Kidney-sparing surgery

Robot-assisted partial nephrectomy

When it can be done safely from an oncological perspective, the goal is to remove the tumour while preserving as much functioning kidney tissue as possible.

Last updated: October 2026

During partial nephrectomy, the whole kidney is not removed. Robotic technology can assist with precise tumour excision and reconstruction of the remaining kidney.

Which kidney tumours may be suitable?

The decision is not based on size alone. Tumour location, relation to major vessels and the collecting system, tumour depth, the other kidney and overall kidney function all matter.

3D anatomical model of a kidney tumour and renal vessels for surgical planning
3D anatomical model for kidney tumour surgical planning. Reviewing the spatial relationship of the tumour, kidney and major vessels can support planning of kidney-sparing surgery.

How is the operation performed?

The surgeon directly controls instruments attached to robotic arms. The tumour is removed, vessels and the collecting system are repaired as needed, and the remaining kidney tissue is reconstructed.

Why preserve healthy kidney tissue?

Remaining functioning kidney tissue contributes to long-term kidney function. This can be particularly important in pre-existing kidney disease, a solitary functioning kidney or bilateral abnormalities.

When may kidney preservation be unsafe?

For some large, central or complex tumours, partial removal may carry disproportionate risk or fail to meet the oncological goal. In these situations, removal of the whole kidney may be the appropriate decision.

Kidney preservation is an important goal, but not at any cost. Oncological safety and the patient's overall wellbeing take priority.

What is recovery like?

Mobilisation usually begins early, hospital stay is 2-3 days after surgery. The return to full physical load vary. The treating team provides instructions based on the operation and intra-operative findings.

What risks can occur?

Possible complications include bleeding, infection, urine leakage, injury to nearby organs, thrombosis and other surgical complications. Rarely, the planned kidney-sparing operation may need to be modified during surgery for safety.

Frequently asked questions

Does robotic surgery guarantee that my kidney can be preserved?

No. Robotic technology can support precise surgery, but feasibility depends on the tumour's anatomical and oncological characteristics.

Why should I bring the original CT or MRI images?

The images provide detailed spatial information about tumour location that may not be fully conveyed by the written report alone.

This information is general and does not replace an individual medical examination or personalised surgical recommendation.

Individual assessment of kidney preservation

Whether a kidney can be preserved can only be assessed responsibly after detailed review of the CT or MRI images. Bring the original images as well as the written report.

What to bring to consultation