A Clinical Observation on the Nephrectomized Patients.
- Author:
Ho Sung KIM
1
;
Yang Il PARK
Author Information
1. Department of Urology, College of Medicine, Chosun University, Kwang Ju, Korea.
- Publication Type:Original Article
- Keywords:
Nephrectomy;
tuberculosis;
urolithiasis
- MeSH:
Age Distribution;
Female;
Fistula;
Flank Pain;
Hematuria;
Hemorrhage;
Humans;
Hydronephrosis;
Kidney;
Male;
Nephrectomy;
Pneumothorax;
Postoperative Complications;
Pyonephrosis;
Ribs;
Sex Ratio;
Shock, Septic;
Tuberculosis;
Tuberculosis, Renal;
Urination;
Urolithiasis;
Urology;
Wound Infection
- From:Korean Journal of Urology
1981;22(2):176-181
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A clinical observation was made on 51 nephrectomized patients in the Department of urology, Chosun University Hospital, during the period from January, 1972 to December, 1979 and the following results were obtained. 1. The total number of in patients during the period was 867 and nephrectomies were performed in 51 of the 408 total urologic operations(12.5%). 2. Age distribution ranged from 6 months to 67 years most prevailing in fourth decade (29.4%). The sex ratio of male to female was 1.7:1. 3. The common symptoms were hematuria (64.7%), flank pain (56.9%), frequency (31.4%) and pain on urination (23.5%). 4. The causative diseases of the kidney were renal tuberculosis (33.3%), calculous disease(29.4%), renal injury (13.7%), renal tumor (9.8%), pyonephrosis (5.9%), renal cyst (3.9%) and hydronephrosis (3.9%) in order. 5. Anterior abdominal extraperitoneal approach with resection of 11th rib was the most frequently used method (70.5%). 6. Postoperative complications occurred in 8 cases (15.7%), i.e. pneumothorax in 3 cases, wound infection in 2 cases, bleeding, fistula and septic shock in 1 cases respectively. 7. 43 cases (84.3%) were discharged with 14 days after surgery and 4 cases (7.8%) were hospitalized more than 1 month.
