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I have metastatic kidney cancer

Partial nephrectomy for metastatic kidney cancer

Partial nephrectomy is a surgery to remove only the part of the kidney with cancer, and keep the healthy part. This helps protect kidney function.

Related topics for further reading

Living with kidney cancerOther resources on kidney cancer

Understanding the surgery

In metastatic kidney cancer, partial nephrectomy is not common. It may be considered in selected cases, such as:

  • When the tumour is small and located in an accessible area,
  • If you only have one functioning kidney, or
  • If protecting the kidney function is very important.

Your doctor will evaluate whether this surgery fits your case, often as part of a broader treatment plan that includes drug therapy.

In partial nephrectomy the tumour is removed while keeping as much of the healthy kidney as possible.
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A small tube called a double-J stent is placed from the kidney, through the ureter and into the bladder, to make sure urine can flow properly.
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In laparoscopic surgery, the doctor uses small cuts in the abdomen to insert the surgical instruments.
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Sometimes, a surgical robot is used to assist with laparoscopic surgery. Watch this video to see what a robot-assisted partial nephrectomy looks like.

This chapter contains general information about partial nephrectomy for kidney cancer. It is not a substitute for professional medical advice or treatment. Always consult your doctor or healthcare provider for guidance on your individual medical situation. 

Last updated: September 2025

Reviewed by: 

  • Ms. Claudia Ungarelli (Patient Office EPAG)
  • Dr. Gaëlle Margue (YAU Working Group on Renal Cell Carcinoma)

Other possible treatments

Cytoreductive nephrectomy for kidney cancerPartial nephrectomy for metastatic kidney cancerImmunotherapy for kidney cancerAnti-angiogenic therapy for kidney cancerRadiotherapy for kidney cancer

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