Evaluation of Thoracic Complications After Urological Operations: A Single-center Experience
Makaleler > Tam Makale · 2019
Yazarlar: Fuat KIZILAY, Tevfik İlker AKÇAM, Mustafa Serdar KALEMCİ, Adnan ŞİMŞİR, Burak TURNA, ÖNDER KAVURMACI, Ufuk ÇAĞIRICI, Oktay NAZLI, Mehmet Ceyhun ÖZYURT, İbrahim Kadri CÜREKLİBATIR
Journal of Urological Surgery, SCI Expanded İndekslerine Giren Dergi, Uluslararası, 2019, cilt 6, ss 184-189
DOI: 10.4274/jus.galenos.2019.2547
Özet
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.