ABSTRACT
A clinical observation was done on 58 nephrectomized patients in the Department of Urology, Capital Armed Forces General Hospital, during the period from January 1977 to December 1979, The results were as follow: 1. The total number of in-patients during above mentioned period was 779 and of which nephrectomies were performed in 58 of the 469 total urologic operations (12. 4%). 2. The most favorable age was in 20 to 29 in 28 cases (60.4%) and the youngest was 10 months and the oldest 68 years. 3. The causative diseases of the operated kidneys were renal tuberculosis in 34 cases (58. 6%). hydronephrosis in 7 cases (12. 0%), renal injury it 6 cases (10.4%) and calculous disease in 3 cases (5.2%) in order. 4. Flank approach was most frequently used (82. 8%). 5. The left kidney was nephrectomized 1.4 times more than right kidney. 6. Postoperative complications were seen in 8 cases (13. 8%), which included 3 cases of wound infection, 3 paralytic and 2 pneumothorax.
Subject(s)
Humans , Arm , Hospitals, General , Hydronephrosis , Kidney , Nephrectomy , Pneumothorax , Postoperative Complications , Tuberculosis, Renal , Urology , Wound InfectionABSTRACT
A clinical survey was made on 77 nephrectomized patients in the Department of Urology, Chonnam National University Medical School, during the period from January 1970 to August 1978. The results were as follows: 1. The total number of in-patients during the period was estimated to 1,269 and of which nephrectomies were performed in 77 of the 754 total urologic operations (10.2%). 2. Patients ranged in age from 5 months to 73 years and there were 41 males and 33 females or a male to female ratio being 1.33 to 1. 3. The causative diseases of the operated kidneys were renal tuberculosis (41.6%), renal neoplasms (22. 5%), renal injury (10.4%) hydronephrosis (10.4%) pyelitis or pyonephrosis (6.4%) calculus pyonephrosis (5.2)in order. 4. Anterior abdominal approach was most frequently employed (66.2%) 5. Among the transfused patients who nephrectomized, the average amount of transfused whole blood were 586cc in renal tuberculosis, 1,240cc in renal neoplasia and 1.467cc in renal injury. 6. Postoperative complications included 4 cases of wound infection, 2 postoperative transient paralytic ileus, 1 pneumonia and 1 pneumothorax.