The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy. (1st September 2009)

• Record Type: Journal Article
• Authors: Atmaca, Ali Fuat; Canda, Abdullah Erdem; Serefoglu, Ege Can; Altinova, Serkan; Ozdemir, Ahmet Tunc; Balbay, M. Derya
• Other Names: Scherr Douglas S. Academic Editor.
• Is Part Of: Advances in urology. Volume 2009(2009)
• Publication Date: 2009-09-01
• Subjects: Urology -- Periodicals; 616.6005
• DOI: 10.1155/2009/948906
• Languages: English
• ISSNs: 1687-6369

Abstract

Abstract : 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.