Cancerous Kidney Removal Made Easier

A new laparoscopic alternative to standard surgery for treating kidney cancer reduces patient discomfort in many important ways.

A state-of-the-art approach to the removal of cancerous kidneys at Monmouth Medical Center is benefiting patients by significantly reducing pain and potential complications, as well as their hospital stays.

Hand-assisted laparoscopic nephrectomy allows surgeons to remove a kidney through a three-inch incision - an opening large enough for a surgeon's hand to manipulate the diseased organ. This is an alternative to standard surgery, which requires a 10- to 20-inch incision in the abdomen and, frequently, the removal of the patient's 12th rib.

Introduced at The Center for Minimally Invasive Surgery at Monmouth by urologist Y. Samuel Litvin, M.D., and medical director Frank J. Borao, M.D., the procedure has proven highly effective for treating the cancer while causing minimal discomfort to patients, who recover much quicker than those undergoing open procedures.

Adrenal Surgery 'Tops' the Kidneys

Situated directly above the kidneys, hormone-producing adrenal glands also can be removed through minimally invasive surgery when tumors are present. Rather than making one large incision to remove the gland, several small incisions are made to perform an adrenalectomy by utilizing a laparoscope and slender surgical instruments.
"The tiny camera attached to the laparoscope allows us to visualize the area so that we can remove the gland without affecting the adjacent structures, including the pancreas, liver and spleen," explains surgeon Frank J. Borao, M.D., FACS, medical director of The Center for Minimally Invasive Surgery. "In the past, large incisions needed to be made to give us the exposure we needed to prevent any injury to those vital structures."
This state-of-the-art approach also reduces the risk of scarring, hernia and postoperative pain, and leads to a shorter hospital stay and a recovery period that lasts several days, instead of several weeks.
Adrenal tumors - the majority of which are benign - develop on the gland when it produces an excess amount of hormones, which can lead to metabolism problems and high blood pressure.

Monmouth Medical Center is the first hospital in central New Jersey to offer patients this treatment option for kidney cancer.

"Hand-assisted laparoscopic nephrectomies are a lot more patient friendly and represent a real change in the approach to renal carcinomas," Dr. Litvin says. "The ability to manipulate the diseased kidney by hand gives us the tactile information and depth perception that were missing with the standard laparoscopic procedures."

For patients requiring urologic surgery, the benefits of the laparoscopic approach are numerous, Dr. Borao explains. "Compared to conventional surgery, the laparoscopic approach permits smaller skin incisions, less pain medication, faster healing, shorter recovery time and a quicker return to normal activities or work."

For more information on laparoscopic nephrectomy for kidney removal or laparoscopic adrenalectomy, call Monmouth Medical Center at 732-870-5500.

[ top ]