Clinical Observation of Partial Nephrectomy

Shin, Dong Chull; Lee, Jin Moo

Abstract

The clinical observation was made on 25 cases of partial nephrectomy in Department of Urology, Yonsei University College of Medicine, during the period from 1976 to 1981 (June) and following results were obtained. 1) The age distribution was from minimal 4 months up to 64 years old and among 13 cases of duplicated system disease, below 10 years old child group was 8 cases. 2) The causes of diseases were analysed like this: duplicated system; 13 cases, renal stone; 6 cases renal tuberculosis; 3 cases, A-V malformation; 1 case, renal cyst; 1 case, renal abscess; 1 case. 3) Upper pole resection was done in 18 cases and lower pole resection was done in 7 cases. Among 6 cases of renal stone, 4 cases were involved in longer pole and among 13 cases of duplicated system, 12 cases were involved in upper pole. 4) Persistent urinary fistula occurred in 4 cases as post-operative complication and among these 4 cases secondary nephrectomy was needed in 3 cases. 5) Among these 25 cases, transfusion was needed in 20 cases during operation and the mean amount of transfused blood was 504cc. in these 20 cases.