大阪大学泌尿器科学教室における最近5年間(1977～1981)の手術症例について

Abstract

The statistics of urological operations performed at our Department from 1977 to 1981 were reviewed. During the 5 year period, 1, 816 patients were admitted to our clinic, and 1, 896 urological operations were performed on 1, 505 patients. These operations were compared with earlier statistics for three periods (1957-1966, 1967-1971 and 1972-1976), and the recent trend of urological operations was investigated. Compared with earlier periods, operations on the kidney and urinary bladder have gradually increased, but those on the urethra have greatly decreased. Nephrectomy was previously the most frequent operation, but during the recent 5 year period TUR-Bt was the most frequent. Renal al-10transplantations have increased. Autotransplantation was introduced during this period and performed on 15 patients. Transurethral operations on the bladder and the prostate have still increased. For bladder tumors, TUR-Bt or total cystectomy with urinary diversion was performed, and the indications for total cystectomy were discretely decided after TUR-Bt or TU-biopsy. The prognosis of urinary diversion such as ileal conduit and colonic conduit has been better than in the preceding 5-year period. Splenectomy was introduced during this period, and it was performed on 15 patients at renal allotransplantation to prevent the induction of leucocytopenia by immunosuppressing agents.