Preoperative Preparation

A standard renal cell cancer metastatic workup is performed. Prior to surgery, the patient is assessed for surgical risk with a history and physical examination, routine blood work, and an electrocardiogram. Informed consent is then obtained. Bowel preparation is optional but no longer routinely necessary. Preoperative prophylactic antibiotics are administered and pneumatic compression stockings are utilized for deep vein thrombosis prevention. Foley catheters are routinely used while nasogastric tubes are not (Table 1).

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