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- Title
The incidence and management of pleural injuries occurring during open nephrectomy.
- Authors
Atmaca, Ali Fuat; ErdemCanda, Abdullah; Serefoglu, Ege Can; Altinova, Serkan; Ozdemir, Ahmet Tunc; Balbay, M. Derya; Canda, Abdullah Erdem
- Abstract
<bold>Objective: </bold>To evaluate the incidence, management, and risk factors of pleural injuries occurring during open nephrectomy.<bold>Methods: </bold>Between June 2004/and June 2008, 165 patients (167 renal units) underwent open simple (n = 37, 22.2%), partial (n = 39, 23.4%) or radical (n = 91, 54.5%) nephrectomy in our institution.<bold>Results: </bold>Flank, Chevron, and abdominal midline incisions were used in 148(88.6%), 17(10.2%), and in 2(1.2%) surgical procedures, respectively. Ribs were excised in 109(65.3%) procedures (11th rib, 10th-11th ribs, and 11th-12th ribs). Intraoperative pleural injuries were detected in 20(12%) procedures, 16(80%) were treated successfully with simple evacuation technique, and 4 required chest tube insertion. Age, sex, surgery type, incision type, and surgery site were not associated with pleural injury occurrence (P > .05). Rib resection was the only parameter associated with pleural injury occurrence.<bold>Conclusion: </bold>Pleural injuries occur in 12% of open nephrectomy procedures, and 80% can be repaired successfully. Few of them (2.4%) need chest tube insertion. Performing rib resection is a significant risk factor for pleural injury occurrence during nephrectomies.
- Subjects
PLEURA diseases; KIDNEY surgery; ABDOMINAL wall; RIB resection; CHEST tubes; PNEUMOTHORAX; CYSTIC kidney disease; HYDRONEPHROSIS; OPERATIVE surgery; DISEASE risk factors; SURGERY
- Publication
Advances in Urology, 2009, p1
- ISSN
1687-6369
- Publication type
journal article
- DOI
10.1155/2009/948906