A laparoscopic nephroureterectomy is performed when there is a tumor in the lining of the kidney or ureter. For the best results in these patients, then entire kidney and ureter are removed together.
The surgery is performed with the patient under general anesthesia. Traditionally, the surgeon had to make large incision in the side of the abdomen to reach the kidney and ureter. Thanks to improved technology and surgical skills, these procedures can now be performed via laparoscopy and sometimes using the daVinci robot. The advantage of these new techniques is much smaller incisions (“key hole” surgery) resulting in less blood loss, dramatically decreased postoperative pain and a much faster overall recovery.
Expectation after surgery
Most patients are discharged from the hospital within 24 -48 hours post-operatively and back at work in 10 – 14 days.