bandage-green

Partial Nephrectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lateral, one arm extended, one arm tucked, Bed turned 90 degrees
Time : 2-4 hours (long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Quadratus Lumborum
Considerations : Arterial line, High Blood Loss, PONV

Anesthetic Approaches

1GETT, Nerve Block
2GETT, Epidural
The Surgery

Approach - open flank, laparoscopic, or robotic. Robotic transperitoneal or retroperitoneal is now the usual route for small peripheral masses; open flank is reserved for large, central, or hilar...

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