DR. MAYANK MOHAN AGARWAL
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Laparoscopic nephroureterectomy

When you have been diagnosed with a higher grade or solid TCC tumor in the kidney, it can be treated by using minimally invasive laparoscopy. Laparoscopic treatment is usually less painful, needs a shorter stay in the hospital and a faster recovery than traditional kidney surgery.

Total removal of the kidney and the ureter, which can be performed through laparoscopic nephroureterectomy and is recommended in the following cases:

  • For confirmed high-grade disease or solid tumors
  • For confirmed locally invasive disease
  • For confirmed multifocal disease (medium- to high-grade)
  • For large tumor burden, where RIRS can not remove all tumor

If your tumor is in need of total kidney removal, laparoscopy may be an option for you. The kidney, the fat tissue around it and, if required, the adrenal gland can be removed this way. Also, the entire ureter and a cuff of the bladder (where the ureter runs into the bladder) are removed. The approach is the same as that of a tumor of the kidney. The kidney and ureter are reached through three little incisions that are created into the abdomen to allow small surgical instruments to go to the kidney. The kidney and its surrounding fat are completely freed up inside the abdomen.

The complete kidney and ureter with the surrounding fat tissue are removed through a small cut in the midline in the skin. No muscle is cut. Additionally, two small openings in the abdomen allow entry into the bladder for removal of the lowermost portion of the ureter. As a result, there is less pain, a shorter hospital stay and faster recovery.

This approach usually needs a one- to two-night stay in the hospital.