Amr Fergany, MD. Robert Stein, MD. Treatment Guides Learn more about how laparoscopic or robotic surgery is used to treat bladder, kidney and prostate cancers.
Robotic Urologic Surgery
Highlights of the Laparoscopic and Robotic Kidney Surgery program: Refined technique for centrally located kidney tumors First to perform robotic partial nephrectomy in a kidney transplant Expertise in partial nephrectomy for multiple tumors in the same kidney or bilateral tumors Cleveland Clinic urologists performed the world's first laparoscopic removal of a cancerous bladder, followed by surgery to reconstruct the bladder out of intestinal tissue. Highlights of the Laparoscopic and Robotic Bladder Surgery program: First to perform laparoscopic intracorporeal urinary diversion Developed a technique for robotic intracorporeal formation of a new bladder from bowel after removal of the bladder for cancer Highlights of the Stereotactic and Kidney Cryoablation Surgery program: One of the most experienced kidney ablation programs in the nation Developed stereotactic techniques to improve needle positioning during kidney tumor ablation Highlights of the Single Port Laparoscopic and Robotic Surgery program: Developed novel techniques for belly button surgery for kidney, prostate and bladder surgery Defined the initial technique of using robotics for single port surgery.
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These symptoms do not always mean you have kidney cancer and may be caused by other conditions. However, it is important to discuss any symptoms with your doctor, since they may signal other health problems. Most tumors of the kidney are malignant cancer , but some are benign not cancer. There is no imaging test that can tell if a kidney tumor is benign or cancerous.
Robotic Renal Surgery
If you have symptoms that may signal kidney cancer, your doctor will ask you questions about your health; your lifestyle, including smoking and drinking habits; and your family medical history. One or more of the following tests may be used to find out if you have kidney cancer and if it has spread. These tests also may be used to find out if treatment is working. This involves the insertion of a long, thin needle into the kidney to take a tiny sample of tissue for examination under a microscope.
If you are diagnosed with kidney cancer, your doctor will determine the stage of the disease. Staging is a way of classifying cancer by how much disease is in the body and where it has spread when it is diagnosed. This helps the doctor plan the best way to treat the cancer.
Removing part of a kidney (partial nephrectomy)
After a biopsy or surgery for removal of the tumor, a grade or nuclear grade is assigned to kidney cancer. The cancer grade is a measure of how likely the cancer is to spread. The pathologist assigns the grade after looking at the tumor cells under the microscope. Once the staging classification is determined, it stays the same even if treatment is successful or the cancer spreads. If you are diagnosed with kidney cancer, your doctor will discuss the best options to treat it.
This depends on several factors, including the stage of the cancer and your general health. One or more of the following therapies may be recommended to treat the cancer or help relieve symptoms. Tumors that are confined to the kidney or to the area around the kidney usually are surgically removed. When your surgeon has a high level of experience in this type of surgery, your outcomes are likely to be better. You can usually live with one kidney, but if both kidneys are removed or not working you will need kidney dialysis a way to clean the blood with a machine.
A kidney transplant may be an option for some patients. Sometimes the adrenal gland and nearby lymph nodes are removed too. One of the following methods will be used, depending on the size of the tumor and other factors that your surgeon will consider. The surgeon removes the entire kidney through the incision. Other tiny incisions are made for miniature surgical instruments to remove the kidney. Benefits of this procedure include a shorter hospital stay one to two days vs.
Surgeon experience is important for this procedure. High quality pre-treatment imaging is used to determine what will be removed, and ultrasound can be used to look for additional tumors during surgery. Candidates for partial nephrectomy are chosen based on favorable tumor location, co-existing health problems that may affect the treatment outcome, the condition of the kidneys and the patient's desire to save the kidney.
Partial nephrectomy is best for kidney cancer tumors that are 4 centimeters or less in size. They can be done for larger tumors when necessary. Partial nephrectomy can be done by traditional or laparoscopic robotic methods. Robotic partial nephrectomy RPN offers a shorter hospital stay one to two days instead of four to five days and quicker recovery. Other minimally invasive surgery techniques use either heat or cold to treat tumors in place, without having to remove the kidney.
Intensive follow-up with X-rays or other imaging procedures is required to ensure that the tumor has been destroyed. Kidney tumors are not very sensitive to radiation, but healthy kidneys are, so radiation as a frontline treatment is not advisable.
Robotic Surgery Program for Urology | UC Health
In some cases, radiation may be used to help relieve pain and other symptoms when kidney cancer has spread to the bone, brain, or other parts of the body. Kidney tumors are very vascular, meaning they have a large number of blood vessels. The tumors use a process called angiogenesis to create their own network of blood vessels, enabling the cancer to thrive and grow. These blood vessels are vulnerable to anti-angiogenic drugs , which are developed to take advantage of this process.
This new generation of drugs targets the blood vessels leading to the tumor without harming normal blood vessels. A combination of gemcitabine and capecitabine is sometimes used to treat metastatic renal cell cancer. Surgeons experienced with the da Vinci system can be found using the Surgeon Locator.
Intuitive for Urology Patients. Understand your urologic surgery options. Urologic conditions. The urology specialty covers conditions of the male and female urinary tract system and the male reproductive system. The urinary tract includes the kidneys, bladder, and associated connective tissues and muscles. The male reproductive system encompasses the prostate gland, penis, testicles, and associated connective structures.
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Conditions that cause problems of these systems include, but are not limited to, enlarged prostate, benign tumors, and cancer and may require medical attention. In the case of cancer or when lifestyle changes, medicine, and other options do not ease symptoms of other conditions, your doctor may suggest surgery. Types of surgery. In the past, surgeons made large incisions in skin and muscle so that they could directly see and work on the area of concern.
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