Kidney tumors can be operated either by conventional open surgery or by laparoscopy (Laparoscopic Radical Nephrectomy). Laparoscopic or Laproscopic cancer surgery has several advantages over conventional open surgery with same cure rate. Only surgery is curative in most of the cancers. Additional therapies (chemotherapy & radiotherapy) are mostly supportive. But, many patients and their relatives try to avoid surgery for the fear of the immense trauma for their loved ones, resulting in patient getting wrong or less effective treatment. With laparoscopy the trauma is much less and makes the treatment more acceptable. The Team MACS precisely addresses all these issues and works relentlessly for a better life.
DR. SANDEEP NAYAK
MNAMS (Gen Surg), DNB (Surgical Oncology),
Fellowship in Laparoscopic and Robotic Onco-Surgery.
Dr Nayak is one of the leading senior Surgical Oncologists (cancer surgeon) of Bangalore. He is one of the pioneers of Laproscopic (laparoscopic) cancer treatment (surgery). He is the Director of Surgical Oncology at Fortis Hospital, Bangalore.
DR. V. SREEKANTH REDDY
is a surgical oncologist with interest in minimal access cancer surgeries. He finished his MCh (Surgical Oncology) training from Vydehi medical College and later did fellowship in minimal access and robotic Surgical Oncology. He has special interest in Breast cancers, Minimal access surgical oncology and Cytoreduction and HIPEC procedures. He has won award for best surgical video presentation in National conference and Best Abstract presentation in International conference, Korea.
LEAST PAIN & DISCOMFORT
LESS BLOOD LOSS
BETTER PRESERVATION OF PELVIC NERVES MAINTAINING THE SEXUAL & URINARY FUNCTIONS
COSMETICALLY BETTER (SMALLEST WOUND & SCAR)
SHORT HOSPITAL STAY
AVOID UNNECESSARY MAJOR SURGERY
LEAST WOUND COMPLICATIONS VERY LESS RISK OF WOUND INFECTION ESPECIALLY AFTER COLOSTOMY
NO PROLONGED STARVATION; BOWEL MOVEMENTS RECOVER MUCH QUICKER
QUICKER RETURN TO NORMAL LIFE & WORK
GET ALL THE ADVANTAGES OF ROBOTIC SURGERY
BETTER VISION QUALITY FOR THE SURGEON
What Is Kidney Cancer ?
We have 2 kidneys which are located in the back of the abdomen, one on each side, just underneath the ribcage. They filter the blood and remove waste products, which they convert into urine. The tubes called ureters drain urine into bladder where it is stored. The kidneys also help to control the balance of fluid, salt and minerals in the body and to maintain blood pressure. The kidneys are contained in a fibrous covering called the Gerota’s fascia and surrounded by a layer of fat.
Kidney cancer is more common in people over 60 and rarely affects people under 40. Usually only one kidney is affected, and it’s rare for cancer to affect the other kidney. There are different types of kidney cancer. About 90% of kidney cancers are clear cell cancers. Less common types are papillary, chromophobe, collecting duct renal cancer and transitional cell cancers. Wilms’ tumour is rare type of kidney cancer that is seen in young children.
Early kidney cancers don’t usually cause any symptoms. However, now-a-days these are often diagnosed by chance when people are having tests or scans for some other reason. Delayed diagnosis is rare as ultrasound scan of abdomen is routinely used.
The classical symptoms that are seen especially when the tumor grows larger are:
- blood or sometimes blood clots in the urine (haematuria)
- a lump in the abdomen on the side of the tumor
- a dull pain in the side between your upper abdomen and back
- rarely a combination of high temperature, night sweats, feeling very tired, or losing weight for no obvious reason may be seen.
Today kidney cancers are mostly diagnosed based on scans (CT or MRI). No biopsy is needed as the images give clear idea about the presence of disease. However, if there is any doubt, a needle biopsy (FNAC) may be used to confirm the diagnosis.
Staging & Treatment
Surgery is the only curative treatment available for kidney tumors. Chemotherapy or radiotherapy have very limited role.