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Hand-Assisted Laparoscopic Partial Kidney Removal

Laparoscopic partial nephrectomy (removal of a portion of the kidney through small incisions) is a procedure that removes a small kidney tumor and leaves the rest of the patient’s kidney in place. Laparoscopic partial nephrectomy may only be performed for tumors 3-4 centimeters in diameter or smaller. This type of kidney surgery requires little special post hospital care.

When you get home:

Diet

When you return home you may return to your normal diet immediately. We suggest starting lighter food. To avoid constipation, drink plenty of fluids during the day (8 - 10 glasses).

Activity

You may resume normal activity including walking outside, climbing stairs and going out for dinner. You should not resume any form of strenuous activity (jogging, tennis, golf, treadmill, etc.) for 6 weeks after surgery. Then, increase this as tolerated. You may drive a car locally 2-3 weeks after surgery as long as you are not having pain or taking narcotic pain medications.

Medication

You should resume your pre-surgery medication unless told not to. In addition you will often be given some type of pain medication. These should be taken as prescribed on the side of the bottle unless you are having an unusual reaction to one of the drugs.

Wound

Your incision is sealed from outside bacteria within two days of surgery, however you should make sure the area is clean and free from bacteria for the first 2 weeks. The incision will be tender for the first week and the edges should not be pulled apart. The steri-strips should be left on for at least 10-14 days, if possible. After this period, you may remove the steri-strips. If a new area of redness or swelling occurs, please let us know. You may take a shower, but not a bath for the first 2 weeks. Do not scrub the incision or steri-strips. Just let the soap and water run over them and pat them dry.

Side Effects:

Bowels

It is important to keep your bowels regular during the postoperative period. Use a mild laxative if needed and call if you are having problems. (Milk of Magnesia 2-3 Tablespoons, or 2 Dulcolax tablets for example). You may also wish to take a stool softener (Colace 100 mg twice per day) for a couple of weeks after surgery. If this results in loose stools, decrease to once per day or stop completely.

Problems you should report to us:

  • Fevers over 101.3 Fahrenheit
  • Increasing pain, swelling or redness of the incision
  • Drug reactions (Hives, rash, nausea, vomiting, diarrhea)
  • If you have persistent nausea or vomiting

Follow Up:

You will need a follow-up appointment to monitor your progress. Call your physician’s office to schedule an appointment when you get home or from the phone in your hospital room before leaving. Usually the first appointment will be about 7 - 14 days after your surgery.