Clinical Observation of Parenchymal Incision and/or Partial Nephrectomy

Lee, Eung Sang; Lim, Soo Kil

Abstract

A clinical observation was made on 49 cases of renal parenchymal incision: and/or partial nephrectomy in Department of Urology, Catholic Medical College, during the period from January 1969 to August 1978. The results were as follow ; 1. Patients who underwent renal parenchymal incision and /or partial nephrectomy were renal stone in 33 cases, staghorn calculi in 9 cases, renal tuberculosis in 2 cases, double pelvis in 2 cases, renal carbuncle in 1 case, polycystic kidney in 1 case and simple cyst in 1 case. 2. As methods of renal parenchymal surgery. Partial nephrectomy in 22 cases, nephrolithotomy in 22 cases, nephrolithotomy in 20 cases, bisection in 8 cases and renal cystectomy in 2 cases, were performed. 3. Postoperative complications were 10 cases of delayed bleeding (19.2 %), 9 residual stone (17.3 %), 2 wound infection (3.84 %), 2 pyonephrosis (3.84 %), 2 urinary fistula (3.84 %), 2 early bleeding (3,84 %), 2 uremia (3.84 %) and one case of death caused sepsis. 4. Among 6 cases of secondary nephrectomy due to postoperative complication 5 cases were caused by delayed bleeding and one case by pyonephrosis.