Robotic-assisted partial nephrectomy is a minimally invasive surgical approach that utilises advanced robotic technology to remove a section of the kidney where a tumour is present. This procedure is typically recommended when the tumour is small and confined to a specific area of the kidney, allowing Dr Deanne to preserve the rest of the organ's function. Through the use of a console, Dr Deanne manipulates the robotic arms equipped with surgical instruments, benefiting from enhanced precision, dexterity, and control.

A robotic partial nephrectomy is recommended in cases where a surgeon needs to remove a tumour or part of the kidney to treat conditions like kidney cancer. Unlike open surgery, which requires a large incision, this minimally invasive robotic technique involves tiny keyhole incisions that provide unmatched precision and quicker healing.

The paramount advantage of robotic-assisted partial nephrectomy is its nephron-sparing approach, designed to preserve as much kidney function as possible. By targeting only the affected section, Dr Deanne can ensure the remaining kidney maintains its filtration capacity, which is vital for overall patient health and quality of life. Additionally, patients typically benefit from a faster recovery trajectory compared to conventional open surgery, due in part to the smaller incisions and reduced trauma to surrounding tissues. This approach generally results in less postoperative pain, a shorter hospital stay, and a quicker return to normal activities. Furthermore, robotic systems provide surgeons with a clearer, magnified view of the operative field, leading to more precise excisions and potentially reducing intraoperative blood loss, which can decrease the need for blood transfusions and mitigate risks associated with excessive bleeding.

Preparing for Surgery

Prior to surgery you will have a consultation with Dr Deanne. Here, you'll discuss the surgical plan in detail. She will provide you with clear instructions to prepare, which generally includes fasting and avoiding certain medications the day before the surgery.

The Surgical Procedure

The robotic partial nephrectomy is performed using robotic surgical technology. Keyhole incisions are made in the abdomen to access the kidney, ensuring minimal invasiveness and faster recovery for patients.

During the procedure, a high-definition 3D camera provides a magnified view, allowing for meticulous and precise movements. With the assistance of robotic arms, Dr Deanne delicately removes the tumour while preserving healthy kidney tissue, promoting optimal patient outcomes.

To ensure the utmost care, an additional assistant surgeon is present at the bedside, providing extra support and expertise throughout the procedure. The advanced robotic system offers unparalleled control, minimizing the risk of damage to surrounding structures and optimizing patient safety.

Under general anaesthesia, the procedure typically takes a few hours. Following the surgery, patients can generally expect a shorter hospital stay and faster recovery compared to traditional open surgery.

Post-Surgical Care

After surgery, you'll wake up in the recovery room with minimal discomfort. You can expect to spend one to two days in the hospital. A temporary catheter and drain tube may be used, but these are typically removed within a few days.

Recovering from a robotic partial nephrectomy is a step-by-step process. You’ll be guided through early mobilization, given pain management support, and taught to recognize signs of recovery and complications.

Potential Risks and Complications

While robotic partial nephrectomy is generally considered a safe procedure, it is crucial to be aware of potential complications that may arise. These include bleeding, infection, injury to surrounding organs, urine leakage, the possibility of requiring a total nephrectomy, and the risk of developing a hernia.

During pre-surgery consultations, Dr Deanne thoroughly discusses these potential complications, addressing any concerns or questions you may have. It is important to note that infection following the procedure is rare but may require antibiotic treatment. Although uncommon, excessive bleeding may necessitate a blood transfusion or additional surgical intervention. While highly unlikely, there is a small risk of unintentional injury to nearby organs, such as the intestine or blood vessels.

In some cases, urine leakage from the cut edge of the kidney may occur, requiring further treatment such as the placement of a draining internal stent. While the primary goal is to preserve kidney function, there is still a minimal risk that the entire kidney may need to be removed due to cancer or the need for bleeding control. Lastly, it is worth noting that small hernias may rarely develop from the keyhole incisions. To minimize this risk, it is advisable to avoid heavy lifting (>3kg) and straining.

Please remember that Dr Deanne will provide comprehensive guidance and support throughout your journey, ensuring your safety and well-being.

Ongoing Treatment: Follow-up Care

Follow-up appointments are scheduled to check your kidney function and discuss the results of the surgery. If cancer was the reason for the partial nephrectomy, ongoing surveillance and, possibly, adjuvant treatments will be integrated into your long-term care plan.

Life after a Robotic Partial Nephrectomy

Most patients return to light activities, like walking and sitting comfortably, within two weeks. Complete recovery typically occurs within six weeks, allowing you to resume all your normal activities, including sports and heavy lifting.

Dr. Deanne and her team are dedicated to supporting you at every stage of your robotic partial nephrectomy journey. Our goal is to restore your kidney health and help you return to a fulfilling life as quickly as possible.