Laparoscopic partial nephrectomy

Laparoscopic partial nephrectomy

Small renal tumours (<4cm) arising from the kidney may be suitable for segmental excision without sacrificing the entire kidney. The defect in the kidney is closed with a series of sutures and clips. A haemostatic agent is also applied to the suture line to minimise bleeding after surgery. The tumour is retrieved with a bag through a small incision. 4 small incisions are needed to complete this procedure. Hospital stay is usually 3 days.

Oncological outcomes for partial nephrectomy is comparable to radical (total) nephrectomy for small renal tumours 1. The technique preserves patient's renal function and may avert need for dialysis. Indications for partial nephrectomy are solitary kidney, multiple tumours and unilateral kidney with poorly functioning contralateral kidney.


1J Urol. 2007 Jan;177(1):70-4; 5 year Outcomes of Laparoscopic Partial nephrectomy. I Gill



The key steps are outlined in this video :
http://youtu.be/siW1CF4hVJo