About Open Radical Nephrectomy
Key Highlights
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Definitive Cancer Treatment: Offers complete removal of the kidney and tumor, providing a potential cure for localized kidney cancer.Optimal Surgical Control: The open approach allows the urologist direct visualization and manual access, which is advantageous for large, invasive, or complex tumors.Comprehensive Tissue Removal: Enables the complete excision of the kidney, surrounding fat, the adrenal gland, and lymph nodes as a single unit, which is critical for accurate cancer staging.listrongProven Long-Term Efficacy:/strong A well-established procedure with extensive data supporting its effectiveness in treating renal cell carcinoma./li/ul
Who is this surgery for?
- Large renal cell carcinoma (typically tumors >7 cm or T2 stage and above).
- Locally advanced kidney cancer that has invaded major veins (renal vein or vena cava) or surrounding structures.
- Complex tumor anatomy where minimally invasive surgery is not feasible or safe.
- Certain benign conditions requiring kidney removal, such as a non-functioning kidney causing severe pain, hypertension, or recurrent infections.
- Trauma resulting in severe, irreparable damage to the kidney.
How to prepare
- Comprehensive pre-operative testing including blood work, imaging (CT or MRI), and sometimes heart and lung function tests.
- Discussion of medications; patients may need to stop blood thinners (e.g., aspirin, warfarin) several days before surgery.
- Fasting (no food or drink) for 8-12 hours prior to the procedure.
- Bowel preparation may be instructed to empty the intestines.
- Pre-operative counseling with the urologist and anesthesiologist to discuss the procedure, risks, and anesthesia.
Risks & possible complications
- Bleeding (Hemorrhage): Risk of significant blood loss requiring transfusion.
- Infection: At the incision site, in the urinary tract, or within the abdomen.
- Injury to Nearby Organs: Potential damage to the spleen, liver, pancreas, intestines, or major blood vessels during surgery.
- Blood Clots: Risk of deep vein thrombosis (DVT) or pulmonary embolism (PE).
- Chronic Kidney Disease: Reduced kidney function after removal of one kidney, requiring lifelong monitoring.
- Hernia: Weakness or bulging at the incision site in the months following surgery.
- Anesthesia Risks: Reactions to anesthesia medications.
Recovery & hospital stay
- Hospital Stay: Typically 4-7 days for pain management, monitoring kidney function, and ensuring you can eat, drink, and walk.
- Pain Management: IV and oral medications will be provided to control post-operative pain.
- Activity Restrictions: Avoid heavy lifting (more than 10-15 lbs), strenuous exercise, and driving for 4-6 weeks to allow the abdominal muscles to heal.
- Incision Care: Keep the surgical incision clean and dry; watch for signs of infection like redness, swelling, or drainage.
- Follow-up: Essential post-operative visits with your urologist to monitor recovery, review pathology results, and assess long-term kidney function.
- Diet: A balanced diet is encouraged; staying hydrated is crucial for the remaining kidney.
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Typical hospital stay: 4-7 days
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Expected recovery time: 4-6 weeks
Frequently Asked Questions
If you are considering open radical nephrectomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for open radical nephrectomy in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform open radical nephrectomy. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for open radical nephrectomy compare across other countries where we have data.
Top hospitals for Open Radical Nephrectomy in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing open radical nephrectomy.
Anjali Singh, a 58-year-old retired school...
Anjali Singh, a 58-year-old retired school principal, had always been active and health-conscious. During a routine check-up, an ultrasound revealed a 7cm mass on her left kidney. She had no symptoms initially, but later developed occasional dull flank pain and fatigue. A follow-up CT scan confirmed a solid renal mass suspicious for renal cell carcinoma. Her urologist, Dr. Chen, explained that due to the tumor's size and location, an open radical nephrectomy, surgically removing the entire left kidney, was the best curative option. Anjali was terrified of major surgery and the diagnosis of cancer. The procedure went smoothly, though the recovery was challenging with significant post-operative pain and fatigue. Pathology confirmed a Stage I clear cell RCC with clear margins. Six months later, Anjali is regaining her strength with adapted exercises. Her remaining kidney is compensating well. Emotionally, she moved from fear and shock to a determined focus on recovery, now feeling grateful for early detection and a new lease on life, though she carries a lingering anxiety about future scans.
Urologists for Open Radical Nephrectomy
Explore experienced urologists who regularly perform open radical nephrectomy and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore