Anyone had Laparascopic Partial Nephrectomy?

HeatherHa
HeatherHa Member Posts: 22
Had anyone had partial Nephrectomy done Laparascopic? If so, for what size tumor?

It seems everyone that does partial nephrectomy do it open stomach, and anyone doing it Laparscopic does a radical nephrectomy, and not just partial.

Comments

  • icemantoo
    icemantoo Member Posts: 3,359 Member
    A little insight
    In my day 9 years ago they were not doing partials. My 4.2cm little rascal as well as my left kidney was removed Laproscopically. If it had been larger or the procedure was more difficult it would have been done with an open cut. Partials are now done to preserve kidney function where possible. A partial is a longer more difficult surgery as they cut and redo the kidney rather than just remove it. This added difficulty for a partial makes it more difficult to do laproscopically. That being said others may have an answer to your question as to whether in some circumstances a partial can be done laproscopically.

    On the good side I get a free t shirt this Saturday at a local Relay for Life event as well as a free Survivors' lunch. I paid my dues for both. It is amazing what we do for a free t shirt. but the choice was not up to me and I intend to make the best of it for the next 20 or thirty years. I will be 68 in 2 months and am already near the last one quarter of my life.
  • VeryAnxious
    VeryAnxious Member Posts: 67
    icemantoo said:

    A little insight
    In my day 9 years ago they were not doing partials. My 4.2cm little rascal as well as my left kidney was removed Laproscopically. If it had been larger or the procedure was more difficult it would have been done with an open cut. Partials are now done to preserve kidney function where possible. A partial is a longer more difficult surgery as they cut and redo the kidney rather than just remove it. This added difficulty for a partial makes it more difficult to do laproscopically. That being said others may have an answer to your question as to whether in some circumstances a partial can be done laproscopically.

    On the good side I get a free t shirt this Saturday at a local Relay for Life event as well as a free Survivors' lunch. I paid my dues for both. It is amazing what we do for a free t shirt. but the choice was not up to me and I intend to make the best of it for the next 20 or thirty years. I will be 68 in 2 months and am already near the last one quarter of my life.

    I did robotic. It was for
    I did robotic. It was for about a 3 cm tumor.
  • umd
    umd Member Posts: 6

    I did robotic. It was for
    I did robotic. It was for about a 3 cm tumor.

    Hi, VeryAnxious,
    I did

    Hi, VeryAnxious,

    I did robotic too. How big was your resection ? Margin of the resection was negative or positive? Mine was positive and is worried about the result.
  • mohit
    mohit Member Posts: 2
    umd said:

    Hi, VeryAnxious,
    I did

    Hi, VeryAnxious,

    I did robotic too. How big was your resection ? Margin of the resection was negative or positive? Mine was positive and is worried about the result.

    hi bro i m 32 year indian
    hi bro i m 32 year indian last year in augest 2011 my 2.4 cm tumour was removed by open partial nephrectomy i also got positive cut margin in my petho report i m also worry about future plz response me what are complications for positive cut margin
  • livealive
    livealive Member Posts: 127
    mohit said:

    hi bro i m 32 year indian
    hi bro i m 32 year indian last year in augest 2011 my 2.4 cm tumour was removed by open partial nephrectomy i also got positive cut margin in my petho report i m also worry about future plz response me what are complications for positive cut margin

    "Negligible" impact from positive margin in RCC
    http://www.europeanurology.com/article/S0302-2838(09)00314-5/pdf/Positive+Surgical+Margin+Appears+to+Have+Negligible+Impact+on+Survival+of+Renal+Cell+Carcinomas+Treated+by+Nephron-Sparing+Surgery

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2704565/

    The overall 10-year probability of freedom from local disease recurrence was 93% (95% CI 89, 95), and from metastatic progression 93% (95% CI 90, 95), with no significant difference between patients with positive vs. negative margins (p=0.97 and 0.18, respectively). PSMs were not associated with an increased risk of local recurrence or metastatic disease.

    See the above link(s)

    Raj.
  • j_rod
    j_rod Member Posts: 125

    I did robotic. It was for
    I did robotic. It was for about a 3 cm tumor.

    hi va
    I will be having a partial robotic in two weeks. Mine is also small - 2.9. I would greatly appreciate it if you can tell me all about your experience with the operation. Mine is on the lower pole of the right kidney. Please reply if you can.
  • j_rod
    j_rod Member Posts: 125
    umd said:

    Hi, VeryAnxious,
    I did

    Hi, VeryAnxious,

    I did robotic too. How big was your resection ? Margin of the resection was negative or positive? Mine was positive and is worried about the result.

    umd
    I just posted a request to VeryAnxious. I would also like to know your experience with the partial robotic procedures. I, too, am anxious due to the information I have read - for instance, there is only a 30 minute warm ischemic (sp?) time to get the tumor out and close the kidney before starting the flow of blood back into the kidney, otherwise damage to the kidney will occur. I have asked my doctor the possibility of a radical, but he thinks the partial will be okay. Please let me know how you felt after the surgery, how long the recovery was, and how many days of 'hard' pain you experienced. I just want to be prepared as my surgery is 200 miles away and the doctor stated that I would be up walking after the surgery and I would go home the next day. I am reading on this log that many people, no matter what type of nephrectomy, stayed 3 days on average. I guess I need to know because I need to make hotel reservations for my fiance who it going with me and I need to make sure I reserve enough time at the hotel and I need to make sure he requests enough time off from work. Thanks.
  • One Lucky Girl
    One Lucky Girl Member Posts: 68
    j_rod said:

    umd
    I just posted a request to VeryAnxious. I would also like to know your experience with the partial robotic procedures. I, too, am anxious due to the information I have read - for instance, there is only a 30 minute warm ischemic (sp?) time to get the tumor out and close the kidney before starting the flow of blood back into the kidney, otherwise damage to the kidney will occur. I have asked my doctor the possibility of a radical, but he thinks the partial will be okay. Please let me know how you felt after the surgery, how long the recovery was, and how many days of 'hard' pain you experienced. I just want to be prepared as my surgery is 200 miles away and the doctor stated that I would be up walking after the surgery and I would go home the next day. I am reading on this log that many people, no matter what type of nephrectomy, stayed 3 days on average. I guess I need to know because I need to make hotel reservations for my fiance who it going with me and I need to make sure I reserve enough time at the hotel and I need to make sure he requests enough time off from work. Thanks.

    Stay nearby
    Hi j_rod,

    I'm sure you have seen my previous posts re: my (successful) partial nephrecotmy with Da Vinci surgery (see 'Wish I Were The Last Newbie On This Board'), so I won't repeat them here, but if you really have to leave the hospital the next day, I would strongly recommend that you stay nearby. I am very fit and athletic, but couldn't even walk at all until 48 hours after surgery. By day 3 I started to feel much stronger, but I don't think I could have withstood a 200 mile car ride. Also, if anything happens in that early period you want the hospital to be accessible to you. Hope this helps.
  • mohit
    mohit Member Posts: 2
    livealive said:

    "Negligible" impact from positive margin in RCC
    http://www.europeanurology.com/article/S0302-2838(09)00314-5/pdf/Positive+Surgical+Margin+Appears+to+Have+Negligible+Impact+on+Survival+of+Renal+Cell+Carcinomas+Treated+by+Nephron-Sparing+Surgery

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2704565/

    The overall 10-year probability of freedom from local disease recurrence was 93% (95% CI 89, 95), and from metastatic progression 93% (95% CI 90, 95), with no significant difference between patients with positive vs. negative margins (p=0.97 and 0.18, respectively). PSMs were not associated with an increased risk of local recurrence or metastatic disease.

    See the above link(s)

    Raj.

    THANKS A LOT BRO YOUR
    THANKS A LOT BRO YOUR COMMENT MAKE ME HAPPY
  • Texas_wedge
    Texas_wedge Member Posts: 2,798
    mohit said:

    hi bro i m 32 year indian
    hi bro i m 32 year indian last year in augest 2011 my 2.4 cm tumour was removed by open partial nephrectomy i also got positive cut margin in my petho report i m also worry about future plz response me what are complications for positive cut margin

    Prognosis
    Mohit, this is the sort of question that's probably best answered by your medical careers (but, as an Indian, do check they're not cowboys!)
  • Texas_wedge
    Texas_wedge Member Posts: 2,798
    mohit said:

    hi bro i m 32 year indian
    hi bro i m 32 year indian last year in augest 2011 my 2.4 cm tumour was removed by open partial nephrectomy i also got positive cut margin in my petho report i m also worry about future plz response me what are complications for positive cut margin

    Prognosis
    Mohit, this is the sort of question that's probably best answered by your medical careers (but, as an Indian, do check they're not cowboys!)
  • Texas_wedge
    Texas_wedge Member Posts: 2,798
    mohit said:

    hi bro i m 32 year indian
    hi bro i m 32 year indian last year in augest 2011 my 2.4 cm tumour was removed by open partial nephrectomy i also got positive cut margin in my petho report i m also worry about future plz response me what are complications for positive cut margin

    Prognosis
    Mohit, this is the sort of question that's probably best answered by your medical careers (but, as an Indian, do check they're not cowboys!)
  • Texas_wedge
    Texas_wedge Member Posts: 2,798
    mohit said:

    hi bro i m 32 year indian
    hi bro i m 32 year indian last year in augest 2011 my 2.4 cm tumour was removed by open partial nephrectomy i also got positive cut margin in my petho report i m also worry about future plz response me what are complications for positive cut margin

    Prognosis
    Mohit, this is the sort of question that's probably best answered by your medical careers (but, as an Indian, do check they're not cowboys!)
  • Texas_wedge
    Texas_wedge Member Posts: 2,798
    mohit said:

    hi bro i m 32 year indian
    hi bro i m 32 year indian last year in augest 2011 my 2.4 cm tumour was removed by open partial nephrectomy i also got positive cut margin in my petho report i m also worry about future plz response me what are complications for positive cut margin

    Prognosis
    Mohit, this is the sort of question that's probably best answered by your medical careers (but, as an Indian, do check they're not cowboys!)
  • Texas_wedge
    Texas_wedge Member Posts: 2,798
    mohit said:

    hi bro i m 32 year indian
    hi bro i m 32 year indian last year in augest 2011 my 2.4 cm tumour was removed by open partial nephrectomy i also got positive cut margin in my petho report i m also worry about future plz response me what are complications for positive cut margin

    Prognosis
    Mohit, this is the sort of question that's probably best answered by your medical careers (but, as an Indian, do check they're not cowboys!)
  • Texas_wedge
    Texas_wedge Member Posts: 2,798

    Prognosis
    Mohit, this is the sort of question that's probably best answered by your medical careers (but, as an Indian, do check they're not cowboys!)

    Mohit's question
    Sorry guys, surgery this afternoon seems to have given me a stutter! Also this isn't the thread I repeatedly posted it on - the CSN system seems to have gone screwball.