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It is generally milder after laparoscopic than open surgery and fades over 1-3 weeks.","preparation":["Imaging (CT or MRI) and blood tests including kidney function","Anesthesia and cardiopulmonary fitness assessment","Medication and health condition review with the surgical team","Fasting before surgery as instructed","Bowel preparation only if instructed by the surgeon","Stopping smoking before surgery"],"recovery_timeline":[{"phase":"Hospital stay (days 0-5)","description":"Pain control, early walking, catheter and drain removal, and return of diet.","restrictions":["No driving","Avoid lifting"]},{"phase":"Early home recovery (weeks 1-2)","description":"Gradual increase in walking, wound care, fatigue common.","restrictions":["No lifting over about 4-5 kg","No driving while taking opioids"]},{"phase":"Return to normal activity (weeks 2-6)","description":"Return to desk work and light activities.","restrictions":["Avoid heavy lifting and strenuous exercise until cleared"]},{"phase":"Full recovery (weeks 6-12)","description":"Return to full strength and activity as cleared by the surgeon.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated nephrectomy, without a formal program; open surgery takes longer than laparoscopic."},"result_longevity":"Removal of the kidney is permanent. Long-term outcome depends on the underlying condition and on the function of the remaining kidney.","revision_rate_pct":{"min":1,"max":4,"unit":"percent","qualifier":"Unplanned reoperation or return to theatre within 30-90 days, e.g. bleeding, hernia or wound problems."},"scars":"Laparoscopic: several small scars of about 1-2 cm and one extraction incision of about 5-8 cm. Open: a flank or abdominal incision of roughly 15-25 cm.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure."},"stages":[{"code":"nephrectomy","label":"Surgical removal of the kidney","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One-stage operation."},"success":{"metric":"Complete removal of diseased kidney with surgical goal achieved","value":97,"unit":"percent of patients","horizon":"At surgery and hospital discharge","population":"Adults undergoing uncomplicated simple or radical nephrectomy for tumor or non-functioning kidney","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic nephrectomy (including robotic-assisted)","suits_whom":"Most patients with small to moderate kidney tumors or non-functioning kidneys and no major prior abdominal surgery.","recovery":"Shorter hospital stay, less pain, return to work in about 2-4 weeks."},{"name":"Open radical or simple nephrectomy","suits_whom":"Large or locally advanced tumors, inflammatory or complex cases, or when laparoscopy is unsafe.","recovery":"Longer stay and recovery, return to work in about 4-6 weeks or more."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operative time for uncomplicated unilateral nephrectomy; complex or open cases may take longer."},"initial_assessment_documents":["Abdominal CT or MRI scan report","Biopsy or pathology report (if available)","Recent blood tests including creatinine and eGFR","Renal scintigraphy report (if available)","Previous abdominal surgery records"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days including hospital nights and wound check before flying home. Later reviews can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you have been able to ask the team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards at the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that you are clear how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision before booking treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"No discussion of possible complications before 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you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctors need it to see details of your treatment","document":"discharge summary","source":{"url":"https://www.cuh.nhs.uk/patient-information/radical-removal-of-the-kidney-procedure-specific-information/","host":"cuh.nhs.uk","quote":"If, in the first few weeks after your discharge, you need to call your GP for any reason or to attend another hospital, please take this summary with you to allow the doctors to see details of your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"It lists your treatment and medicines for your home doctor","document":"note for your gp","source":{"url":"https://www.cuh.nhs.uk/patient-information/laparoscopic-donor-nephrectomy-discharge-information/","host":"cuh.nhs.uk","quote":"You will be given painkillers to take home and a note for your GP listing your treatment and medicines.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"They provide results from examination of the removed kidney","document":"pathology results","source":{"url":"https://www.cuh.nhs.uk/patient-information/radical-removal-of-the-kidney-procedure-specific-information/","host":"cuh.nhs.uk","quote":"It will be at least 14 to 21 days before the pathology results on your kidney are available.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T4","text":"It tells 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leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your renal cell cancer is being treated without surgery","name":"Targeted therapy for kidney cancer","source":{"url":"https://www.cancer.gov/types/kidney","host":"cancer.gov","quote":"Learn about the treatment of newly diagnosed and recurrent renal cell cancer, including surgery, radiation therapy, chemotherapy, biologic therapy, and targeted therapy, in this expert-reviewed summary.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your renal cell 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