Q | are all patients suitable?
A | No. From a kidney point of view, laparoscopic nephrectomy is best reserved for the smaller kidney tumours and benign conditions of the kidney. During the patient pre-operative workup, a CT scan is carried out which gives an indication as to how easy it will be to dissect the kidney from the surrounding organs. Inflammation around the kidney in such conditions as renal stones and infections can make the operation difficult and sometimes ill-advised.
From the patient's general health perspective, there are reasons why laparoscopic surgery should be advised against. These include generalised peritonitis (inflammation and infection of the abdominal cavity), severe airways or cardiac disease, uncorrectable bleeding disorders and morbid obesity.