Keyhole or robotic removal of the whole kidney for larger, more complex, or centrally placed kidney tumours - performed through small incisions whenever possible.
A radical nephrectomy is the removal of the whole kidney, together with its surrounding fatty envelope, usually for kidney cancer that is not suitable for kidney-preserving surgery. In most cases Dr Kooner performs this operation laparoscopically or with robotic assistance, through several small keyhole incisions rather than one large open wound. Alternatively, one single small incision is made (single port robot).
The remaining (healthy) kidney takes over urine production. Most patients with a normal second kidney go on to have normal long-term kidney function.
A radical nephrectomy is typically considered when:
Where partial nephrectomy is feasible it is preferred - but for the right indications, radical surgery remains the most reliable way to clear locally confined disease.
Under general anaesthetic, four or five small incisions are made in the abdomen or flank (multi port robot). Alternatively, a single small incision is made (single port robot). The kidney is freed from its surrounding tissues, the main renal artery and vein are carefully identified and divided with secure clips or staples, and the kidney is removed inside a sealed specimen bag via a slightly enlarged incision. The small wounds are then closed with dissolvable sutures or surgical glue.
A CT (and sometimes MRI) is reviewed to confirm staging and plan the approach. Baseline blood tests including kidney function are checked, along with anaesthetic fitness.
Admission on the day of surgery. The keyhole procedure typically takes 2–3 hours.
Most patients are up and walking the following day and home within 2–5 days, depending on recovery and pain control.
Light walking and desk work within 1–2 weeks; driving usually from around 2 weeks; strenuous exercise and heavy lifting withheld for 4–6 weeks.
A tailored follow-up schedule is agreed based on the final pathology and stage - typically involving periodic imaging and blood tests.
Yes. The remaining kidney typically increases its workload and most people go on to have essentially normal kidney function. Regular blood pressure and kidney function checks are sensible long-term.
Traditional kidney cancer does not respond to standard chemotherapy. Surgery alone is curative for most localised disease. If the pathology shows aggressive features, modern immunotherapy and targeted therapies may be recommended and are coordinated with a medical oncologist.
For a keyhole radical nephrectomy, typically 2–4 days depending on recovery, pain control, and how far you are travelling from home.
Always a fair question. If another surgeon has recommended a full nephrectomy and you are not sure whether partial surgery is possible, Dr Kooner is happy to review the imaging and give a second opinion.
Arrange a consultation or request a second opinion on kidney cancer, stones, or reconstructive kidney surgery.