Thoracoabdominal, Extraperitoneal and Extrapleural Approach to the Kidney in Supine Position / 대한비뇨기과학회지

ABSTRACT

The authors advocated a new renal approach in which patient is placed in supine, the eleventh rib is resected and incision is made over the thorax and the abdomen. This approach has been used on forty-two consecutive cases of the renal and the upper ureteral surgeries and the following advantages have been experienced. 1. Patient being placed in comfortable supine position, changes in vital capacity and respiratory volume are very minimal. 2. Muscle layers to be cut being hot heavy, postoperative pain is much decreased. 3. The operating fieldbeing wider and the renal upper pole being exposed well, operative manipulation is easier and safer. 4. The pedicle and the kidney resting on the almost same plane, closer to the skin surface, the pedicle is all visualized without turning the kidney over and manipulation is easier and safer. 5. The approach cna be used for a routine exposure to the kidney and the upper ureter.