Is routine postoperative chest radiography needed after open nephrectomy?

Latchamsetty, Kalyan C.; Rochelle, Jeffrey C. La; Hoeksema, Jerome; Coogan, Christopher L.

doi:10.1016/j.urology.2004.09.011

Cited by 5 publications

(7 citation statements)

References 7 publications

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“…We recently demonstrated that routine chest X-ray is not necessary if intraoperative pleural injury is not detected in patients who were operated via flank incisions with rib resections [3]. Similarly, others also showed that routine chest X-ray is not necessary in these patients and does not change patient management [1, 2, 4]. …”

Section: Discussionmentioning

confidence: 99%

“…It has been reported that rib resection might increase the risk of pleural injury via flank incision [1, 2]. Pleural injuries that occur during performing nephrectomy can be diagnosed easily and can be repaired successfully by simple evacuation technique [2, 3].…”

Section: Introductionmentioning

confidence: 99%

“…However, a small percent of these patients might require postoperative chest tube insertion due to the presence of manifest pneumothorax although repaired intraoperatively [3]. Incidence of pneumothorax after open nephrectomy is reported to be between 1–10% [1]. Nephrectomies performed via anterior tranperitoneal subcostal incisions have a decreased pleural injury occurrence risk compared to flank incisions [1].…”

Section: Introductionmentioning

confidence: 99%

“…Incidence of pneumothorax after open nephrectomy is reported to be between 1–10% [1]. Nephrectomies performed via anterior tranperitoneal subcostal incisions have a decreased pleural injury occurrence risk compared to flank incisions [1]. …”

Section: Introductionmentioning

confidence: 99%

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The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy

Atmaca

Canda²,

Şerefoğlu³

et al. 2009

Advances in Urology

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Objective. To evaluate the incidence, management, and risk factors of pleural injuries occurring during open nephrectomy. Methods. 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. Results. 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. Conclusion. 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.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy

Atmaca

Canda²,

Şerefoğlu³

et al. 2009

Advances in Urology

View full text Add to dashboard Cite

show abstract

“…It seems to be a frequent radiological finding probably due to diaphragm palsy after its manipulation in the surgical procedure (30). The lack of clinical significance and the high incidence of radiological findings constraints on using postoperative X-ray evaluation unless the patient has symptoms or any significant abnormality on physical examination (31). Some authors have described fever as an expected event in the postoperative period.…”

Section: Discussionmentioning

confidence: 99%