Left radical nephrectomy: nursing care perspective - A bibliographic review

Authors

  • Dayanna de los Angeles Rivera Enriquez Universidad San Gregorio de Portoviejo, Departamento de Posgrados de Enfermería. Portoviejo, Ecuador Author https://orcid.org/0009-0000-5385-4665
  • Julio Andrés Vásquez Pinos Universidad San Gregorio de Portoviejo, Departamento de Posgrados de Enfermería. Portoviejo, Ecuador Author https://orcid.org/0009-0004-0536-6498
  • Sindy Maria Soledispa Andrade Universidad San Gregorio de Portoviejo, Departamento de Posgrados de Enfermería. Portoviejo, Ecuador Author https://orcid.org/0009-0006-3551-9656
  • Liliana Mirella Mendoza Mendoza Profesor asociado, Departamento de Posgrados de Especialidad en Gestión de centros quirúrgicos e instrumentación, Universidad San Gregorio de Portoviejo, Portoviejo, Ecuador Author https://orcid.org/0000-0003-2307-366X

DOI:

https://doi.org/10.56294/nds2025297

Keywords:

radical nephrectomy, nursing care, perioperative nursing, patient outcomes, quality of life

Abstract

Introduction: Left radical nephrectomy is a commonly performed surgical procedure for the treatment of renal carcinoma, requiring specialized nursing care throughout the perioperative period. Methods: A literature review was conducted analyzing nursing care protocols, complications, and quality of life outcomes in patients undergoing left radical nephrectomy. Articles published between 2017 and 2024 were reviewed, with a focus on nursing interventions and patient outcomes. Results: The review identified key nursing interventions, including preoperative patient education, intraoperative positioning considerations specific to the left approach, postoperative pain management, early mobilization protocols, and strategies for preventing chronic kidney disease. Laparoscopic approaches showed fewer complications and

shorter hospital stays compared to open procedures. Enhanced Recovery After Surgery (ERAS) protocols demonstrated better outcomes when appropriately implemented by nursing teams. Conclusions: Nursing care for left radical nephrectomy requires comprehensive knowledge of anatomical considerations, surgical approaches, and evidence-based interventions. Quality nursing care impacts patient recovery, complication rates, and long-term outcomes, including preservation of renal function and quality of life.

References

Trujillo-Panche LS, Díaz-Pinilla N, Reyes-Vega DF, Cortés-Otero ÓF, Silva-Morera C, Caviedes-Cleves MA. Nefrectomía radical laparoscópica de tumor renal izquierdo con hallazgos de enfermedad de Rosai-Dorfman: reporte de caso. Urol Colomb. 2024;33(3):150-155.

Fernández P, De Arteaga J, Chiurchiu C. Enfermedad renal crónica y aparición de metástasis posterior a nefrectomía radical y parcial por carcinoma renal de células claras. Rev Argent Urol. 2024;89(2):45-52.

Pyrgidis N, Schulz GB, Stief C, Blajan I, Ivanova T, Graser A, et al. Surgical Trends and Complications in Partial and Radical Nephrectomy: Results from the GRAND Study. Cancers. 2024;16(1):97.

Ashrafi AN, Gill IS. Minimally invasive radical nephrectomy: a contemporary review.

Curr Opin Urol. 2021;31(2):95-101.

Di Marco F, Pani A, Floris M, Martini A, Dell'Antonio G, Capitanio U, et al. Unexpected Outcomes of Renal Function after Radical Nephrectomy: Histology Relevance along with Clinical Aspects. J Clin Med. 2021;10(15):3322.

Shah PH, Leibovich BC, Van Houten H, Lyon TD, Yao X, Knoedler M, et al. Association of Partial versus Radical Nephrectomy with Subsequent Hypertension Risk Following Renal Tumor Resection. J Urol. 2020;204(4):710-717.

Alzamzami M, Geirbely A, Ahmed MB, Osman R, Gandhi R, Mohammed M, et al. A Literature Review of Perioperative Outcomes of Robotic Radical Nephrectomy (RRN) Versus Laparoscopic Radical Nephrectomy (LRN) for Renal Cell Carcinoma (RCC). Cureus. 2023;15(8):e43201.

Stout TE, Said MA, Tracy CR, Steinberg RL, Nepple KG, Gellhaus PT. Technique and outcomes of robotic-assisted retroperitoneal radical nephrectomy. World J Urol. 2022;40(12):2891-2897.

Martínez Mur T. Plan de cuidados de enfermería en paciente intervenido de nefrectomía radical izquierda abierta. Caso clínico. Rev Portales Med. 2021;16(8):342-348.

Can O, Sabuncu K, Erkoç M, Bozkurt M, Danış E, Degirmentepe RB, et al. Chronic kidney disease following nephrectomy for renal tumours: retrospective analysis risk factors. BMC Nephrol. 2023;24:156.

Wang Y, He M, Lou L. Optimizing ERAS protocols in robotic nephron-sparing surgery: a randomized trial. World J Surg Oncol. 2025;23:15.

Chapman E, Pichel AC. Anaesthesia for nephrectomy. BJA Educ. 2017;17(6):207-213.

Pyrgidis N, Schulz GB, Stief CG, Blajan I, Ivanova T, Graser A, et al. Perioperative Outcomes After Radical Nephrectomy with Inferior Vena Cava Thrombectomy. Cancers. 2023;15(12):3142.

Blaise E, Franquet E, Fuenmayor A, González MC, Pollán MJ, Ruiz A, et al. Nefrectomía radical abierta y laparoscópica: estudio comparativo de cuidados de enfermería y calidad de vida. Enfur. 2008;108:24-29.

Rufián Martínez BM, Rubio Gómez MR, Rojas Álvarez A. Nefrectomía: conceptos generales y cuidados enfermeros. Rev Portales Med. 2022;17(4):156-162.

Añazco Torres JS, Vallejo Estrella AP, Garcés Jerez KE, Freire Montesdeoca JM. Complicaciones en el procedimiento y cuidado post quirúrgico en pacientes sometidos a nefrectomía. Zenodo. 2025. DOI: 10.5281/zenodo.14781366.

Sánchez-Mata JJ, González-León T, Hernández-Campoalegre M, Quintana-Rodríguez M, Sánchez-Tamaki R, Quelle-Santana L. Cirugía laparoscópica en el carcinoma renal: de la cirugía radical a la conservadora de nefronas. Rev Cub Urol. 2023;12(2):89-98.

Polanco-Pujol L. Diferencias en las complicaciones según la vía de abordaje y el tipo de nefrectomía en cáncer renal estadio CT1 tratado con cirugía. Actas Urol Esp. 2022;46(8):456-463.

Otero Andrade FE, Quiroz Madarriaga YY, Franco Leon DC, Rendon Ferguson E. Nefrectomía radical laparoscópica en tumores mayores de 7 cm: serie de casos. Rev Mex Urol. 2023;83(4):1-8.

Huang WC, Donin NM, Levey AS, Campbell SC. Chronic Kidney Disease and Kidney Cancer Surgery: New Perspectives. J Urol. 2020;203(3):475-485.

Downloads

Published

2025-08-04

How to Cite

1.
Rivera Enriquez D de los A, Vásquez Pinos JA, Soledispa Andrade SM, Mendoza Mendoza LM. Left radical nephrectomy: nursing care perspective - A bibliographic review. Nursing Depths Series [Internet]. 2025 Aug. 4 [cited 2025 Sep. 5];4:297. Available from: https://nds.ageditor.ar/index.php/nds/article/view/297