大阪大学泌尿器科学教室における最近5年間(1982年1月-1986年12月)の手術統計

Abstract

1) 1982年から5年間の大阪大学泌尿器科学教室における2, 192件の手術を集計し, 1972年から1976年の5年間および1977年から1981年の5年間の手術統計と比較検討を行った.2)臓器別手術頻度では過去2回の報告に比し腎, 膀胱に対する手術が増加していた.尿管に対する手術は減少傾向である.3)術式別頻度では, TUR-Btが前回に引き続いて最も多く, 腎摘除術が2番目であった.4)腎に対する手術では, 経皮的腎切石術(PNL)の導入により開放性の尿路結石手術が著明に減少した.5)膀胱, 前立腺に対する手術では経尿道的手術がますます増加した.6)膀胱腫瘍に対してはTURまたは膀胱全摘除術を施行する方針を貫いており, TUR-BtあるいはTU-biopsyにより膀胱全摘除術の適応を慎重に決定する方向にある.7)副腎腫瘍摘除術, 副甲状腺摘除術が着実に増加している

The statistics of urological operations performed at our department between Jan., 1, 1982 and Dec., 31, 1986 were reviewed. During the 5 year period, 2331 patients were admitted to our hospital and 2192 urological operations were performed on 1834 patients. These statistics were compared with earlier statistics for two periods (1972-1976 and 1977-1981) and the recent trend of urological operations was investigated. With regard to operated organ, operations on the kidney were the most frequent followed by those on the urinary bladder. Operations on the ureter decreased during the recent 5 year period and they were the fourth most frequent following those on the scrotum, scrotal contents and penis. Operations on the adrenal gland, retroperitoneal space and parathyroid gland have gradually increased. As in the former report, transurethral resection of bladder tumor (TUR-Bt) was the most frequent and nephrectomy, TUR of prostate (TUR-P) and renal allotransplantation have followed. TUR-Bt and TUR-P have increased more and more and due to the introduction of percutaneous nephrolithotripsy and transureteral lithotripsy, open surgery for urolithiasis has greatly decreased. Endourological operations will still be on the increase.