Evaluation of Thoracic Complications After Urological Operations: A Single-center Experience
Year: 2019
Type: article
Study design: Observational Study
Abstract: What's known on the subject? and What does the study add? ÖzObjective: To present cases of thoracic complications that developed after urologic interventions and were treated in collaboration with thoracic surgery. Materials and Methods:Patients who were operated in the urology clinic at our hospital between January 2014 and December 2017 and required thoracic surgery consultation were retrospectively reviewed.Forty-two patients with pneumothorax, pleural effusion, hydropneumothorax and diaphragm injury were included in the study.Six patients, who had preoperative diaphragm invasion and underwent preoperative diaphragm incision, were excluded.Results: Tube thoracostomy (TT) was applied in only 5 patients who developed pneumothorax.Three patients with isolated pleural effusion were treated with TT and 3 with thoracentesis.All patients who developed hydropneumothorax were found to have undergone nephrectomy (3 left, 1 right).All patients with iatrogenic diaphragmatic injury were diagnosed perioperatively and all of these patients were nephrectomized (5 right, 1 left).All the patients underwent primary diaphragm repair and 5 patients underwent TT.The mean duration of tube drainage was 5.5±2.1 (2-13) days.The mean length of hospital stay in patients who underwent percutaneous nephrolithotomy, nephroureterectomy, nephrectomy and prostatectomy with thoracic complications was 4.12±1.08,8.26±2.87,4.04±1.23 and 4.17±0.72days, respectively.There was no significant difference in mean duration of hospital stay between patients with and without thoracic complications (p=0.729).Conclusion: Thoracic complications may develop after urological interventions.In particular, evaluation of chest pain in patients with right-sided percutaneous nephrolithotomy and nephrectomy by chest X-ray is important for early diagnosis.
Source: Journal of Urological Surgery
Institution: Ege University
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2969779559