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This is a type of minimally invasive procedure which the abdomen is entered through small holes and the kidney is reached and mobilized all around and the blood vessels are clipped and cut and the urine tube is also cut Then the kidney is removed via a small cut in the lower part of the abdomen
The indications of removing the kidney are
Cancer in the kidney (renal call carcinoma/transitional cell carcinoma)
Non functioning kidney
Completely infected kidney( pyonephrosis/pyelonephritis)
Large cysts in the kidney which are bleeding or infected or before transplantation
This is a type of minimally invasive procedure in which the abdomen is entered through small holes and the kidney is reached and mobilized all around and only the part of the kidney which is affected by the cancer is removed and the rest of the kidney is preserved.
This is usually done for kidney cancers which are smaller and in the initial stages and affect only a part of the kidney
This is a type of minimally invasive procedure in which the abdomen is entered through small holes and the adrenal gland which is situated above the kidney is reached and mobilized and the blood vessels are clipped and cut and removed via a very small incision .
The indications are usually a large adenoma or pheochromoctoma or adrenal cancers
This is a type of minimally invasive procedure in which the abdomen is entered through small holes and the bladder is reached and its mobilized all around and the urinary tubes of both the sides are also visualized and dissected.The bladder is removed after controlling and clipping all the blood vessels and the urinary tube.
The lymph nodes are also removed along with the bladder after proper dissection.
The bladder is removed via small cut in the lower abdomen.
The surgery after removing the bladder involves connecting the urinary tube of both the kidneys to either a tube or a new bladder both of which are made from the small intestine. This part of the surgery can be done either through the cut which was used to take the bladder out or via laparoscopic method itself
This is a type of minimally invasive procedure in which the abdomen is entered through small holes and the kidney is reached and mobilized all around and the block between the kidney and the urine tube is cut and the new ends are sutured together.
This surgery is done for PUJO( pelvi ureteric junction obstruction) and upper ureteric narrowing .
This is a type of minimally invasive procedure in which the abdomen is entered through small holes and the lower end of ureter( urinary tube) is reached and the narrow portion is dissected and it is cut and the normal part of the ureter is sutured with the bladder.
This surgery is done for narrowing( stricture) or cancer in the lower part of the ureter
In the era of endoscopic stone surgery most of the stones can be treated by endoscopic methods
Laparoscopy is a type of minimally invasive surgery in which the abdomen is entered through small holes and the kidney is reached and the stones are removed .
Even though this is also a minimally invasive procedure it is more invasive than the endoscopic procedures
The usual indications are:
Removal of stones along with correction for anatomic defects like pyeloplasty, reimplantation etc.
Robotic suregry is a type of minimally invasive surgery in which the abdomen is entered through small holes similar to laparoscopy. The difference here is unlike the laparoscopic surgery in robotic surgery the surgeon performs the surgery with the help of robotic arms mounted on the table and introduced into the patient via the ports. The robot is controlled from a nearby console by the surgeon. The advantage of robotic surgery is the 3D vision, precision and the ease of maneuverability. The robotic instrument mimics the human hand in the degree of movements.This results in faster recovery less pain and early discharge as well
Dr Mohankumar is a consultant Urologist, Andrologist, Robotic and Renal transplant Surgeon with special expertise in Advanced Endourological and complex Laparoscopic Surgery and Renal transplantation with more than 6 years experience in his field.
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