Supl. 1.

authors

Leszek Bortnowski, Rafał Jedynak, Grzegorz Piotrowicz, Henryk Zieliński: Klinika Urologii CSK, Wojskowy Instytut Medyczny w Warszawie

summary

Objectives.

The aim of this study was to analyze types of complications in patients operated for RCC. All analyzed patients were operated in Urology Department of Military Institute of Medicine between1980 and 2005 considering type and incidence of complications in different periods of time of treatment.

Materials and methods.

Retrospective analysis was made using own material. Analyzed group consisted of 1678 patients operated for RCC. For the purpose of this study analyzed population was divided into 5 groups considering time of treatment and tumor diameter. Data was collected from patients’ case reports and operation protocols. Type and incidence of complications was shown in tables.

Results.

136 main complications were observed in all analyzed groups. In 1980-1985 11 spleen injury cases (SI), 2 pancreas injury cases (PI), 2 caval vein inferior injury cases (CVI), 4 lower extremities veins inflammations (LEVI), 3 pleura injury cases (PLI), 1 small intestine injury case (SII), 1 large intestine injury case (LII), 5 cases of ileus (I), 5 pneumonia cases (P), 12 wound infection cases (WI) and 4 gastro-intestinal bleeding cases (GIB) were observed. In following years: in 1986 – 1990: SI – 9, CVI – 1, LEVI – 2, PLI – 4, SII – 2, LII – 1, I – 5, P- 4, GIB – 5, WI – 7; in 1991 – 1995: SI – 5, CVI – 2, LEVI – 1, PLI – 2, SII – 0, LII – 0, I – 4, P – 3, GIB – 2; WI – 1; in 1996-2000 : SI – 4, CVI – 0, LEVI – 1, PLI – 1, SII – 0, LII – 0, I - 3, P – 2, GIB – 2; WI – 1; in 2001 – 2005: SI – 2, CVI – 2, LEVI – 0, PLI – 1, SII – 0, LII – 0, I – 3, P – 2, GIB – 3; WI – 1 were observed, respectively. No surgical mortality was observed.

Conclusions.

According to our analysis, types of complications after nephrectomy in patients operated for RCC were similar, but their numbers in following periods of time showed decreasing tendency. In authors’ opinion it may be caused by modernized operation technique, infection prophylaxis, antithrombotic prophylaxis and appliance of modern diagnostic tools making early diagnosis of disease possible.