{"id":573,"date":"2026-01-23T00:28:09","date_gmt":"2026-01-23T00:28:09","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/?page_id=573"},"modified":"2026-04-11T03:56:17","modified_gmt":"2026-04-11T03:56:17","slug":"kidney-upper-urinary-tract-cancer","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/urology\/kidney-upper-urinary-tract-cancer\/","title":{"rendered":"Kidney & Upper Urinary Tract Cancer"},"content":{"rendered":"

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Procedure volume (2023)<\/div>\n
Robot-assisted kidney surgery: 25 cases<\/div>\n<\/p><\/div>\n
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Surgical approach<\/div>\n
Robot-assisted laparoscopic surgery where clinically appropriate<\/div>\n<\/p><\/div>\n
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Expertise<\/div>\n
da Vinci Proctor \u2014 Robotic Surgery Centre Director<\/div>\n<\/p><\/div>\n
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Access<\/div>\n
No waiting list; treatment planning begins promptly<\/div>\n<\/p><\/div>\n<\/p><\/div>\n

\n Kidney cancer and upper urinary tract cancers are often detected incidentally on imaging
\n or during evaluation of haematuria.
\n At Kishiwada Tokushukai Hospital, robot-assisted laparoscopic surgery is used for suitable cases,
\n with 25 robotic kidney procedures performed in 2023.
\n Treatment is led by a certified da Vinci Proctor within a specialised urologic oncology programme.\n <\/p>\n

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What are kidney and upper urinary tract cancers?<\/h2>\n<\/p><\/div>\n
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\n Kidney cancer (renal cell carcinoma) arises from kidney tissue and is frequently detected
\n incidentally during imaging studies.
\n Upper urinary tract cancers develop in the renal pelvis or ureter
\n and are often identified during investigation of haematuria.\n <\/p>\n

\n Treatment depends on tumour size, location, stage, renal function,
\n and the patient\u2019s overall condition.
\n Surgery is the standard treatment for most localised disease.\n <\/p>\n<\/p><\/div>\n<\/p><\/div>\n

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When consultation is recommended<\/h2>\n<\/p><\/div>\n
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  • Suspected kidney or ureteral tumour on imaging (ultrasound, CT, or MRI)<\/li>\n
  • Persistent or unexplained haematuria<\/li>\n
  • Confirmed diagnosis requiring treatment planning<\/li>\n
  • Follow-up after previous surgery or concern about recurrence<\/li>\n
  • Seeking a second opinion or earlier treatment<\/li>\n<\/ul><\/div>\n

    \n Imaging data (DICOM), pathology reports, and prior medical records are helpful if available.
    \n Overseas documentation is accepted.\n <\/p>\n<\/p><\/div>\n<\/p><\/div>\n

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    Robot-assisted kidney surgery \u2014 da Vinci<\/h2>\n<\/p><\/div>\n
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    \n Robot-assisted laparoscopic surgery is offered when clinically appropriate.
    \n For smaller tumours, partial nephrectomy<\/strong> is performed to preserve renal function.
    \n For larger or more advanced tumours, radical nephrectomy<\/strong> may be required.\n <\/p>\n

    \n In 2023, robot-assisted procedures included both partial and radical nephrectomy,
    \n as well as nephroureterectomy for upper urinary tract cancer.\n <\/p>\n

    \n Suitability for robotic surgery is assessed individually.
    \n Open or alternative approaches are selected when more appropriate.\n <\/p>\n<\/p><\/div>\n<\/p><\/div>\n

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    Treatment planning<\/h2>\n<\/p><\/div>\n
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    \n Treatment planning considers tumour characteristics, renal function,
    \n comorbidities, and patient preferences.
    \n Options, including surgical approach and extent of resection,
    \n are discussed in detail before decisions are made.\n <\/p>\n<\/p><\/div>\n<\/p><\/div>\n

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    Follow-up and long-term care<\/h2>\n<\/p><\/div>\n
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    \n Follow-up includes monitoring of renal function and surveillance for recurrence.
    \n For international patients, coordination of follow-up care is available
    \n through the International Medical Support Office.\n <\/p>\n<\/p><\/div>\n<\/p><\/div>\n

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    Appointment<\/h2>\n<\/p><\/div>\n
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    \n Appointments are required in principle. A referral letter from another medical institution is recommended but not mandatory.\n <\/p>\n

    \n For appointment requests and language support, please see the
    \n Urology department<\/a> page.\n <\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\n<\/section>\n