A Clinical Observation on the Nephrectomized Patients.
- Author:
Kwang Seek CHOI
1
;
Sung Won KWON
Author Information
1. Department of Urology, College of Medicine, Ehwa Womans University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
nephrectomy
- MeSH:
Age Distribution;
Blood Transfusion;
Child;
Humans;
Kidney Neoplasms;
Nephrectomy;
Ribs;
Sex Distribution;
Surgical Procedures, Operative;
Tuberculosis, Renal;
Urology;
Wound Infection
- From:Korean Journal of Urology
1981;22(6):530-535
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Since Gustave Simon performed the first planned nephrectomy in 1869, it has been one of the most important procedures in the field of urologic surgery. It may be required in a wide variety of circumstances and various methods of operative procedures have been introduced. Also its complications have been documented according to the particular operative methods. A clinical observation was made on the 76 patients nephrecromized in the Dept. of Urology, Ehwa Woman`s University Hospital, during the period from April, 1976 to March, 1981 and a brief review of literature was made. The results were as follows; 1. The total number of in-patients during the above period was 1,025 and nephrectomies were performed in 76 patients of the 605 total urologic operations (12. 5%). 2. Age distributions revealed the highest in 21-30 year old with 22.3% and the youngest age was 9 year old and the oldest 68 years. Sex distribution was nearly equal. 3. The causative diseases of the nephrectomy were renal tuberculosis 31 cases (40. 8%), calculous disease 13 cases (17. 2%), renal neoplasms 8 cases (10. 5%) and renal injury 8 cases (10. 5%) in its descending order. 4. Lumbar approach with resection of the 11th rib was the most frequently employed (32. 9%) and post-operative complications were seen in 10 cases (13. 1%), of which wound infection was the highest(5. 3%). 5. 53 cases (69. 8%) were discharged within 10 days after operation and only 5 cases (6. 5%) remained more than on month. 6. Blood transfusion were necessary in 39 cases (51. 3%) during operation and its average amounts of transfusion were 3. 1 pints. Average time of operation was 2 hours and 22 minutes.
