LAPAROSCOPIC PARTIAL NEPHRECTOMY: radical treatment of kidney cancer (tumor) with organ conservation

Academician Alyaev, the head of the clinic, is the founder of kidney resection in our country

Remove cancer, saving the kidney, perhaps in the most cases. The exception is the tumors, which have grown into the "heart" of the body, where the vital vessels and elements of the cup-pelvis-plating system are located.

Unlike conventional resection, laparoscopic surgery does not require a large abdominal incision. The tumor of the kidney is removed through a centimeter incision on the front wall of the abdomen.

Laparoscopic partial nephrectomy - benefit for patients

Both kidneys are saved. There are less life risks, easier to tolerate subsequent diseases from which no one is insured, some types of treatment (for example, chemotherapy).

Laparoscopic partial nephrectomy should be performed whenever it is technically possible, but without increasing cancer risk. If there is a probability of preserving part of the cancer cells, then the kidney is removed, in this case a nephrectomy is performed. The only normal kidney fully compensates for the absence of the opposite one; renal failure is not occur.

Absolute indications include tumor in the setting of solitary kidney, or in patients with compromised renal function

The operation has an excellent oncological, functional and aesthetic result in the removal of tumors up to five centimeters. In some cases, when the cancer grows outside, not inside the organ, it is possible to remove the tumor, which the size is more than ten centimeters.

We try to treat cancer and save the kidney even in the most difficult situations

We perform 3D modeling of the organ for each patient.

Virtual model based on high-precision images of multislice computed tomography (MSCT) helps to evaluate arterial and venous kidney collectors, other features of the structure of organs and tumor development. It is necessary to find and clamp quickly the arterial vessel feeding the kidney segment with a tumor node. As a result, the normal part of the kidney does not suffer from oxygen deficiency. This is extremely important because it reduces the time of warm ischemia (hypoxia). The kidney tolerates warm ischemia for around 30 – 40 minutes with complete functional recovery During laparoscopic partial nephrectomy in our clinic, warm ischemia lasts no more than 20 minutes, also we perform the operation without clamping the renal blood flow (zero-ischemia) using our advanced intraparenchymal (intrarenal) clipping and electrocoagulation technique. The blood loss is less than 100 ml.

The operation takes about 2 hours. It ends with the installation of insurance drainage through which the post-wound fluid flows (lymph, blood residues). Insurance drainage is removed after 1-2 days.

Cost of laparoscopic partial nephrectomy – free to Russian citizens

We carry out laparoscopic partial nephrectomy due to high-tech assistance channel (quotas). Usually, there are no problem with obtaining quotas. Our doctors will help you fill out the necessary documents. The cost of operation through paid medical services is around 130 thousands rubles.