Study of Complications of Laparoscopic Nephrectomy for poor and non-functioning Pyonephrotic kidney
Qadeer Ahmed Tariq, Khalid Khan, Muhammad Khalid, Nisar Ahmad
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ABSTRACT
Aim: To assess the complications of laparoscopic
nephrectomy for pyonephrosis at tertiary care hospital.
Methods:
This cross sectional study was conducted at
Department of Urology, Sahiwal Medical College, Sahiwal and Quaid Azam Medical
College Bahawalpur from August 2017 to December 2019.Total 150 patients of pyonephrosis having age ≥20 years
either male or female were selected for this study.Post nephrectomy
complications were assessed.
Results:In present study total 150 patients underwent nephrectomy for pyonephrosis. Mean age of the patients
was 39.86±4.33years.In 90(60%) of patient’s procedure was through trans
peritoneal route while retroperitoneal access was used in 60(40%) patients. Male
patients were 80(53%) and female patients were 70(47%).Total 93(62%) patients
belonged to age group 20-40 years and 57(38%) patients belonged to age group
41-60 years.Major complications was
noted in 22(14.67%) patients. Minor complications was seen in 36(24%) patients.
Conclusion:
Results of present study showed male
predominance undergoing nephrectomy for pyonephrosis.
Most of the patients belonged to 3rd decade of life.Intraoperative
bleeding was the most common major complication. Among patients with minor
complications, fever was most common.