Posterior vertical lumbotomyによる腎盂切石術(Gil-Vernet)の経験

Abstract

Experience of pyelolithotomy through posterior vertical lumbotomy applied for 24 cases with renal calculi at the Osaka Keisatsu Hospital was presented in this paper. The patients were placed on prone position and kyphotic frame for spinal operation was applied under patient's upper abdomen. This prone position made possible to observe well inside the renal pelvis and the calyces. The posterior vertical lumbotomy and the extracapsular approach by Gil-Vernet was thought to be the best operative procedure for pyelolithotomy in situ. However, there are a few exceptional cases in which lithotomy was almost impossible because of too narrow pelvicaliceal system as well as too thick renal parenchyma around the hilum.