The urologists at Hackensack University Medical Center are pioneers in the development of minimally invasive surgical treatments for kidney cancer, including advanced robotic-assisted surgery and advanced kidney-sparing techniques.
With over a decade of experience in robotic surgery, our surgeons are nationally recognized as leaders in organ-sparing surgery, a technique in which only a portion of the kidney is removed. Organ-sparing surgery preserves kidney function and has been shown to improve long-term survival.
Comprehensive and Coordinated Kidney Cancer Care
When you seek kidney cancer treatment at HackensackUMC, you have access to the best cancer care in the region. Our fellowship-trained urologists work closely with the kidney cancer specialists from the John Theurer Cancer Center to develop a treatment plan specifically for your condition. Additionally, as a research hospital, we provide our patients with access to the latest kidney cancer clinical trials.
Kidney Cancer Surgery
Our urologists are experienced in both partial and radical nephrectomy (complete kidney removal) to treat kidney cancer. Over 80% of our patients have a partial nephrectomy, which preserves kidney function and does not expose patients to certain health risks associated with having only one kidney. We use advanced robotic techniques, near-infrared imaging, 3-D modeling and state-of-the-art drop-in ultrasound technology to provide you with the best outcomes.
A partial nephrectomy is a procedure that removes only part of the kidney. This is the preferred approach for tumors up to or occasionally larger than 7 cm in size. Our surgeons are world-renowned experts in robotic partial nephrectomy to treat kidney cancer. When possible and reasonable, our surgeons will try to perform this procedure to help spare as much of the healthy portion of the kidney as possible.
During a radical nephrectomy the entire kidney is removed, along with the fat surrounding the kidney. In addition to removing the kidney, your doctor may also remove nearby lymph nodes, which are small immune system glands, and an adrenal gland that produces hormones. A radical nephrectomy is used to address larger kidney tumors or cancer that has spread to neighboring tissue or blood vessels. The majority of radical nephrectomies can be performed robotically; in fact, our surgeons have experience with removing tumors even when the tumor is invading large blood vessels such as the vena cava.
Our urologists are experts in a range of surgical approaches. Your treatment is tailored to your specific condition, the location and size of your tumor, and your overall health.
Robotic-Assisted and Laparoscopic Surgery
The majority of kidney cancer surgeries at HackensackUMC are performed using robotic-assisted procedures. In these procedures, surgery is performed through very small incisions in the lower abdomen using robotic surgical instruments aided by a highly sophisticated three-dimensional camera. These minimally invasive surgeries offer significant advantages, including less blood loss, less damage to the kidney and a shorter hospital stay. Additionally, our robotic systems use near-infrared fluorescent imaging that ensures we remove the entire cancer while minimizing any damage to the healthy kidney.
Open surgery may be recommended for people who have large, complex or advanced tumors, or tumors that are affecting multiple nearby organs. All of our surgeons are trained using advanced open surgical techniques and, when required, will use a multisurgical approach in collaboration with HackensackUMC vascular and general surgeons.
Percutaneous cryoablation is a procedure in which small tumors are frozen and destroyed. This technique can be used if the tumor is easily reached through the back or side of the body. Cryoablation offers treatment options to people who otherwise could not have surgery; however, there may be a greater chance of recurrence than with other surgical procedures.
For elderly patients with small tumors, we may choose to offer active surveillance, a program in which we perform serial imaging, use magnetic resonance imaging (MRI), and occasionally biopsy, or remove a small sample of the tumor, to minimize the need for surgery on tumors that are benign or not aggressive.