Left radical nephrectomy: nursing care perspective - A bibliographic review

Introduction: Left radical nephrectomy is a commonly performed surgical procedure for the treatment of renal carcinoma, requiring specialized nursing care throughout the perioperative period. Methods: A literature review was conducted analyzing nursing care protocols, complications, and quality of life outcomes in patients undergoing left radical nephrectomy. Articles published between 2017 and 2024 were reviewed, with a focus on nursing interventions and patient outcomes. Results: The review identified key nursing interventions, including preoperative patient education, intraoperative positioning considerations specific to the left approach, postoperative pain management, early mobilization protocols, and strategies for preventing chronic kidney disease. Laparoscopic approaches showed fewer complications and shorter hospital stays compared to open procedures. Enhanced Recovery After Surgery (ERAS) protocols demonstrated better outcomes when appropriately implemented by nursing teams. Conclusions: Nursing care for left radical nephrectomy requires comprehensive knowledge of anatomical considerations, surgical approaches, and evidence-based interventions. Quality nursing care impacts patient recovery, complication rates, and long-term outcomes, including preservation of renal function and quality of life.