Nephrectomy: Indications and Complications in 347 Patients

Abstract

The indications, complications and mortality rate in a recent 12-year experience with 347 nephrectomies were reviewed. Renal tumor is the most frequent condition requiring nephrectomy, probably because of the improved, non-ablative methods to treat inflammatory, obstructive, calculous and hypertensive renal disease. The over-all mortality rate was 1.4 per cent but was almost nil in the absence of malignancy.

Nephrectomy – Indications, Complications and Postoperative Mortality in 646 Consecutive Patients

“…A mortality rate of 2.4% (5/209) after nephrectomy for benign disease is not significantly higher than in other reports [2, 3]. 4 out of the 5 patients were considerably older (mean age 73 years) than the rest of the group.…”

“…In 1977 Schiff and Glazier [3]presented a neoplasia rate of 38%. In both series, nephroureterectomies for urothelial carcinomas had been excluded.…”

“…However, the choice of the surgical approach has in our group not shown any significant differences in postoperative complications, reopertions or mortality (table 3). Schiff and Glazier [3]reported a lower incidence of complications when using an anterior retroperitoneal approach, while Scott and Selzman [2]found that the transperitoneal approach gave a lower complication rate. Swanson and Borges [4]reported 19.1% postoperative complications, using the midline incisions for renal carcinomas.…”

Nonrandomized Comparison of Open Flank versus Laparoscopic Nephrectomy in 249 Patients with Benign Renal Disease

“…The most common indications for nephrectomy include symptomatic hydronephrosis, shrunken kidney, infection, hypertension, polycystic kidney disease, and trauma or renal calculus [1, 2, 3, 4, 5, 6]. Nephrectomy for benign renal disease is a routine operation which is usually performed via a standard flank incision.…”

“…Nephrectomy for benign renal disease is a routine operation which is usually performed via a standard flank incision. For this operative technique, however, complication rates of up to 58.7% have been reported in the literature [1, 2, 3, 4, 5, 6]. …”