Procedures done laparoscopically
Most kidney and ureteric operations that once required a large flank incision are now done through keyhole access.
- Radical and simple nephrectomy
- Pyeloplasty for PUJ obstruction
- Renal cyst deroofing
- Ureterolithotomy for large impacted stones
- Adrenalectomy and donor nephrectomy
Why the recovery is different
The flank incision used in open kidney surgery divides muscle, and the ache from that can last months. Laparoscopic ports avoid it. Blood loss is lower, wound infection is uncommon, and most patients go home in two to three days instead of a week.
When open surgery is still the right call
Very large tumours, dense adhesions from previous surgery or infection, and some emergencies are safer done open. Being told this in advance — and having a surgeon willing to convert mid-operation when safety demands it — is a feature, not a failure.
Laparoscopic Urology Surgery — common questions
How many cuts does laparoscopic surgery need?
Usually three or four ports of 5 to 12 mm, plus a slightly larger incision when a specimen has to be removed intact.
Is laparoscopic surgery painful?
Much less than open surgery. Most patients need only simple painkillers after the first day or two.
When can I go back to work?
Two to three weeks for desk work; four to six weeks before heavy lifting.
Is laparoscopic surgery as effective for cancer?
Yes, for appropriately selected tumours the cancer clearance is equivalent to open surgery.
Reviewed by Dr. Kinjal Banerjee, MBBS, MS (General Surgery), DNB (Urology) — Urologist, Renal Transplant & Robotic Surgeon, Faridabad. This page explains laparoscopic urology surgery in general terms; your own treatment plan depends on your reports and examination.