上部尿路手術における背面垂直切開法の検討

Abstract

The most commonly used lateral subcostal incision has some disadvantages including the occasional muscular weekness which results from interruption or injury of the intercostals nerves. In order to avoid the disadvantages, posterior vertical lumbotomy was used as surgical approach to the kidney and upper urinary tract in 24 patients; 4 cases of ureterolithotomy, 1 case of nephrolithotomy, 11 cases of pyelolithotomy, 1 case of nephropexy, 2 cases of nephrostomy and 1 case of open renal biopsy. The considerable decrease of operative bleeding and early permit of ambulation were the best advantage in this approach. However, in cases with severe adhesion of the retroperitoneal area or anatomical anomalies of the kidney and ureter, these advantages were extremely limited.