경피적 신장수술후 시행한 관혈적 수술의원인분석
Causes of Open Surgery during or after Percutaneous Renal Surgery
정경식, 문한림, 김주열,
소속 상세정보
정경식 ( )
가톨릭대학교
문한림 ( )
가톨릭대학교
김주열 ( )
가톨릭대학교
KMID : 0358319930340061039
Abstract
Of the 443 patients who underwent percutaneous renal surgery at our hospital, 24 patients(5.4%) required open surgery. We evaluated the causes of open surgery and their operative methods in those patients. The most common cause of open surgery
was
inadequate puncture(10 patients) into the posterior calyx. The remainders were severe bleeding (5 patients), difficulties in fragmentation (4 patients), embedded stones(3 patients), downward migration of stone(1 patients) and poor renal function
(1
patients). Their operative methods were pyelolithotomy (9 patients), ureterolithotomy(9 patients), nephrolithotomy (1 patients), nephrectomy (3 patients) and partial nephrectomy (2 patients). Two patients who showed delayed bleeding underwent
nephrectomy, because bleeding was continud in spite of conservative management or selective angioinfarction.
We believe that problems and complication may occur at any point in the percutaneous renal surgery and as with other open surgery, knowledge of what complications may occur and which method is the best way to solve them will assist in their
prevention
and awareness of how to manage such complicatioins will minimize their impact.
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