What the operation aims to do
Partial nephrectomy removes the tumour while preserving as much of the remaining kidney as possible. Its goals are cancer control and preservation of functioning kidney tissue. It is a recommended option for small, localised tumours when technically feasible; it is not suitable for every tumour. [1] · [7]
Deciding whether it is suitable
Assessment considers tumour size and position, nearby blood vessels and drainage structures, kidney function and general health. Having one kidney or kidney disease makes preservation particularly important to discuss, but does not remove the risks or guarantee feasibility. Imaging and the team’s assessment guide the decision. [2]
Extent of surgery and surgical approach
“Partial” describes how much kidney is removed. “Open”, “laparoscopic” and “robot-assisted” describe how the operation is performed. The approach depends on the tumour and the team’s experience and resources. [1]
Benefits, risks and alternatives
Preserving tissue can help maintain kidney function. Risks include bleeding, urine leakage, infection and the need for another procedure. The whole kidney may need to be removed during surgery if partial removal is unsafe. Examination of the removed tissue can change follow-up or the need for further care. [3]
Depending on the situation, alternatives include removal of the whole kidney, active surveillance or ablation. Comparing them means considering cancer control, effects on health and the person’s preferences. [4]
Before and after surgery
Bring scan images, kidney function results and a medication list. Confirm fasting and medication instructions with the team; do not stop blood thinners on your own. Ask what support you will need at home. Recovery and hospital stay are individual. [5]
Follow-up reviews the pathology report, kidney function and planned imaging. Preserving tissue does not guarantee normal kidney function or remove the need for cancer follow-up. [6]
Questions for your visit:
- What makes kidney preservation feasible or difficult in my case?
- What would change if the whole kidney had to be removed?
- Which approach is proposed, and why?
- When will we review the pathology and follow-up plan?