What are the preoperative care for kidney cancer

Surgical treatment methods are determined based on the location of the tumor, the degree of involvement of surrounding tissues, whether lymph nodes have metastasized, and the patient's overall condition. Such as radical nephrectomy and kidney-preserving renal cancer surgery. Kidney cancer is one of the common oncology diseases, so everyone must be very aware of the severity of kidney cancer. What are the preoperative care for kidney cancer:

1. Preoperative care.

(1) Follow the routine preoperative care and laparotomy care of tumor surgery.

(2) Bowel preparation. If a radical nephrectomy is performed, a liquid diet should be taken one day before the operation, and whole-bowel irrigation should be performed. Fluid replacement should be performed as directed by the doctor. If a partial nephrectomy is performed, a cleansing enema should be given once the night before the operation or laxatives should be taken orally.

(3) A gastric tube and urinary catheter are placed in the morning of the operation, and the patient is brought into the operating room with a belly band and CT scan.

2. Postoperative care.

(1) Provide routine postoperative care and anesthesia care for tumor surgery.

(2) Connect the gastric tube to negative pressure suction, fix it properly, keep the drainage unobstructed, and observe and record the color, amount, and nature of the gastric juice. The gastric tube can be removed after the anus is exhausted after the operation. Pay attention to observe whether the patient has abdominal distension, abdominal pain, nausea, vomiting, etc. After the gastric tube is removed, try drinking water and give a liquid diet and a half-liquid diet as prescribed by the doctor.

(3) Connect the abdominal drainage tube to negative pressure suction, secure it properly, keep the drainage unobstructed, and observe and record the color, volume, and properties of the drainage fluid.

(4) Place a urinary catheter for 5 to 7 days to observe and record the color and volume of urine. Patients who have undergone radical nephrectomy have only one kidney for compensatory excretion, so care should be taken to prevent early renal failure.

(5) For kidney-sparing renal cancer surgery, the patient is advised to stay in bed for 1 week to avoid increasing abdominal pressure (such as sudden changes in body position, forceful coughing, forceful defecation, etc.) that may cause bleeding from the surgical wound.

Kidney cancer is one of the common oncological diseases. I believe everyone is well aware of the severity of kidney cancer. Radical nephrectomy is a common treatment for kidney cancer. Effective preoperative care is the key to ensuring the success of the operation and reducing the occurrence of complications. Let's take a look at the detailed introduction below:

1. Kidney cancer patients should pay attention to bed rest before surgery to reduce physical exertion. As the tumor gradually grows, the body's consumption increases, and the patient's nutritional status is often poor. Before surgery, they should also pay attention to nutritional supplements to ensure the smooth progress of the operation.

2. Pain from surgical incision will affect the depth of abdominal and thoracic breathing. Coughing exercises before surgery can help prevent lung infection. Place one hand on the abdomen and one hand on the chest. After practicing deep breathing, use the abdominal muscles to stretch the tongue and open the mouth to open the valve so that the gas can be expelled to achieve effective coughing. Repeat this exercise more than twice a day, each time for about 15 minutes.

3. Closely observe the renal function of patients with oliguria. Before surgery, urine routine test, blood urea nitrogen determination and phenol red test should be performed to determine whether the healthy kidney can compensate for the urinary system function.

4. Patients with renal cancer and other concurrent diseases should receive necessary preoperative treatment. Patients with renal injury and shock must be actively rescued. Patients with renal tuberculosis should receive anti-tuberculosis treatment before surgery. In addition, urinary tract infections should be controlled, water and electrolyte disorders should be corrected, and anemia and hypertension should be improved.

5. Patients who undergo nephrectomy will experience fear before the operation. Effective measures should be taken to help patients eliminate their fear and actively cooperate with doctors to complete various preoperative preparations.

Internal medicine includes respiratory medicine, cardiology, hepatobiliary gastroenterology, immunology, hematology, endocrinology, oncology, rheumatology, nephrology, infectious diseases, neurology, etc. Disease prevention should start from every little thing in life to help you stay healthy forever.

Kidney cancer develops in the epithelium of the urinary tubules and is also known as renal cell carcinoma and renal adenocarcinoma. From psychological comfort to preoperative guidance and postoperative care, nursing care for kidney cancer should be integrated into every aspect.

Preoperative and postoperative care for kidney cancer patients is very important, mainly including:

1. Preoperative psychological care. Most patients find it difficult to bear the sudden diagnosis of kidney cancer without any mental preparation. They must patiently listen to their family members and doctors explain the purpose and significance of the operation, eliminate their concerns, enhance their enthusiasm, and strive to successfully complete various preoperative examinations.

2. Preoperative care. The patient needs nutritional support in all aspects before surgery to enhance the patient's tolerance to surgery.

3. Postoperative care. Patients should be monitored after surgery. Before awakening from anesthesia, a dedicated person is required to accompany the patient and pay attention to changes in the patient's body temperature, pulse, respiration and blood pressure. After awakening from anesthesia, encourage the patient to take deep breaths, assist with coughing or give nebulizer inhalation when necessary, and ask the patient to turn over frequently without affecting the safety of treatment. If it is a radical nephrectomy, the patient should be allowed to get out of bed and move around as soon as possible; if it is a partial nephrectomy, the patient should be allowed to stay in bed for about 5 days.

4. Diet and nutrition. The patient's diet after surgery should follow the principles of eating small meals frequently, gradually, balanced nutrition, and reasonable combination.