A Clinical Observation on the Nephrectomized Patients

Yoon, Yong

Abstract

Nephrectomy has been one of the most important procedures in the field of urologic surgery, since Gustave Simon performed the first planned nephrectomy in 1869. It may be required in a wide varity of circumstances and various methods of operative procedures has been introduced. And also its complication has been varied according to the operative procedures. A clinical observation on the 149 patients nephrectomized in the Department of Urology, National Medical Center, during the period from January, 1971 to July, 1978 was presented with a brief review of the literature. The results were as follows : 1. The total number of in-patients during above period was 1,287 and nephrectomies were performed in 149 of the 987 total urologic operations (15.1 %). 2. Age distributions showed the highest in 20's with 26.1 % and the youngest was 5 months and the oldest 65 years. Sex distribution was almost equal. 3. The causative lesions of the kidney showed the highest in Tbc 75 cases (50.3 %), calculous disease 21 cases (14.1 %), tumor 18 cases (12.2 %), hydronephrosis 9 cases (6.0 %) and pyonephrosis 8 cases (5.4 %) by sequence. 4. Lumbar approach with resection of 12th rib was the most frequently used method in 72 cases (48.3 %). Postoperative complications were seen in 17 cases (11.4 %), of which wound infection and pneumothorax were common. 5. 77 cases ( 51.7 %) were discharged within 10 days after surgery and only 8 cases (5.3 %) remained more than 1 month.