions made for the working channels in the abdomen are closed aesthetically in a way that leaves a minimum of scars.
After Kidney Cancer Surgery
Our patients, who are usually taken to the inpatient service after the operation, are quickly started on oral nutrition as soon as possible and they are stood up and walking in the company of our assistant health personnel. They are followed up for 1-2 days by taking care and drug treatments in the service. Urine output and drainage output are usually followed for the first 1-2 days, and then the catheter and drainage system are removed from the body. Patients are usually discharged home on the 2nd or 3rd day after surgery. Our patients are discharged by our healthcare team (doctor, nurse and dietitian) after being taught the precautions to ensure the adaptation of the body to a healthy single kidney and the points to be considered.
Usually, the patient is called for control with the pathology result after 1 week and the necessary examinations are checked, and the patients who will receive additional treatment according to the results of the pathology and radiology scans are coordinated with the medical oncology and radiation oncology. Patients who do not require additional treatment are followed up with routine urology and nephrology controls.