Complications of Surgical Procedures Involving the Ureter.
- Author:
Yong Woo LEE
1
;
Tong Choon PARK
Author Information
1. Department of Urology, Kyungpook National University, School of Medicine, Taegu Korea.
- Publication Type:Original Article
- Keywords:
ureter;
complication;
surgery;
ureterolithotomy
- MeSH:
Cystectomy;
Gyeongsangbuk-do;
Hematuria;
Humans;
Mortality;
Pyelonephritis;
Respiratory Insufficiency;
Retrospective Studies;
Ureter*;
Urinary Diversion;
Urology;
Wound Infection;
Wounds and Injuries
- From:Korean Journal of Urology
1983;24(2):226-232
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Complications have been evaluated retrospectively in 190 cases with surgical procedures involving the ureter at the Department of Urology, Kyungpook National University Hospital during the period from January. 1972 to December, 1981. Wound infections occurred in 6.8 per cent, being the most commonly encountered, acute pyelonephritis and urine leakage in 5.3 per cent, respectively, wound dehiscence in 2.1 per cent, gross hematuria in 1.6 per cent, respiratory failure in 1.1 per cent, and etc. The overall complication rate was 23.2 per cent (44 of 1190 cases) and mortality rate was 1.6 per cent (3 of 190 cases). Complications occurred in 16 (13.6 per cent) of 106ureterolithotomies. 4 (13.8 per cent) of 29 cystoectopic stone manipulations, 6 (13.6per cent) of 19 nephroureterectomies. 4 (33.3 per cent) of 12 ureteroneocystostomies,6 (66.7 per cent) of 9 ileal conduits with total cystectomy, 2 of 3 cutaneous ureterotomies, and 1 of 3 ureteroureteroetomies. The most common complication of ureterolithotomy was wound infection, developed in 6 (5.7 per cent) cases. The complication rate of ureterolithotomy for patients with moderate to severe hydroureteronephrosis on IVP was higher than that for patients with normal finding or mild hydroureteronephrosis. Simple ureterolithotomy had a low complication rate of 9.0 per cent, but ureterolithotomy combined simultaneously with other surgery had a higher rate 50.0 of per cent. Ureteral surgery excluding ureterolithotomy showed a high complication rate of 45.4 per cent. Thus, these findings indicate that complication rate of ureteral surgery at our hospital is still relatively high, and suggest that every effort should be gone not only into preoperative and postoperative management of the patient, but also into improvement in surgical technique for ureteral surgery.
