Watch Dr. Nitin Explain Kidney Cancer
Understand your diagnosis and treatment options in Dr. Nitin's own words
Kidney Cancer: Diagnosis & Treatment Options
Robotic Surgery for Kidney Tumours
URO-ONCOLOGY · KIDNEY CANCER
Kidney cancer diagnosed early is highly curable. Dr. Nitin Shrivastava offers kidney-sparing robotic surgery and evidence-based systemic therapy for every stage of RCC.
⚠️ Incidental kidney mass on CT/MRI? Don't delay - most are malignant until proven otherwise. See a uro-oncologist within 2–3 weeks.
Tumour ≤7 cm, confined to kidney
5-yr survival ~93%. Partial nephrectomy preferred - kidney preserved.
Tumour >7 cm, confined to kidney
5-yr survival ~79%. Partial or radical nephrectomy based on anatomy.
Extends to major veins or lymph nodes
5-yr survival ~53%. Radical nephrectomy ± lymph node dissection; adjuvant TKI considered.
Distant metastasis
Cytoreductive nephrectomy + immunotherapy/targeted therapy. Median OS improving rapidly.
Treatment is tailored to stage, tumour size, renal function, and overall health
| Approach | Best For | Kidney Saved? | Recovery | Notes |
|---|---|---|---|---|
| Robotic Partial Nephrectomy | T1a/T1b (≤7 cm), good anatomy | Yes | 3–5 days hospital | Dr. Nitin's preferred approach for eligible tumours |
| Robotic Radical Nephrectomy | Large/complex T2–T3 tumours | No | 3–5 days hospital | Complete kidney removal with excellent oncologic control |
| Thermal Ablation (RFA/Cryo) | Small (<3 cm), frail patients | Yes | Same day/overnight | Percutaneous; CT-guided; higher local recurrence vs surgery |
| Active Surveillance | Very small (<2 cm), elderly | Yes | None | Serial imaging every 3–6 months; intervene if growth >5 mm/yr |
| Targeted Therapy / Immunotherapy | Metastatic RCC, adjuvant post-op | - | Ongoing oral/IV | TKIs (cabozantinib), checkpoint inhibitors (pembro + lenvatinib) |
Understand your diagnosis and treatment options in Dr. Nitin's own words
Kidney Cancer: Diagnosis & Treatment Options
Robotic Surgery for Kidney Tumours
Most RCCs are found incidentally on imaging - which is why routine health checks matter.
3D magnification and wristed instruments allow tumour removal with 1–5 mm margins, minimising healthy tissue loss
Warm ischaemia time typically <20 minutes, preserving remaining nephron function
Hospital discharge in 3–4 days; return to normal activity in 2–3 weeks vs 4–6 weeks for open surgery
Fewer wound complications, reduced hernia risk, and lower CKD progression vs open partial nephrectomy
A uro-oncologist consultation within 2 weeks is essential. Dr. Nitin reviews your CT scan, discusses kidney-sparing options, and presents a complete surgical and systemic treatment plan - at Apollo Cradle or Six Sigma, Gurgaon.
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MCh AIIMS Delhi · FRCS Oxford · Apollo Hospital Gurugram · 5★ · 450+ reviews
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