A Clinical Observation on the Nephrectomized Patients

Choi, Kwang Seek; Kwon, Sung Won

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.