Thoracic complications of urologic laparoscopy: correlation between radiographic findings and clinical manifestations

Journal of Endourology
Lee C ZhaoRobert B Nadler

Abstract

The usefulness of plain film chest radiography (CXR) in evaluation for thoracic complications after laparoscopic urologic procedures is uncertain. Our objectives were to examine the association between radiographic findings and clinical manifestations of thoracic complications after laparoscopic urologic procedures and to determine the prevalence of postoperative CXR at our institution. We performed a retrospective review of 195 patients who underwent laparoscopic renal/adrenal urologic procedures at our institution from 1998 to 2005. Chi-square analysis was used to compare the rate of radiographic abnormalities and thoracic complications between different types of laparoscopic procedures. A total of 96 patients (96/195, 49%) had postoperative CXR, and abnormalities were noted in 75 (75/96, 78%). The abnormalities seen on CXR included atelectasis, pleural effusions, pneumomediastinum, pneumothorax, subcutaneous emphysema, and pneumonia. Retroperitoneal laparoscopy had significantly more incidental subclinical pneumothoraces (P = 0.000469) and subcutaneous emphysema (P = 0.043) identified by CXR than either transperitoneal, hand-assisted, or cryosurgery. Overall, eight patients (8.3%) had clinical manifestations of a thoracic co...Continue Reading

References

Aug 1, 1994·The Journal of Urology·J S Wolf, M L Stoller
Mar 1, 1997·The Journal of Surgical Research·R M GieblerJ Peters
Dec 24, 1997·Journal of the American College of Surgeons·C Platell, J C Hall
Feb 6, 1998·The Journal of Thoracic and Cardiovascular Surgery·R J GrahamN A Obuchowski
Mar 17, 2004·The Journal of Urology·Sidney C AbreuInderbir S Gill
Jul 16, 2004·Journal of Endourology·Jeffrey A Stern, Robert B Nadler
Jan 16, 2007·The Journal of Urology·Sompol PermpongkosolLouis R Kavoussi

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