Robotic-assisted partial nephrectomy is a minimally invasive surgical procedure to remove a tumour from the kidney while preserving as much healthy kidney tissue as possible. This approach is often referred to as “kidney-sparing” surgery, as it allows for cancer or benign tumours to be removed without removing the entire kidney.

At Urology SA, Dr Lam is highly experienced in robotic kidney surgery using the advanced da Vinci Surgical System. Their expertise allows them to perform precise, minimally invasive procedures tailored to each patient’s condition.

Who is suitable for robotic-assisted partial nephrectomy?

This procedure may be appropriate for patients with:

• A benign or cancerous kidney tumour
• A tumour smaller than 4 cm
• Tumours between 5–7 cm, depending on location and complexity
• A diseased portion of the kidney requiring removal, where the rest of the kidney remains functional

Preserving kidney tissue can reduce the risk of long-term kidney dysfunction or failure, making partial nephrectomy a preferred option when feasible.

Benefits of robotic-assisted partial nephrectomy

When appropriate, this procedure offers significant advantages over traditional open or laparoscopic surgery.

For the patient:

• Smaller incisions and minimal scarring
• Less blood loss
• Shorter kidney blood-flow interruption time (ischemia)
• Shorter hospital stay
• Faster overall recovery

For the surgeon:

• Enhanced 3D high-definition vision of internal structures
• Robotic instruments with greater precision and range of motion than the human hand
• Improved control, allowing meticulous removal of tumours and preservation of healthy tissue

How the procedure is performed

You will be placed under general anaesthetic for this procedure, which usually takes around 3 hours.

Steps include:

1. 3–5 small keyhole incisions are made in the abdomen.
2. A camera and robotic instruments are inserted.
3. Carbon dioxide gas inflates the abdomen to create working space and enhance visibility.
4. The blood supply to the kidney is temporarily interrupted (in most cases) to allow safe removal of the tumour.
5. The tumour or affected tissue is carefully excised from the kidney.
6. The kidney is reconstructed with meticulous suturing.
7. Blood flow is restored, instruments are removed, and the incisions are closed carefully to reduce the risk of hernia or scarring.

Recovery and what to expect after surgery

• Hospital stay is typically 2–3 nights
• Mild pain or discomfort is common and managed with medication
• You will be encouraged to:
  • Sit up and walk early to improve circulation and reduce risk of pneumonia or blood clots
  • Perform deep-breathing exercises as part of recovery

Uncommon complications may include:

• Urine leakage from the kidney repair site
• Injury to major blood vessels
• Incisional hernia, particularly if wound healing is impaired

If you experience any symptoms or concerns after discharge, contact our rooms. Our admin team will and arrange follow-up appointments to monitor your recovery.