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Radical Nephrectomy

An oncologic surgery in which the kidney with its tumor is removed together with all surrounding tissues including Gerota's fascia.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Radical Nephrectomy?

Radical nephrectomy is the procedure of removing the kidney together with Gerota's fascia, the adrenal gland (if necessary), perinephric fat, surrounding lymph nodes, and vena cava thrombus when needed.

It is indicated in localized large renal tumors and in cases where partial nephrectomy is not appropriate. In small tumors, nephron-sparing surgery (partial nephrectomy) is preferred first.

Laparoscopic and robotic approaches provide less morbidity together with similar oncologic outcomes to open surgery; open surgery still retains its place in large and complex tumors.

Symptoms

Blood in urine (hematuria)
Flank pain
Palpable abdominal/flank mass
Unexplained weight loss
Fatigue and fever
Paraneoplastic findings (anemia, hypercalcemia)
Incidentally detected kidney mass

Risk Factors

Smoking
Obesity
Hypertension
Family history (von Hippel-Lindau, etc.)
Long-term analgesic use
Acquired cystic kidney disease
Chronic hemodialysis

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Hematuria and flank pain
  • Incidentally detected kidney mass
  • Findings of paraneoplastic syndrome
  • Need for screening in those with family history
  • Tumors not suitable for partial nephrectomy

Treatment Methods

01
Detailed CT/MRI staging
02
Open, laparoscopic, or robotic radical nephrectomy
03
Planning with cardiovascular team in vena cava thrombus
04
Regional lymphadenectomy if necessary
05
Cytoreductive nephrectomy ± systemic therapy in metastatic disease
06
Follow-up: imaging, creatinine, and blood pressure monitoring

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.