Robotic or laparoscopic kidney surgery is suitable for patients with benign and malignant conditions resulting in end-stage kidney disease (kidney failure), including infection, kidney stones, obstruction, dysplasia and renal vascular hypertension.
Robotic or laparoscopic radical nephrectomy is an excellent minimally invasive treatment for the majority of localized renal tumors, up to 12 to 15 centimeters in size.
Unlike a conventional nephrectomy, robotic and laparoscopic kidney surgery requires only several small incisions.
What are the advantages of this surgery?
USMD Hospital at Arlington was the first in the DFW area to offer fluorescent imaging to assist the surgeon during robotic-assisted kidney surgery. The new technology allows a surgeon to see and assess anatomy better than with the naked eye and therefore perform a meticulous dissection of a tumor, avoiding interference with a healthy blood supply and long-term damage to the healthy kidney tissue. For patients, the robotic technology translates into less pain, quicker recovery, shorter hospital stays, a lower rate of complications and excellent clinical outcomes.
The specially designed camera and endoscopes allow surgeons to capture images of tissue and surrounding blood vessels by injecting a unique fluorescence dye that is activated by near-infrared light. In addition to standard real-time images of the surgical field, the camera can switch to view the images of tissue and surrounding blood vessels illuminated by the special dye when exposed to the near-infrared light. Using this technology allows physicians to better differentiate between malignant and normal tissue almost immediately during the process as a cancerous tumor stains less brightly than normal kidney matter.
USMD is the only hospital in the DFW Metroplex consistently using fluorescent-imaging enhanced robotic surgery for radical nephrectomy. Technically more advanced, our urologists believe this approach offers significant advantages to the patient, including:
- Avoidance of potential bowel complications after surgery
- Reduced hospital stay (one day in younger, healthy patients) and faster healing
- Less postoperative pain and less need for pain medication
- Quicker return to normal activity and work
- Smaller incisions and less scarring