Robotic Radical/Partial Nephrectomy
In Glens Falls, NY

Robotic Radical and Partial Nephrectomy

Robotic nephrectomy is a minimally invasive surgical procedure used to remove part or all of a kidney when a tumor or other abnormality is present. Depending on the tumor’s location, size, and complexity, Dr. Friedman may recommend either a partial nephrectomy (removal of the tumor and surrounding tissue) or a radical nephrectomy (removal of the entire kidney).

Both procedures are performed using the da Vinci robotic system, which allows for enhanced precision, smaller incisions, and faster recovery compared to traditional open surgery.
 

Understanding the Surgical Decision: Partial vs. Radical Nephrectomy

Choosing between a partial or radical nephrectomy is a complex, individualized decision. Dr. Friedman follows a structured approach to guide treatment planning, based on the following priorities:

1. Safety – Above all, the procedure must be performed safely, minimizing risk to surrounding organs and blood vessels

2. Oncologic Cure – Complete removal or destruction of the tumor

3. Nephron-Sparing (Kidney Preservation) – Preserving as much healthy kidney tissue as possible

4. Minimally Invasive Approach – When it can be safely and effectively applied

While imaging and planning provide important information before surgery, intraoperative findings may lead to adjustments—such as converting a partial to a radical nephrectomy if needed to ensure safety or complete tumor removal.

Dr. Friedman will review your imaging, walk you through the risks and benefits of each approach, and make a final decision in the operating room based on real-time assessment and your pre-discussed preferences.
 

What to Expect During Surgery

• Performed under general anesthesia using small incisions

• The robotic system provides enhanced dexterity and visualization for precise dissection

• For partial nephrectomy, the tumor is carefully removed while preserving surrounding kidney tissue

• For radical nephrectomy, the entire kidney (and sometimes the adrenal gland or nearby lymph nodes) is removed

Hospital Stay and Catheter Use

• All patients stay at least one night in the hospital

• A urinary catheter is placed during surgery and removed the following day

• Pain is managed with a combination of oral and IV medications

• Walking is encouraged on the evening of surgery to reduce complications and support recovery

Drain Use in Partial Nephrectomy

In partial nephrectomy patients, a surgical drain may be placed at the time of surgery to monitor for bleeding or urine leakage:

• The drain exits through a small incision and is secured to the skin

• It is typically removed before hospital discharge or at your first post-operative visit

• If present, we provide clear instructions on how to care for the drain at home

Recovery Timeline

• Hospital stay: Typically 1 day, depending on recovery and complexity

• 1–2 weeks: Return to light activities; lifting restrictions apply

• 4–6 weeks: Most patients return to full activity

• Follow-up imaging and labs: Monitor kidney function and ensure proper healing

Dr. Friedman will guide you through a detailed recovery plan tailored to your procedure and needs.
 

Risks and Side Effects

While robotic nephrectomy is generally well tolerated, potential risks include:

• Bleeding or need for transfusion

• Injury to nearby organs or vessels

• Infection or urine leakage (more common with partial nephrectomy)

• Decreased kidney function, especially if the remaining kidney has preexisting issues

• Need for conversion from partial to radical based on findings during surgery

These risks are thoroughly discussed during your consultation, and every effort is made to reduce complications while prioritizing oncologic success and kidney preservation.
 

A Thoughtful, Personalized Approach to Kidney Surgery

Dr. Friedman believes in transparency and shared decision-making. Every patient undergoing robotic nephrectomy will receive a personalized evaluation of their condition, a review of all imaging, and an open discussion of surgical options, goals, and trade-offs.

We follow the guiding principles in the following order of importance:

• Safety First

• Oncologic Cure

• Nephron Preservation

• Minimally Invasive Surgery

This philosophy ensures that you receive care that is both technically excellent and aligned with your values.
 

Convenient, Expert Surgical Care Close to Home

We are proud to provide robotic partial and radical nephrectomy to patients in Glens Falls, Saratoga, and the surrounding Capital and Adirondack Regions. You don’t have to travel far to receive advanced surgical care for kidney cancer and complex kidney conditions.

Contact us today to schedule a consultation and explore the best treatment path for your diagnosis.