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GIST tumor and Right Nephrectomy done at Keshav Hospital Nagpur
Gastrointestinal stromal tumor usually arises from the stroma tissue of large intestine. The tumor was invading Right ureter & Hydronephrotic changes occurred in the kidneys. In preview of the same Plan of Right Nephrectomy was taken to avoid postoperative complications & relapse. Right kidney was thus removed & ureter is listed.


Gastrointestinal stromal tumor

 Description

A gastrointestinal stromal tumor(GIST) is a type of tumor that occurs in the gastrointestinal tract, most commonly in the stomach or small intestine. The tumors are thought to grow from specialized cells found in the gastrointestinal tract called interstitial cells of Cajal (ICCs) or precursors to these cells. GISTs are usually found in adults between ages 40 and 70; rarely, children and young adults develop these tumors. The tumors can be cancerous (malignant) or noncancerous (benign).

Small tumors may cause no signs or symptoms. However, some people with GISTs may experience pain or swelling in the abdomen, nausea, vomiting, loss of appetite, or weight loss. Sometimes, tumors cause bleeding, which may lead to low red blood cell counts (anemia) and, consequently, weakness and tiredness. Bleeding into the intestinal tract may cause black and tarry stools, and bleeding into the throat or stomach may cause vomiting of blood.

Affected individuals with no family history of GIST typically have only one tumor (called a sporadic GIST). People with a family history of GISTs (called familial GISTs) often have multiple tumors and additional signs or symptoms, including noncancerous overgrowth (hyperplasia) of other cells in the gastrointestinal tract and patches of dark skin on various areas of the body. Some affected individuals have a skin condition called urticaria pigmentosa (also known as cutaneous mastocytosis), which is characterized by raised patches of brownish skin that sting or itch when touched.

Kidney removal, or nephrectomy, is surgery to remove all or part of a kidney. It may involve:

Part of one kidney removed (partial nephrectomy).All of one kidney removed (simple nephrectomy).Removal of one entire kidney, surrounding fat, and the adrenal gland (radical nephrectomy). In these cases, neighboring lymph nodes are sometimes removed.

Description

This surgery is done in the keshav hospital while you are asleep and pain-free (general anesthesia). The procedure can take 3 or more hours.

Simple nephrectomy or open kidney removal:

You will be lying on your side. Your surgeon will make an incision (cut) up to 12 inches or 30 centimeters (cm) long. This cut will be on your side, just below the ribs or right over the lowest ribs.Muscle, fat, and tissue are cut and moved. Your surgeon may need to remove a rib to do the procedure.The tube that carries urine from the kidney to the bladder (ureter) and blood vessels are cut away from the kidney. The kidney is then removed.Sometimes, just a part of the kidney may be removed (partial nephrectomy).The cut is then closed with stitches or staples.

Radical nephrectomy or open kidney removal:

surgeon will make a cut about 8 to 12 inches (20 to 30 cm) long. This cut will be on the front of your belly, just below your ribs. It may also be done through your side.Muscle, fat, and tissue are cut and moved. The tube that carries urine from the kidney to the bladder (ureter) and blood vessels are cut away from the kidney. The kidney is then removed.Your surgeon will also take out the surrounding fat, and sometimes the adrenal gland and some lymph nodes.The cut is then closed with stitches or staples.

Laparoscopic kidney removal:

surgeon will make 3 or 4 small cuts, most often no more than 1 inch (2.5 cm) each, in your belly and side. The surgeon will use tiny probes and a camera to do the surgery.Towards the end of the procedure, your surgeon will make one of the cuts larger (about 4 inches or 10 cm) to take out the kidney.The surgeon will cut the ureter, place a bag around the kidney, and pull it through the larger cut.This surgery may take longer than an open kidney removal. However, most people recover faster and feel less pain after this type of surgery when compared to the pain and recovery period following open surgery.


  • Posted on: 2018-05-01T06:06:27

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