Laparoscopic partial nephrectomy involves removal of a small kidney tumor while preserving the majority of the kidney. This approach allows the patient to maintain the greatest amount of kidney function while still ensuring total removal of the suspected kidney cancer.

Partial nephrectomy is a procedure that is performed via a large incision through the back, flank and abdomen. Laparoscopic surgical experts at Washington University are able to perform the surgery via three to four small “keyhole” incisions. Inside the body, the surgery is similar to the traditional open surgery. However, because there is no large and painful incision, patients are able to recover quickly, use less pain medicine, and return to work and leisure activities sooner.

For small tumors, partial nephrectomy has been shown to result in similar control of suspected cancer as total kidney removal. Hence, the ability to remove the cancer is not compromised by partial kidney removal. Although regular monitoring is necessary, most small tumors and cancers are cured through surgery. Further treatments (immunotherapy, chemotherapy or radiation) are rarely needed.

Washington University and Barnes-Jewish Hospital have one of the largest experiences in the world with this procedure. The surgery was originally conceived and performed here in 1993, long before most hospitals had even considered laparoscopic removal of kidney tumors. Several urologists perform this procedure. Robert Figenshau, M.D., and Sam Bhayani, M.D., specialize in laparoscopic kidney surgery and have a particular interest in seeing patients with kidney tumors.

If you would like an appointment or a second opinion on your kidney surgery, please contact the Division of Urology at (314) 362-8200, or contact the offices of the following urologic surgeons: