A Clinical Observation on the Nephrectomized Patients

Lee, Byoung Wha; Chung, Shung Wha

Abstract

A clinical observation was on the nephrectomized patients in the Department of Urology, Korea General Hospital, during the period from January, 1978 to December, 1981 and the following were obtained. 1. The total number of in-patients during the period was 723 patients and nephrectomies were performed in63 patients of the total Urologic operation (13.2%). 2. There were 40 males and 23 females with a ratio 1.7:1, patient ranged in age from 9 months to 69 years old and 71.4% of the patients were from 20 years old to 49 years old. 3. The common symptoms were flank pain (34.9%), hematuria (31.7%) and frequency (23.8%). 4. The causative diseases of the operated kidney were tuberculosis (31.7%), chronic pyelonephritis (15.9%),hydronephrosis (12.7%), renal stone (11.1%) and renal stone (11.1%) in order. 5. Flank approach was most frequently used (76.2%). 6. The postoperative complications were 12 cases (19.0%), which included 4 cases of wound infection, 2 cases of transient paralytic ileus, 2 cases of pneumothorax and 1 case of bleeding, pulmonary edema, duodenal fistula and death respectively. 7. 58 cases (92.0%) were discharged within 2 weeks after operation and 2 cases were hospitalized more than 1 month.