Evaluation of Thoracic Complications After Urological Operations: A Single-center Experience

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dc.contributor.authorKizilay, Fuat
dc.contributor.authorAkcam, Tevfik Ilker
dc.contributor.authorKalemci, Serdar
dc.contributor.authorSimsir, Adnan
dc.contributor.authorTurna, Burak
dc.contributor.authorKavurmaci, Onder
dc.contributor.authorCagirici, Ufuk
dc.contributor.authorNazli, Oktay
dc.contributor.authorOzyurt, Ceyhun
dc.contributor.authorCureklibatir, Ibrahim
dc.date.accessioned2019-10-27T09:41:32Z
dc.date.available2019-10-27T09:41:32Z
dc.date.issued2019
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: 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 +/- 0.72 days, 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.en_US
dc.identifier.doi10.4274/jus.galenos.2019.2547
dc.identifier.endpage189en_US
dc.identifier.issn2148-9580
dc.identifier.issn2148-9580en_US
dc.identifier.issue3en_US
dc.identifier.startpage184en_US
dc.identifier.urihttps://doi.org/10.4274/jus.galenos.2019.2547
dc.identifier.urihttps://hdl.handle.net/11454/28643
dc.identifier.volume6en_US
dc.identifier.wosWOS:000482174400002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofJournal of Urological Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPneumothoraxen_US
dc.subjectHydropneumothoraxen_US
dc.subjectComplicationen_US
dc.subjectPercutaneous Nephrolithotomyen_US
dc.subjectNephrectomyen_US
dc.titleEvaluation of Thoracic Complications After Urological Operations: A Single-center Experienceen_US
dc.typeArticleen_US

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