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DefinitionKidney removal, also called nephrectomy, is a surgical procedure to remove a kidney.
While the patient is unconscious and pain-free (under general anesthesia), an incision is made in the abdomen or in the side of the abdomen (flank). The surgeon may need to remove a rib in to perform the procedure.
The ureter (the tube that carries urine from the kidney to the bladder) and the blood vessels are cut away from the kidney and the kidney is removed. The incision is then closed.
Kidney removal may be performed as open surgery, which involves a large incision in the flank. For certain patients, the procedure can be done laparoscopically, meaning the surgeon uses an instrument called a laparoscope to visualize the kidney through a smaller incision. Laparoscopic surgery requires 3 or 4 small incisions, usually no more than an inch, in the abdomen and flank.
IndicationsKidney removal may be recommended for:
Kidney removal is also performed on someone who donates a kidney for a kidney transplant .
RisksRisks for any anesthesia include the following:
Expectations after surgeryOutcome is usually good in the case of the removal of a single kidney. If both kidneys are removed or if the remaining kidney does not function well, hemodialysis or kidney transplantation will be necessary to maintain life.
Recovery time is the same as for other major abdominal surgery. You will be given intravenous fluids and pain medication . Kidney removal surgery is often very painful because of the location of the affected organ.
Your blood pressure and balance of electrolytes and fluids are carefully monitored because these functions are controlled in part by the kidneys. You will most likely have a urinary catheter in place for a short time during your recovery.
You will probably remain in the hospital for 2 to 7 days, depending on the method of surgery used. Light activity can be resumed and is encouraged as soon as you can tolerate it. Strenuous activity should be avoided for 6 weeks following the procedure.
Update Date: 10/28/2002David R. Knowles M.D., Department of Urology, New York-Presbyterian Hospital Columbia Campus, New York, NY. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT