"Nephrectomy has been one of the most important procedures in the field of urologic surgery, since Gustave Simon performed the first planned nephrectomy in 1869. It may be required in a wide varity of circumstances and various methods of operative procedures has been introduced. And also its complication has been varied according to the operative procedures. A clinical observation on the 149 patients nephrectomized in the Department of Urology, National Medical Center, during the period from January, 1971 to July, 1978 was presented with a brief review of the literature. The results were as follows : 1. The total number of in-patients during above period was 1,287 and nephrectomies were performed in 149 of the 987 total urologic operations (15.1 %). 2. Age distributions showed the highest in 20`s with 26.1 % and the youngest was 5 months and the oldest 65 years. Sex distribution was almost equal. 3. The causative lesions of the kidney showed the highest in Tbc 75 cases (50.3 %), calculous disease 21 cases (14.1 %), tumor 18 cases (12.2 %), hydronephrosis 9 cases (6.0 %) and pyonephrosis 8 cases (5.4 %) by sequence. 4. Lumbar approach with resection of 12th rib was the most frequently used method in 72 cases (48.3 %). Postoperative
complications were seen in 17 cases (11.4 %), of which wound infection and pneumothorax were common. 5. 77 cases ( 51.7 %) were discharged within 10 days after surgery and only 8 cases (5.3 %) remained more than 1 month."
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